A nice piece by Mark McGraw regarding the move by large firms to build and deploy EHR systems and potentially deploy them on-line.
I think individual practitioners have little to lose by waiting for someone to shrink wrap the application.
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Pale Rhino Consulting 
And hospitals are likely to nearly give the apps away to practices to sink their hooks in deeper. Sure, EHR and PM on the cloud is attractive to practices because of the lower cost, but the likelihood of future web outages taking down an office for a whole day and lesser flexibility in app design will kill the attractiveness of the ASP model at some point. What private practice will pay for two good sized pipes to the web, cripes I could not even get them to invest in power protection for servers! Minimal redundancy – no way.
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Give the app away, or do so and ask the doc to pay for implementing when they receive their ARRA money
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