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Epic Tells Customers It Will Stop Google Cloud Integrations

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Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#61
post #22

Google is doing the right thing. EPIC is a perfect example of the walled garden ecosystem that extracts every last drop from its clients and keeps anyone trying to innovate out. Healthcare tech could use the competition to drive down costs related to medical record management and exchange.

Absolutely. | Also EPIC is spectacularly unfit for purpose. Total garbage software that essentially functions as a billing tool.

How is it "garbage software"?

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#62

Earlier quoted context omitted.

Microsoft, Amazon, and Google are all trillion dollar companies operating in multiple sectors. Why is Google special in this regard?

Right. And while Epic does the heavy lifting of crafting software to support healthcare provider workflows, integrating dissimilar systems (PACS, etc.), and storing all that data, the companies you mentioned feel they can create value by attempting to automate diagnosis and potentially offer some integration point for genetic counseling.

The point is that it doesn't make much sense to avoid Google - for the reason that it's a giant with too much power - when Microsoft and Amazon are just as big, and also have healthcare businesslines.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#63

Earlier quoted context omitted.

Right. And while Epic does the heavy lifting of crafting software to support healthcare provider workflows, integrating dissimilar systems (PACS, etc.), and storing all that data, the companies you mentioned feel they can create value by attempting to automate diagnosis and potentially offer some integration point for genetic counseling.

As a physician forced to use Epic, I'm not sure "crafted" is the word I'd use to describe their software. It's more like they addressed the spec from the C suite in a way that was equivalent to punching health care providers in the face. They take Dad's money, and use it to pay thugs to beat up his kids.

Serious q: are the other systems any better? Have you tried them? Have you compared notes with physicians using them?

(I'm new to the field and genuinely curious... I haven't heard anybody saying anything nice about any of them...)

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#65

Earlier quoted context omitted.

Also, if that was true, why would they only complain about the 3rd biggest cloud provider?

Azure is unlikely to ever be a competitor. AWS - because they really don't have a choice.

Microsoft already had a competitor in Healthvault which they shutdown in November 2019: https://medcitynews.com/2019/04/microsoft-healthvault-is-off...

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#66
post #39
post #20

> “We could never pin down Google on what their true business model was,” says a Cerner executive involved in the discussions. Imagine being that insecure in what you do. What were they looking for? A non-compete from Google? Innovate or die.

Especially when Amazon is making moves into insurance and pharmacy spaces

The difference is Amazon won't use confidential AWS data to drive their other verticals.

Google's very business model is selling their users to their customers.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#67
post #41

Earlier quoted context omitted.

If you work for a company that must follow regulations, then you should be aware of your impact. You will learn this as you advance further in your career.. however this post was written as though the regulations are there to cause you grief, but that can't be further from the truth. Think of it like this, the Boeing team is finding out the hard way what happens when you skirt steps in a highly regulated field. SOX i…

If you’ve never encountered a brain-dead compliance process, you’ve had an extraordinarily lucky career. Even good and thoughtful regulations get interpreted into nonsensical bureaucratic nightmares by some companies’ compliance departments. The implementations that add disproportionate friction usually don’t achieve the intended benefit either. It’s not people choosing a convenience vs. safety tradeoff. It’s just pe…

Having worked in a lab environment heavily subject to OSHA regulation, I think you are both correct. I've been personally subjected to brain-dead interpretations on multiple occasions, but I'm also absolutely certain that in the absence of any regulation the environment would have been absurdly dangerous. On the balance, I'll favor the regulation.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#68
post #39

Earlier quoted context omitted.

Especially when Amazon is making moves into insurance and pharmacy spaces

The difference is Amazon won't use confidential AWS data to drive their other verticals. Google's very business model is selling their users to their customers.

Can you provide a source, either in the form of a ToS/privacy policy or an evidence-backed article, showing that Google uses customer data stored in GCP for advertising purposes?

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#69
post #63

Earlier quoted context omitted.

As a physician forced to use Epic, I'm not sure "crafted" is the word I'd use to describe their software. It's more like they addressed the spec from the C suite in a way that was equivalent to punching health care providers in the face. They take Dad's money, and use it to pay thugs to beat up his kids.

Serious q: are the other systems any better? Have you tried them? Have you compared notes with physicians using them? (I'm new to the field and genuinely curious... I haven't heard anybody saying anything nice about any of them...)

It depends on the setting. In a hospital (or hospital-owned primary care), the EMR generally reflects the top heavy administration. You end up with a billing system masquerading as an EHR.

In an independent practice, there are more options, and some are quite good (I work for one that I happen to think is pretty great in that regard, and most of our users seem to agree)

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#70
post #63

Earlier quoted context omitted.

As a physician forced to use Epic, I'm not sure "crafted" is the word I'd use to describe their software. It's more like they addressed the spec from the C suite in a way that was equivalent to punching health care providers in the face. They take Dad's money, and use it to pay thugs to beat up his kids.

Serious q: are the other systems any better? Have you tried them? Have you compared notes with physicians using them? (I'm new to the field and genuinely curious... I haven't heard anybody saying anything nice about any of them...)

I have not used all of them, but every one of them I've touched is hot garbage. Like much enterprise software, the people who decide to buy it are not the people that use it. It would seem, from the outside looking in, that the majority of the effort goes into maximizing billing in the byzantine world of US insurance rather than the work of actually making people well.

What concerns me most about the larger players in the field is their dedication to minimizing interoperability to lock people into their software.

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