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Re: EMRs.....ASP model or in house

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Graham,

Are you writing an EMR program? That sounds interesting.

I guess I am confused in your model. It sounds like another form of ASP. With

other companies, I can access their program as long as I have an internet

connection.

Now the low cost of your idea is appealing. Maybe I am missing something.

Wellington

---- Graham Chiu wrote:

> I am developing a new model where you are the ASP provider.

> Basically you start up a Windows 2003 server in the cloud ie. hosted

> on Amazon's Elastic Computing platform.

> You then run Synapse and store your data encrypted in S3 ( Amazon's

> simple storage ).

> This gives you the benefit of access anywhere you have internet eg.

> airport lounges, housecalls, hotel lobby using a wireless G3 card or

> phone.

> And you have all the distributed backup, and Amazon's 99.95% uptime

> commitment behind it.

> There are no hardware costs .. just the monthly charges.

> Amazon would charge a minimum of $70/month .. but you can reduce this

> by turning off the server at night ie. they charge per computing hour.

> So, you could be looking at " hardware " rental of $35 /month.

>

> Now do you require PhD in comsci to set this up? Nope .. we will be

> writing a guide ...

>

>

> > if you do asp you cannot use it when you a re on a housecall or like

> > maybe updating templates or other chores on an airplane /traveling; say go

> > sit in t he hotel lobby open the laptop answer your phone calls see what

> > meds they a re on or check for allergies etc A laptop +an emr +a

> > cellphone allow you to give really seamless care while sneaking off to a

> > conference.:) stuff like that makes me have it not on asp

> >

> > I use Welford chart notes becasue if I type a letter " your mammoragm is

> > normal " it reads that and puts mammogram nl 12-8-08 into the lab section,

> > it read or parses alot of stuff which I think is way cool.

> >

> > AMazing charts is very nice though I must admit I have been playing with it

> > You cannot make macros with it thoguh you can make templates, but you

> > cannot say type ecz and have it spell eczema for you( or

> > metrorraghia..... or other hard to spell hard to type words.YOu have ot

> > get shortkeys for that with AC

> >

> >

> > And alot of people like e MDs

> >

> > People seem to not have found E-CW easy to work with

> >

> > PRaxis is very interesting also I hear.

> >

> > etc.

> >

> >

> > Jean

> >

> >

> >

> >

> >

> >>

> >> I was wondering what most people are doing for their EMR? I am

> >> particularly interested in whether you are hosting or having someone

> >> else host it. I am leaning toward the ASP model, but the fact that I

> >> never own the program bothers me. The ASP model does give me a lower

> >> cost to start but over time will cost more. Also, I do not have to

> >> worry about servers, back up and IT cost with the ASP model. I am

> >> pretty good with computers, but I have never done anything like this

> >> so I am looking for other people's experiences.

> >>

> >> Thanks in advance for any input.

> >>

> >> Wellington

> >>

> >

> >

> >

> > --

> > If you are a patient please allow up to 24 hours for a reply by email/

> > please note the new email address.

> > Remember that e-mail may not be entirely secure/

> > MD

> >

> >

> > ph fax

> >

> >

>

>

>

> --

> Graham Chiu

> http://www.synapsedirect.com

> Synapse - the use from anywhere EMR.

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Somethings to ask if you go with PF.

Does PF do ePrescribing?

What about integrated practice management piece?

How will you submit claims?

Portal? - I emailed PF about 4 weeks ago to ask about a portal and

email to patients and virtual visits - The response was " What's a portal? "

It looks attractive and may work for you. Especially if you have the

time and inclination to put together the missing pieces. There are

several persons on this list who have done that.

Mike S.

> >

> > I was wondering what most people are doing for their EMR? I am

> > particularly interested in whether you are hosting or having someone

> > else host it. I am leaning toward the ASP model, but the fact that I

> > never own the program bothers me. The ASP model does give me a lower

> > cost to start but over time will cost more. Also, I do not have to

> > worry about servers, back up and IT cost with the ASP model. I am

> > pretty good with computers, but I have never done anything like this

> > so I am looking for other people's experiences.

> >

> > Thanks in advance for any input.

> >

> > Wellington

> >

>

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