[nradov]

There is (or was) a public competitor. VistA was largely developed by the federal government. Some organizations still use it and it's available for free, but independent reviews have generally rated it as worse than the private industry products.

https://worldvista.org/AboutVistA

[mr_toad]

I have to wonder how independent those reviews are when medical staff consistently rate it higher than commercial products, the system has won multiple awards, and when the VA tried to implement a commercial replacement it failed.

Vista is public domain, so there’s no money in it and no-one to take management out for expensive lunches.

[FirebornX]

People generally like VistA a lot more than what the DoD has been pushing the VA to replace it with: EHRM.

https://www.gao.gov/products/gao-23-106685

https://www.moaa.org/content/publications-and-media/news-art...

[tpmoney]

Interestingly the linked article seems to be singing praises of VistA, though it's unclear whether the author has actually used the system themselves. They link to an unsourced article with that claims it tops reviews, but clicking through to the various related articles seems to have a consistent theme of people not liking VistA all that much.

[phonon]

VA is moving to Oracle Cerner.

https://fedscoop.com/va-still-has-significant-concerns-as-or...