VA's VistA EHR System Could Be Low-Cost Option for Hospitals

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The Veterans Health Administration's open-source electronic health record system could be an effective and low-cost option for non-Veterans Affairs hospitals that are seeking to implement such a system but have been held back by the cost, the Wall Street Journal reports.

A recent survey in the New England Journal of Medicine found that fewer than 2% of the 5,000 non-VA hospitals in the U.S. have a full-fledged EHR system. Many facilities have said they cannot afford such a system, which can cost between $20 million and $100 million to implement, according to the Journal.

As a result, although the software still costs money to install and maintain, it frequently costs less than other options from private companies.

In addition, VistA offers a standardized program that facilitates seamless transfer of patients' records between different hospitals and facilities, a benefit that private commercial vendors of EHR systems do not provide.

The standardized software also reduces implementation costs and potential errors for users, according to the Journal.

Kenneth Kizer -- chair of Medsphere and former undersecretary for health at VA, who oversaw the development of VistA -- said his company can implement its OpenVistA system "in one-third the time and for about one-third the cost" of other private companies that offer proprietary systems. Medsphere is one of several startups that has begun using VistA's open-source platform.

However, Dan Garrett, a PricewaterhouseCoopers consultant, said that while VistA could be beneficial for some hospitals, the system's advantages have not been widely proven commercially like those offered by private companies (Landro, Wall Street Journal, 4/30).

Brian Nordberg
Could is the key word here. It could be cheap if you happen to have staff that know MUMPS and have lots of time to attempt to get the system up and running. Also it could be useful assuming you do not ever need to get the data you put in, back out. VistA has no analytic software, for data to be analyzed, it must be extracted and transferred to a different platform. You want to know how many male patients with high A1C levels were seen at your hospital? Good luck!

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