Are we about to lose?
I don't have the expertise to fully comprehend these NPRMs that were recently issued, but did spend the last few hours reading large chunks of all three. The area they cover is huge, and I fear open source and small EHRs are about to lose big, and big corporate EHRs are about to get total lock-in courtesy of our government. The bills cover a lot of territory, proposing many requirements that I do not think support "meaningful use" requirements. There are numerous interesting items, one surprising to me was that the ONC expects a Certified EHR will cost $163 million over 3 years to develop, excluding costs for testing and certification. The majority of the NPRM is framed with that mindset.
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