In the same survey of HIE leaders, 50% of respondents said that EHR vendors also routinely engage in information-blocking practices, either by designing products with limited interoperability or by charging high fees for providing HIE capabilities. These software developers reportedly charge anywhere from $5,000 to $50,000 for EHR interfaces to connect to blood and pathology laboratories, hospitals, pharmacies, and other providers.13,14
For health care providers in solo practice settings, the financial costs of EHRs can be particularly challenging. Lucy Hornstein, MD, a solo family practitioner in Valley Forge, Pennsylvania, migrated to an EHR system in 2010. She ended up choosing Practice Fusion, a free cloud-based EHR system that she said was relatively simple in terms of setup, functionality, and usability. Practice Fusion, which targets small to midsize medical practices, generates revenue by displaying advertisements inside the EHR software.
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HDF is a software library that runs on a range of computational platforms, from laptops to massively parallel systems, and implements a high-level API with C, C++, Fortran 90, and Java interfaces. HDF has a large ecosystem with 700+ Github projects. 2ff7e9595c
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