Fine.  I'm ready.

Mark Anderson, their source in this article, must be is a consultant for these 
folks.  Prepare youself before you click on this link.  It may be a shock to 
your system.

http://www.acgroup.org/pages/395598/index.htm


On Tuesday 24 May 2005 02:19 pm, Kevin Toppenberg wrote:
> 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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-- 
Nancy Anthracite


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