While this is a US specific issue.... similar challenges have or are 
about to crop up elsewhere as countries seem to mimic each others 
policies and initiatives a great deal when it comes to health IT. Our UK 
friends are quite familiar with this....and we are starting to see 
similar patterns here in Canada.

At last weeks townhall meeting the Certification Commission for 
Healthcare Information Technology (CCHIT) announced the pricing and 
payment model (slide 22, 
http://www.cchit.org/files/CCHIT_Town_Call-20060309_v1.1.pdf) for 
meeting the EHR criteria they are developing. The intent is to create a 
self sustaining CCHIT organization by charging vendors to certify their 
products.

The pricing model in this case is based on sales of a product with an 
initial certification cost of $25-35 k. The fact that the design of this 
model is based on the legacy software business model creates some 
serious issues for open source alternatives, no the least of which is 
the initial cost of certification.

CCHIT is soliciting comments on its plans....I strongly urge both 
potential adopters and developers of open source EHRs to voice their 
thoughts and opinions on this potential roadblock to innovation.

http://www.cchit.org/publiccomment4.htm

Joseph
Director, WorldVistA


 
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