Why so many non-profits?

When I get a good question from a conference or email, I like to answer it in a blog post so that I can just link it in when others ask me the same thing in the future. One of … Continued

Embracing the new CCHIT certifications

A few months ago, CCHIT suffered from what I like to call “angry letter round 1″. This is were I send a very pointed, ultimatum letter to an organization of the general form “your are hurting my community, stop it … Continued

Can CCHIT move beyond PROBLEM EHR certification?

Recently CCHIT has come under fire for being too focused on large proprietary vendors and specifically, its association with HIMSS. These attacks have gotten so bad that Mark Leavitt has posted a rebuttal, which has generated a tremendous amount of … Continued

NCVHS Testimony on Meaningful Use

(Update 08-13-09 I have already presented this to NCVHS) Introduction I represent a community of health software developers and clinical users that respect software freedom. This community operates in the legacy of the VA VistA underground railroad. There are several … Continued

CCHIT Feature bucket

A central problem with CCHIT is the feature bucket. CCHIT certification represents compliance with a list of hundreds of functional requirements. This would be great if that list of features were 100% a good idea, but the reality is far … Continued


Fred Trotter is a founder of the DocGraph Journal, a healthcare data journalist and author. He is a technical blogger for O’Reilly Radar and is the co-author of the first Health IT O’Reilly book Hacking Healthcare. The DocGraph Journal is the result … Continued

Towards fair EHR certification

The meeting with CCHIT worked. The FOSS community, to the degree that such a thing is possible, had authorized me to go nuclear on the issue before the meeting. I had been given assurance that the community has been so … Continued

MOSS Misys Open Source Solutions

MOSS (Misys Open Source Solutions) has come into it’s own as a force both within FOSS and within it’s chosen domain of interoperability. MOSS is led by Tim Elwell and Alesha Adamson, they could often be found at the interoperability … Continued

CCHIT vs FOSS pre-meeting issues

I am preparing for the meeting tomorrow with CCHIT and FOSS. I had previously used Google Moderator to get a feel for what my communities position on this issue is. Moderator allows for the same question to get posted again … Continued