Nationwide EHR and Health Care in the Cloud

Time to touch on a few popular topics that I found being discussed on Twitter. First, I’ll put the tweets and then a little but of my own commentary on these hot button issues in healthcare IT.

Does a nationwide #EHR lower healthcare costs? Social media reactions | #GovHIT Blog

I always love when people talk about a nationwide EHR. I actually think that it’s a bad title by Government Healthcare IT, but that it’s a very good question. To me a nationwide EHR implies that there is one EHR for the entire nation. I think a number of other countries which are much smaller and less complex than the US have proven quite well that a nationwide government run EHR is a bad idea. I think the Government HIT article actually refers more to widespread adoption of EHR. To that, I’m obviously amenable and can’t wait for that day. Although, we still have a very long way to go.

@ekivemark – Mark Scrimshire
Should Health Care Move to the Cloud – Absolutely (but carefully)! #EHR #HIT

Might as well cover the cloud in healthcare issue if we’re talking about hot topics in healthcare. Little by little, I’m really seeing the shift to “the cloud” when it comes to EMR and EHR software. There are certainly still instances where the cloud based EHR doesn’t make sense. We also can’t start counting the days to the death of the client server based EHR software. In fact, non-cloud based EHR software is going to be around for a LONG LONG time to come. There’s far too many millions of dollars invested in these systems. However, I still do sense a shift from in house servers to cloud based EHR solutions.

I do appreciate the comment in the tweet about moving to the cloud…”Carefully!”

About the author

John Lynn

John Lynn

John Lynn is the Founder of the, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference,, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.


  • I have been following this topic also. I have yet to see a comparison on the benefits vs the downfalls. I think there is some confusion on what exactly the “cloud” entails and if the security risk as comparable to that of the server based model.

  • This is also something we’re seeing a lot of traction and discussion on from the market. And while the impact of the various pros and cons of a cloud model will be different for each organization, the below post does a good job of outlining some of the main issues to consider. Thought it might be helpful!

    Cloud computing: Assessing the fit in your organization

  • My manager Ken had a phone discussion yesterday with a practice manager and his doctor in Kentucky about pretty much our same story. They bought eClinical Works (although our original EHR was another company) and got wrapped up in all the problems we had when we bought into the server hosted EMR disaster back in 12/2009. They said it’s broken every single day, the tech support is in India somewhere. To make things worse, not only did they pay $40K for startup costs, but the darned vendor is actually charing them for every bug they have to fix! What a ripoff! Embrace the cloud; it’s time to dump the losers.

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