I think that what Epic and Cerner have figured out is how to crack the corporate sales process. Doctors and patients don't choose the EHR system, managers do, and I guess Epic and Cerner are good at selling to them.
If any startups want to do a Red Hat type model building on top of VistA I hope they do well.
Their tech is much disliked by most doctors. There's even a protest group LetDoctorsBeDoctors with a humorous song video (https://www.youtube.com/watch?v=xB_tSFJsjsw)
There is also a fully functional heavily tested free open source solution that most doctors prefer in surveys, called VistA or Openvista.
> Doctors at the VA really like VistA. In Medscape’s 2016 EHR Report, VistA was the top rated EHR overall and the most preferred solution for use as a clinical tool. http://hitconsultant.net/2017/05/10/reasons-not-to-replace-v...
I think that what Epic and Cerner have figured out is how to crack the corporate sales process. Doctors and patients don't choose the EHR system, managers do, and I guess Epic and Cerner are good at selling to them.
If any startups want to do a Red Hat type model building on top of VistA I hope they do well.