The seven state-run medical facilities in West Virginia have likely saved taxpayers millions of dollars by adopting Medsphere Systems' OpenVista EMR, a commercialized version of the VA's open-source VistA framework. The project cost $9 million, or about one-tenth what the West Virginia University hospital system paid for a proprietary EMR. The state also has contributed 25 new templates that Medsphere could use with future customers. Article