Be a force for good in the developing world !
-Matthew (OpenEMR Admin)
As a clinician, I find Epic to be horribly clunky - it definitely detracts from time with patients and impairs collaboration among clinicians by 'hiding' important details in multiple sections/submenus. It's like a Frankenstein's monster of Windows 3.1 and Atari 2600 Basic.
As a researcher, the very restrictive agreements that Epic insists upon have a profound impact on our ability to a) make good use of health records data for research and b) develop extensions to Epic, for things like decision support and risk stratification. (In the latter case, they essentially 'own' anything that touches their code.)
BUT - like the old saying goes, no one ever got fired for buying IBM.
Moral of the story: Hooray for OpenEMR, VistA, and all the open platforms! This round was lost to Epic, but hopefully the next round we can do better.
(edit: - academic medical centers in the US. Rest of world, you can do better!)
1. Have the data you need
2. Charge a huge premium for integration
3. Don't like giving up their data
4. Always have their slight twist on message format
This is a huge step forward still. This kind of software is not easy to get right. Soooo many variables and sooooo much demanded customization as well as almost mandatory adherence to incumbent UI designsOf course, your points are valid though! That is the state of the "behind the scenes" side of things :).
EDIT: Just saw your edit and your correct assessment of the need for a great UI (we have gaps, but a good team working on it).
I stumbled across OpenEMR a few months ago (as I was cursing Epic and praying for a better open source option) and must say that I’m impressed with the speed of progress. I’m certainly not a developer but I am a physician—if you need any more volunteers from medical personnel, I would be more than happy to help.
We are better off for you!!!