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Epic Tells Customers It Will Stop Google Cloud Integrations

healthcareitnews.com

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Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#141

Post by ksmsnxn »

tallgiraffe wrote: post #136

Epic is ruthless and takes competition out by any means necessary. They are a dinosaur that avoided competition for decades, and Google is a massive thread. This is good news because they are scared, and Google has an infinite runaway to take them out. Epic should have worked tirelessly to innovate and improve US healthcare, but instead chose to stay still and to profit. They won’t be for long.

Is Google going to try to compete in the EHR space? I don’t think of them as an enterprise software company - at least not in the same way as an Oracle or MSFT. My impression of their strategy/focus is that they are trying to sell cloud compute and ML services?

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#142

Post by killjoywashere »

oarsinsync wrote: post #121
Dylan16807 wrote: post #109

Earlier quoted context omitted.

> I fundamentally disagree with the idea that the system can somehow overcome poor implementation If very large amounts of 'implementation' have to be done on top of the software, then that's also a sign of bad design. It should be handling more of the implementation and making it more streamlined.

You’ve just described Jira, or really any other heavily customisable tool that can fit multiple complex workflows.

Having used a dozen EMR systems and Jira, I'd say Jira is much better at its job than most EMRs are at theirs. In fact, now that you mention it: you could easily model each patient as an epic, assignments to various people on various teams (ICU, pharmacy, lab, etc), to-do/in-progress/done. Holy cricky, you may have just cracked the EMR nut.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#144

Post by echelon »

stygiansonic wrote: post #134
semerda wrote: post #115

Epic is a cash cow private company. Sutter Health in the Bay Area paid $1B for its EHR. Epic stays quiet to protect its walled gardens; deeply integrated into hospital infrastructure. No doubt Google is a threat to them. Here’s an old article I found that references this juicy revenue opportunity (the rest have been cleared by Epic, so the story goes): https://www.healthcareitnews.com/news/setback-sutter-after-1...

I talked to a doctor at Stanford and he mentioned to me one reason why the main Stanford Health and Stanford Children's Health have separate patient portals (not unified) that you have to create separate logins for is because of the huge amount Epic wanted to charge to merge them. (They both run separate Epic instances as far as I can tell)

How are leeches like this tolerated? The sooner they are driven out of business, the better.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#145

Post by killjoywashere »

guitarsteve wrote: post #51
l33tman wrote: post #12

Earlier quoted context omitted.

I was operating a fairly large AWS operation, and had the idea to at least check with G Cloud if they were interested (usually you get a boatload of free credits to startups). After 3 emails spread over several months I eventually got a note saying I should expect to talk with my Google Cloud salesguy, but it can only happen over a Hangout. And not any hangout - they sent a cheap ass Android "netbook" that I had to p…

That’s so strange. Does anyone know why they’d want to chat using special hardware?

Because he's l33tman, man. l33t.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#146

Post by killjoywashere »

daave wrote: post #101
meddlepal wrote: post #91

Earlier quoted context omitted.

But they may process it for non-advertising purposes? That feels... flimsy

That page links to https://cloud.google.com/terms/data-processing-terms , which has a lot more detail. I believe usage for ads is highlighted on the non-legalese privacy page because it's a common question/concern, but the terms specify that data can only be processed as requested by the customer (IANAL, but that's my read and understanding as a Googler who works on Cloud infrastructure).

I would go further and say you're crazy if you think a Google engineer is going to run code on your data without a requirement in a signed and funded agreement.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#147

Post by killjoywashere »

JshWright wrote: post #96
wslack wrote: post #85

Earlier quoted context omitted.

> Like much enterprise software, the people who decide to buy it are not the people that use it. Hard agree. There's also an incentive for hospital systems to "hold onto" patient data, which is not great.

In many cases those "incentives" are legal requirements.

Yeah, for clinical laboratories, for example, data retention requirements can stretch back 10 years. And yes, the inspectors will inspect that.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#148

Post by cle »

leoh wrote: post #140

Google is absolutely doing the right thing. Anything that can be done to enhance the efficacy of EMR software will help lead to better patient outcomes. As far as I can tell, Google is approaching the problem foremost from the perspective of "how can we make people healthier by making software more effective." Epic and Cerner are simply not doing that. Somewhere in the comments here someone mentioned that most EMR so…

I try hard not to give my data to Google, for a lot of reasons. As a patient, having my healthcare provider hand my data over for them to monetize in God-knows-what ways is...undesirable.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#149

Post by tallgiraffe »

ksmsnxn wrote: post #141
tallgiraffe wrote: post #136

Epic is ruthless and takes competition out by any means necessary. They are a dinosaur that avoided competition for decades, and Google is a massive thread. This is good news because they are scared, and Google has an infinite runaway to take them out. Epic should have worked tirelessly to innovate and improve US healthcare, but instead chose to stay still and to profit. They won’t be for long.

Is Google going to try to compete in the EHR space? I don’t think of them as an enterprise software company - at least not in the same way as an Oracle or MSFT. My impression of their strategy/focus is that they are trying to sell cloud compute and ML services?

I feel like Google is an everything company. Traditionally EHR has been done via enterprise and connections, but it doesn’t mean google can’t change it. In fact, they could open a network of Google hospitals, and run their own software on them, or buy a big chain. Much like Amazon got WholeFoods, Google can get into the game if they choose to, and at the end of the day, if they want to grow, they will have to find more avenues to expand to.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#150

Post by [deleted] »

cle wrote: post #148
leoh wrote: post #140

Google is absolutely doing the right thing. Anything that can be done to enhance the efficacy of EMR software will help lead to better patient outcomes. As far as I can tell, Google is approaching the problem foremost from the perspective of "how can we make people healthier by making software more effective." Epic and Cerner are simply not doing that. Somewhere in the comments here someone mentioned that most EMR so…

I try hard not to give my data to Google, for a lot of reasons. As a patient, having my healthcare provider hand my data over for them to monetize in God-knows-what ways is...undesirable.

[deleted]
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