Here is a letter I wrote the author.  Nancy, I hope
you don't mind my giving him your name.

Kevin

--------------

Dear Mr. Ken Terry,

I read with interest your recent article in Medical
Economics regarding implementation of the VA's EMR in
private offices (the VistA package).  

I am a family physician who has successfully taken the
code from the VA web site and implemented portions of
it for my 15-physician multi-specialty group.  Thus I
have fully explored many, if not most, of the
requirements and limitations for VistA.

What shocked me was your statement regarding the
requirement of a $50,000-$100,000 server.  This could
not be further from the truth!  Because the software
has initially been developed for hardware that was in
use back in the 1980's-1990's, it will literally run
on almost any old computer that you could drag out of
the corners of one's garage.  This is perhaps an
exageration, but it is very limited regarding the
horsepower required.  I purchased a used Dell optiplex
server on EBay for $3,000 for our server.  We are
running Linux as our OX, and GT.M as our Mumps
environment.  And our application uses very little of
the available computing power.

Regarding the total bottom line cost of implementing
VistA in private offices, I think that time will tell.
 By having an Open-Source software package, the way is
clear for competition between installation and support
venders.  When CMS releases VistA Office, anyone will
be free to take the technology and offer their own
installation package.  So if someone is making a large
amount of profit off of private physicians, be sure
that someone will want a piece of the action and
underbid--driving costs down.

The WorldVistA organization is a charitable,
nonprofit, public-benefit corporation that has one of
its primary goals to improve health worldwide by
making medical software better and more accessible. 
They/We would be happy to help you with information if
you would like for any future articles.  Their web
site is:
http://www.worldvista.org/

Please feel free to contact me if you would like at:
[EMAIL PROTECTED]

Another active member that is a good source of
information is:
Nancy Anthracite
[EMAIL PROTECTED]

These are exciting times.  Thanks again for your
article, and your time regarding this letter.

Sincerely,

Kevin Toppenberg, MD
The Medical Group of Greeneville
Greeneville, TN



--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:

> I have heard of disinformation, but this takes the
> cake!!!!!!!  Thank goodness 
> that CMS was allowed to comment so that didn't go
> unchallenged.
> 
> On Tuesday 24 May 2005 11:33 am, Kevin Toppenberg
> wrote:
> > There is an article about VistA in Medical
> Economics
> > magazine, in the May 20,2005 edition, page 40.
> >
> > The link to the site should be www.memag.com  But
> when
> > I try it right now, their server is not
> responding.
> >
> > There is some misinformation, namely they quote a
> > "consultant" that claims that in order to run the
> > mumps database, on must buy a "$50,000-$100,000"
> > server.  They then quote others disputing this
> claim,
> > but I think it is unfortunate that they even put
> that
> > WRONG info in the article.
> >
> > Kevin
> >
> > P.S.  I just tried the web site again, and its
> working
> > now.  Here is the URL
> >
> >
>
http://www.memag.com/memag/article/articleDetail.jsp?id=161588
> >
> > KT
> >
> >
> >
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> -- 
> Nancy Anthracite
> 
> 
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