Borges versus Kvedar Video eHR Debate

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The Great HIT Debate

[By Staff Reporters]Boxing Gloves

All ME-P subscribers and readers are invited to watch a debate between Dr. Alberto Borges and Dr. Joseph Kvedar. In the original broadcast, by HCPLive, both participants were asked some very interesting questions about health information technology [HIT] when posed to them. And so, if you were unable to attend the live event, it is now re-broadcasted in podcast form for your review.

About Alberto A. Borges; MD

Al Borges is Founder and CEO of the MS Office eMR Project He is the project author, visionary and main content developer for the independent website. As a board certified physician, he practices oncology, hematology, and internal medicine in Arlington, Virginia. He is also a clinical professor at the George Washington University Medical School. Dr. Borges is a colleague and thought-leader for the ME-P

About Joseph C. Kvedar; MD

Joe Kvedar is the Founder and Director of the Center for Connected Health The Center is known for applying communications technology and online resources to increase access and improve the delivery of quality medical services and patient care outside of the traditional medical setting.  A division of Partners HealthCare; the Center for Connected Health works with Harvard Medical School-affiliated teaching hospitals, including Massachusetts General and Brigham and Women’s Hospitals. Dr. Kvedar is also a board-certified dermatologist and Associate Professor of Dermatology at Harvard Medical School

Podcast Link:


Feel free to email questions, or to post follow-up comments, for all our viewers to consider and respond. The principals are asked to weigh-in, as well.

And the Winner is … ?


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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact:



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7 Responses

  1. HHS

    Well folks, it looks like a recent HHS policy panel leaves the Certification Commission for Health IT in place so that providers can start to plan for 2010 health IT purchases. At least for now …



  2. HIT Adoption

    For physicians trying to figure out how to adopt health information technology without going broke or dealing with salespeople, open-source software may sound like a godsend. Proponents of open-source software — developed with an open code that is made available, at no cost, in the public domain to download and change as needed — say it provides a health IT system that costs much less than commercial, proprietary systems. And, physicians who adopt open-source programs can participate in a collaborative community that can help them get the most out of their health IT systems.

    But, as with any system, there are trade-offs. For example, while open-source software is free, you will need to have a plan for installing and supporting the system. And while an active community could mean getting the upgrades and tweaks you need in real time, if the user community eventually fades away, you might be stuck with an extinct program. Then there’s the question of whether your open-source program will qualify under the Dept. of Health and Human Services’ “meaningful use” definition. This is critical if doctors want to share in the $19 billion in health technology money available through the federal stimulus package, as well as in future funds from government programs.

    Source: Pamela Lewis Dolan, AMNews [8/24/09]
    via Virginia


  3. Hi Barbara and Virginia,

    Thanks for the good info.

    Most open source software packages are built to run on Linux, the open source Operating System [OS] created by Fin, Linus Torvalds. However, there is another option beyond the FOSS (Free Open Source Software) versus Commercial Closed Source Software. This option is COSS (Commercial Open Source Software). With Commercial Open Source Software, a company makes a product open source and gives it away for free. This business model then earns money selling support.
    THINK: Red Hat and Ubuntu Linux, etc.

    Sun Micro Systems also does this on a regular basis with increasing success since its JAVA applications are open source and MySql is a very popular database program. Microsoft has even incorporated some open source software into products, and has made parts of Health Vault open source.

    So, maybe the terms of the open versus proprietary software debate just need to be reframed.



  4. HIT Cost and Interoperability

    Cost and interoperability are certainly significant obstacles to the implementation of HIT. Placing the cost directly on the shoulders of physicians, along with plans for punishment for noncompliance, will be devastating. Many physicians see fewer patients as EHR is implemented in the office setting.

    I also see a high percentage of doctors give up their hospital practice as more onerous data-entry tasks are assigned to them in the inpatient setting. Moreover, I see many physicians in the most productive years of their careers planning their retirement in order to avoid some of the implementation deadlines and penalties associated with EHR. Governmental estimates of cost savings are not including this attrition of practicing physicians.

    Brian J. Knabe; MD


  5. Costco Unveils EHR

    Drs. B and K:

    Did you know that wholesale retail chain, the Issaquah, Wash.-based, Costco Wholesale Corp., has just launched a ambulatory Electronic Heath Records (EHR) and Practice Management (PM) software for physicians.

    Costco entered into an agreement with two healthcare technology vendors, Etransmedia (Troy. N.Y.), and Allscripts (Chicago), to provide the software.



  6. Kvedar Speaks

    “If patients can use their own devices to run these apps or mobile health sensors marketed to consumers, costs could be split between consumers and healthcare systems, and consumers would be partly responsible for the device maintenance.”

    Joseph Kvedar MD
    [Founder & director of the Center for Connected Health]
    via Ann Miller RN MHA


  7. Will 2015 be mHealth’s Coming Out Party?

    Dr. Joe Kvedar has been toiling in the field of connected health for 20 years now, watching for signs of adoption that will move us into the steep part of the curve.

    So, I have to wonder, with announcements from several huge consumer companies recently [Apple’s HealthKit announcement which involved not only Apple, but Mayo Clinic and Epic] if that time is coming.

    Hope R. Hetico RN MHA


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