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This is what I'm looking at for my medical pracice.

Open EMR looks awesome. It's free, and customizable, and offers clean functionality in the areas that I need. I've also considered lots of other possible programs but I'm less impressed. Many are overly fancy, or rigid, or cost a monthly fee after they get you hooked. And once you put your charts on their program, you are trapped. Open EMR makes it easy for you to back up your data, and to move the database whenever you chose to do so. My main concern is that I would be dependent upon internet service to access my charts and schedule. What if the internet goes down? How often does the internet go down? What kind of internet service is available where I am going? How secure will my connection be? I don't know all this yet...but it matters. Looks like a hosted version could ease some of my concerns....still much research to do.

Paper charting and scheduling is straightforward. It's tempting to start with this simply because it is familiar. But it does not prepare me for the possibility that I might be successful. Very successful. If my practice takes off, I'll wish I had a computerized system started from opening day. And why not plan for that? Especially since it's free.

Got any other ideas for me?

Other software options considered:

Practice fusion

Clinic ND: http://clinicnd.com/

ChARM (charmehr.com)
designed for integrative practices
can list the patient's supplements
tabs for lifestyle and nutritional recommendations
patients can also log into the site and see the recommendations you have made, fill out intake, etc
can design your own templates (easy to do), or use ones that others have uploaded
support people are responsive
contact: Dr. Stephen Rondeau atsteverondeau@ymail.com, ND in Colorado.


Apr. 19th, 2011 12:22 am (UTC)
If you have a server running the web service, you will not need to worry about the Internet, only your own networked intranet. Everything will be running on-site for you. You'd need to have a good technical person to help you set it all up and put a backup system in place, and you'll have the cost to run a server computer (a robust desktop system would probably do the job), backup drive and desktop/laptop computer(s) to connect to the service.

If you go with a hosted solution, you'll be at the mercy of the Internet, but you would not have to pay for the hardware besides whatever computers connect to the service from your location. You would have to pay a monthly fee to the hosting company and they'd be responsible for backing up your data, etc.

There are pros and cons to both setups. For the most part, we've found here at the university that hosting our own servers rather than going out to the cloud is the better option.
Apr. 19th, 2011 03:49 am (UTC)
Thanks for your explanation. The more I think about it the more I think I'd rather just have my own server. There was talk today of using a laptop for a server. What exactly do you mean by a "robust" desktop? And is there a good reason not to use a laptop for a server?
Apr. 19th, 2011 02:11 pm (UTC)
You will want the server to be sitting off to the side somewhere, hopefully in a secure and cool closet. If you're busy enough it will hold a good-sized database. You'd be best to have a computer with at least a couple of big hard drives and a decent processor speed.

Yes, you could hypothetically use a laptop but in order to get the power and storage you'd spend a lot more money than on a comparable desktop. You can carry a laptop around as the "client" machine that connects to the server via wireless network, that way you wouldn't have to have a computer in each room connected to the server.

One server that holds the data, locked securely away, and a laptop to carry from room to room. Drop the laptop and break it? No biggie. Replace it and carry on... all the important stuff is on the server.
Apr. 19th, 2011 02:33 pm (UTC)
Cool, this all jives with what I know from experience.



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