Hi Brendon and Terry:
>>> even if you give it a way, the Physicians still have to spend months or years to decide if they want the free product
In my humble point of view, the upside is that if they don't want the free product, then it costs them nothing to move on. If they purchase a very expensive, CCHIT-certified albatross, then they lose all of their hard-earned money if they don't decide to use it. (Such as in the case of the oncology group that you referenced, Brendon.)
When I gave my lecture this past December I came across an incredible amount of data:
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(slide 28) A small solo practive has the most chance of a successful deployment. (This is the group that purchases the most inexpensive EMRs.)
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(slide 42) Over 50% of EMR system implimentation result in failure. (from: study published in the April 1997 International Journal of Technology Assessment in Health Care)
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(slide 42) Only about 40% of successful (i.e. the ones that make it) EMR users actually avail themselves to the “majority of functionality that the EMR offers” (see next slide).
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In summary then, only about 20% really avail themselves of the true power of a high priced EMR.
In light of these figures, then, it is a wonderful gesture and an aggressive move by Terry to give out his EMR for free. Most physicians will be happy with a simple featureset as long as it works for them. Maybe CCHIT and insurance companies that want to decrease our reimbursement through P4P and other nasty schemes will be unhappy, as are the high priced EMR competitors that spend their time trying to be compliant with lists detailing 328 issues that most docs won't really understand, but Terry and his customers will be happy- it's a win-win situation.
Microsoft did this in the late 1980's and throughout the 1990's- s.a. through the very gutsy move to give away its Internet Explorer, eventually burying the more costly Netscape. They made money through its other offerings and through support. Support is not a bad way to make money, as long as its spelled out fully.
>>> I applaud what you are doing, but in the long run I am not so sure it will get you a lot of new users over those that would pay for your product.
Version 2 of the FREE MS Word ERM Project has gotton over 2400 downloads and has even been translated to Arabic:
(The above was faxed from a cardiologist that saw an Egyptian patient... )
People love FREE (or low priced) and are willing to dedicate their time to a software that will give them value and resolve their problems. Keep it up, Terry... give it time to work, though.
>>> I personally think price is a smaller factor
You don't really believe this do you? Can I talk to your wife and kids one day and ask them what goodies you, as a consumer (not a seller), have bought them since cost is not an issue? Do your sons each have a Porsche, your wife a 6 carat diamond and you guys live in a 20000 foot estate home... heck, what's money, huh? One day they will read this and take you to the bank, Brendon!
Cheers,
Al
Al Borges, M.D.
● Oncologist in a Small Group Practice in Virginia
● My website URL: http://msofficeemrproject.com/