On Sat, 15 Nov 2003, Horst Herb wrote: > On Sat, 15 Nov 2003 08:31, Kantor, Gary wrote: > > The open-source approach has worked best for tools, and there > > is no example that we are aware of in which something as > > complex as an EHR has succeeded. > > With all due respect, I don't think you have though this through before you > wrote.
Horst, Gary did not write the original JAMIA position paper "A Proposal for Electronic Medical Records in U.S. Primary Care": (http://www.jamia.org/cgi/content/abstract/10/1/1). Gary wrote a response to it, which generated a reply (copied to this list) from 3 of the 5 original authors. The three authors who wrote the illuminating reply to Gary's letter are: In the lead - David W. Bates, M.D., MSc, American College of Medical Informatics Fellow, Medical Director of Clinical and Quality Analysis, Partners HealthCare System, Chief, Division of General Internal Medicine Brigham and Women's Hospital Boston, MA Associate Professor of Medicine, Harvard Medical School according to http://www.amia.org/acmi/fellows/fellows/bates.html and http://aging.senate.gov/events/hr65db.htm H.C. Mullins, M.D., Professor Emeritus, University of South Alabama He is the original chairman and founder of the Department of Family Practice at the University of South Alabama. "He has been an active leader in many medical societies and associations including the AMA, AAFP, Medical Association of Alabama, STFM, AMIA, and IMIA." according to http://www.fammed.usouthal.edu/Residency/FacultyPages/Moon.htm and http://www.ncvhs.hhs.gov/970415t7.htm John A. Zapp, M.D. Director of Residency Training, Redding Program, UC Davis Family Medicine. http://famcommed.ucdmc.ucdavis.edu/network_residency/programs/redding/faculty.htm and http://www.acgme.org/Site/template.asp?StaffID=27 > Complexity has nothing to do with stages of this evolutionary creative > process - compexity is dealt with whenever need arises. GCC is extremely > complex, and so is the KDE project - both far more complax than any EHR > ever will be. I agree. These people gave a non-sense reply. ... > It is *NOW* feasible to create free EHR systems. You are too modest. Many free / open source EHR systems have already been created and in daily use. They are not perfect - None of the closed-source EHR systems are perfect either. ... Best regards, Andrew --- Andrew P. Ho, M.D. OIO: Open Infrastructure for Outcomes www.TxOutcome.Org
