I'm new to this listserve.  I'm an internist, planning to leave a group
practice and open my own solo pratice in western Massachusetts.  I would
like to use an electronic medical record.  I was wondering if others here
could advise or share their experience.

The features most important to me are:

   - Assist in meeting Medicare DOQ guidelines.
   - Track preventive screening - know which patients are overdue for
   Pap, etc.
   - Templates, reminders, reports etc. configurable by MD.
   - Improve documentation and coding.
   - Integrated practice management (scheduling and billing software).
   - If possible... patient interface that allows patient self-scheduling
   for appointments, patient access to own health info, secure email and
   messaging.

I've looked into VISTA office a bit (thanks to Joseph Dal Molin for the
tip).  It looks promising, since it's based on the VAMC system which I know
works brilliantly; but I see it was put out for beta testing, and the
sign-up period ended in 11/05.  I've written to the companies listed on the
website just the same.  Anyone know if it's available at all outside
beta-testing, or if they're still signing up testers?

Joseph also suggested Oscar McMaster.  Wondering if it handles U.S. cpt and
diagnosis codes?  Or can they be obtained and installed?

I saw the MirrorMed (OP/EN) link that just came over... also looks good.

I'd really welcome any advice at all.  I've looked at commercial products
too, but I have a bias toward open source and I'd rather participate in
testing and building something for public use than buy a license from a
private company if it's possible.

Thanks very much to all in advance for any responses!

Andrew Schamess
Lenox, MA


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