Build Your Own EHR, EMR Patient Satisfaction, and Social Media in EMR

It looks like Dr. Rob Lamberts is crazy. It’s nice of Farzad to support him. I think Dr. Lamberts response to Farzad was enlightening as well: “Thanks. More endurance than luck, though.” He’s right. None of the individual components of an EHR are technically very hard, but the number of components you have to build is HUGE.

This is a perception thing for sure. We are trained that technology improves whatever it touches. So, when a patient sees a doctor with an EMR, they believe it will mean better quality care. Reminds me of the “Got EMR?” campaign I talked with people about 7 or 8 years ago.

I question the value of having a patient’s social profile in your EMR. However, I think the concept of looking at your EMR as a CRM for patients could become a very important concept over the next 5 years. I think it will take more than just putting in a patient’s social profile though.

About the author

John Lynn

John Lynn

John Lynn is the Founder of, 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.


  • A Venn diagram of EMR, EHR, and CRM would look nearly like a circle, but not completely. Each has a unique user perspective. The EMR should, first, empower the physician. The EHR should empower the patient, and CRM is a tool used to enable populations.

    In this era of best-of-breed vs all-in-one, I am skeptical of the convergence. Regardless, this gives us all something to ponder.

  • Well, Dr. Lamberts’ has the right focus re building an EMR . . . .

    “system oriented toward work flow optimization, communication, and care rather than the current EMR systems which focus on documentation and compliance.”

    but you could probably just as easily take on building the next generation Ferrari in your garage, if you want to end up with a commercial product.

    Bottom line, there are solutions out there that have their foundation in ACM (Adaptive Case Management) / BPM (Business Case Management) but these were not invented on the back of an envelope (1,500,000 lines of computer code). Not all have a singular focus on documentation and compliance.

    I have a blog with more than 150 posts on workflow management topics (healthcare, manufacturing, b2b) and curiously the most recent post you will see if you go to is “Thinking of building a healthcare e-Hub?”.

    IT is feasible/practical to build an EMR for a solo practice – what you put in it is up to you. Putting a commercial enterprise product on the market is another thing altogether.

    Most of the customers of the products that Civerex has developed end up using 5-10 percent of availability functionality, but when you look across the customer base, different customers use different features/functions.

    I suspect for office products like MS Word and MS Excel the situation is much the same.

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