part II/III

"...

<<Testing stage>>

VistA-Office is one of the pieces in a large puzzle that the federal
government is assembling to realize the Bush administration's 10-year
goal of implementing a national health information network and
electronic records for most Americans.

EMRs would be used by, or hooked into, localized regional health
information networks -- more than 100 of which are online or in planning
stages -- that can be linked to form a national network.

For its EMR test, CMS is looking for "small offices with one to five
physicians that are committed to engaging in a meaningful beta test,
which includes having the electronic health record installed,
participating with the vendor in the configuration of that [system in]
their particular office, staying current with [product] updates and
providing us with feedback," Wark said.

VistA-Office does not include a billing system, but doctors can pay
vendors to develop interfaces to their practice-management software
systems, CMS said.

The administration hopes that the eventual full-scale release of
VistA-Office will encourage doctors in small practices to adopt
electronic records by offering them a lower-cost alternative to other
EMRs. Though costs vary widely depending on the vendor and the services
offered, even a small practice can easily spend $50,000 per physician on
hardware and software.


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