EMR Software on UNIX (Score 1)

I can't say that the environment you describe ( All Windows ) coincides with my experience of most Hospital IT departments ) Hospitals have traditionally been dependent upon commercial software vendors for their various systems ( ADT / Billing / Laboratory etc..) and consequently many support a hodgepodge of systems from different vendors - usually including at least one "mainframe" ( MVS/VMS ... ) system "interfaced" to multiple departmental servers, althought it's true that most now use Windows as desktop "clients". EMR systems are fairly new, tend to be based upon industry strength SQL servers such as Oracle or Sybase. Most of the ones I am aware of are UNIX based, albeit a commercial UNIX such as SCO UNIX. ( Fault tolerance is critical to such systems ) I think that you will find that the cost of Windows liscensing is a pittance next to the cost of these commercial EMRs - I just finished installing one at an medium sized medical center, and the cost of the project was over $4 million. As to the cost of the Windows clients - the obvious solution is a thin "web browser" client, but I just went broke trying to convince hospital IT departments of this - they just don't seem ready yet. A good source of vendors is: http://www.healthmgttech.com/ the major industry rag which reviews EMRs as well as other hospital systems.