Friday, May 17, 2013

Where does OSCAR in Alberta go from here?

The billing module works really well.  We find new little glitches here and there, but I'm happy to report that the vendor is very responsive and usually has any glitches fixed literally within minutes - hours at the most.

So now - we just have to get a Lab module built for OSCAR in Alberta.  This will bring OSCAR up to normal functionality compatible with the rest of the Country's OSCAR capabilities.

BUT the POSP office has essentially disallowed this unless OSCAR becomes something called "VCUR compliant".

Officially, "VCUR" stands for Vendor Compliance and Usability Requirements.

This is a set of functional, technical, security and privacy requirements for an EMR solution developed through a process of stakeholder consultation that was led by the POSP (Physician Office System Program).

Overall - the idea is totally reasonable.  BUT - the idea appears to have become corrupted by a bloated bureaucracy without a rudder.

VERY recently, the POSP program appears to have been suspended for new users.

See: http://tinyurl.com/d6v9zzx

What does this mean for a new EMR Vendor to want to get OSCAR "VCUR certified" so that Alberta Health Services will allow Lab uploads into OSCAR?  Nobody knows.


Having said that, we have had the VCUR manual reviewed by Professional programmers, and it should not be too unreasonable to ensure that OSCAR adheres to the VCUR requirements.  The process of getting OSCAR VCUR certified, however, will probably require the cooperation of high level Government Personnel and the support of the AMA.  One way or another, we'll get the support we need.  

7 comments:

  1. This is a worthwhile endeavour. I hope you succeed.

    We are facing the same situation in New-Brunswick. The NB government has granted lab results access to a single proprietary EMR, giving it a complete monopoly. The solution costs $400/month + $24 000 upfront minus a $16000 subsidy for a three year contract and then this vendor will be in the position charge anything they want since they will have control over all our medical records.

    I have been pushing Oscar as an alternative but with only negative responses from our government.

    Governments are adopting open source everywhere. The UK, for example has mandated it's preference (http://www.computerweekly.com/news/2240179643/Government-mandates-preference-for-open-source). It makes no sense to me that the NB government would block it.

    I have created an open forum for those interested in discussing Oscar adoption in NB:

    https://plus.google.com/communities/100772289658870223050

    I hope you have more success in Alberta than I have had. Don't hesitate to contact me (b.essiambre@gmail.com) or post in my forum if you have any tips.

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  2. Hi:

    1.) Maybe Mr. Bhullar and staff should talk with Mr. Horne adding an economic argument against POSP given current austerity (add: funny this story wasn't in the Herald / Journal):

    http://www.futuregov.asia/articles/2013/may/31/canadian-province-develops-open-data-portal-open-s/

    2.) Healthquest, a former POSP EHR with residual clients, has a browser Netcare link that opens after initial FOB authentication to the patient's results (you need to authenticate for only first patient). You can of course use a browser yourself to do this so having Oscar do this is a coding exercise. The labs sent to you have to be digitized (suggest receive as pdf, converting to searchable pdf form prn, to save paper) and individually reviewed. Obviously, not elegant, but it could work for now.

    Thanks for your efforts.

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  4. Hello Dr. Fernandez: I am looking into OSCAR implementation and have downloaded and run the "Virtual-Box" installation of OSCAR. I am wondering if it has the capability to import scanned images of my old paper charts (eg. chart notes, labs tests, letters, etc in TIF or PDF format) that could be accessed as a tab under OSCAR? I could not find any "archive" capability in it during the test run. Do you know if such a feature exists for OSCAR? Other than that, the interface is horribly outdated but I suppose still functional, given that it is "free".

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  5. Hi we are planning to open a new practice in Edmonton and are considering OSCAR among the potential EMR systems.
    Can anybody advise how much cost OSCAR implementation. Can it be implemented on a local server and on the cloud?
    Can it be used with Sun Rays terminals?
    Thanks a lot

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  6. I realise its been a few months since you asked this question but did you get the answers you needed? We have been using Sun Ray with various EMRs over the last 6 years and have now started deploying Oscar as well. If you have installed, let me know how it went. If not, I can answer your questions for you.

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  7. Hi ABoscar,
    We have still testing Oscar.
    Could you provide us information about the Sun Ray set up and operation?
    thank you

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