>From AMA News: October 10, 2005

"CMS takes baby step toward EMR network"

The government is testing an electronic medical record based on a system
used by the VA. The system will not be free to doctors.

The grand plans of the Centers for Medicare & Medicaid Services to
create a national health information network will soon be off to a
humble start. CMS  plans to recruit five to 10 small practices to test
what it hopes will become a widely used electronic medical record.
However, if physicians were hoping to get a free system from CMS,
they're out of luck. Even those participating in the test will have to pay.

The select group of practices will take a year-long test drive of the
VistA-Office Electronic Health Record software, which is a modification
of the EMR that U.S. Dept. of Veterans Affairs hospitals have used for
20 years. CMS says that a post-test evaluation of undetermined length,
it would release a full production version of the software.

The VistA-Office EHR software itself is only $37, but those test
practices will be required to pay $2,740 in licensing and maintenance
fees. For any practice with more  than seven users for that software --
a user being anybody, physician or otherwise, who uses the system --
that price will go higher, though CMS didn't say how much.

Those costs, while lower thanmost EMRs on the market, are giving some
physicians pause.

"It's going to be hard for someone to just volunteer and go ahead and
implement this for evaluation if they have to spend this much just to
get it up and running," said Steven E. Waldren, MD, assistant director
of the Center for Health Information Technology at the American Academy
of Family Physicians.

The licensing and maintenance fees are costs "that CMS does not have the
authority to pay for," said Cynthia Wark, deputy director of the
information systems group in the office of clinical standards at CMS.

The agency is not selling the system directly. Instead, it is licensing
the VistA-Office system through private vendors.

Some believe that doctors who volunteer despite the cost could benefit
by helping shape the final product. "If they are an early adopter, they
may want to jump in on this to try it out and experiment. If they are
more cautious, they should wait," said AMA Secretary Joseph M. Heyman, MD.

...



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