The Billionaire Who Controls Your Medical Records (2021)

Post by nradov » Sun, Aug 06, 2023, 10:53 PM UTC

mikewarot wrote: post #15

I always wondered why so many hospitals adopted EPIC, it's got the worst UI I've ever seen. This article provides insight to complete the picture: network effects, and lock-in. It's likely resulted in many deaths. When my friend worked ER, any time Epic went down, they simply switched back to paper forms, the ER waiting room would empty within a few hours. EPIC is, in my opinion, a large fraction of why ER waiting ro…

Post by secabeen » Sun, Aug 06, 2023, 11:00 PM UTC

Herodotus38 wrote: post #9

zdw wrote: post #5

This software is the epitome of a roach motel, or Hotel California - data enters, but can never leave. Epic software is so proprietary and customized for each customers that two hospitals using it can't even exchange records, or have the same interaction methodology (source: I have family that worked at two large hospitals, both with Epic). People had a fit over Windows in the 90's and 2000's being proprietary lock i…

This is not universally true, but I don’t know where your family works or in what capacity. There are a lot of issues with epic but unfortunately it is the best out of all the garbage out there. Out of all the EMR’s I have used, Epic is the easiest to share information both within different hospitals using epic and sharing from epic to other emrs like Cerner. Source: Am physician who has worked in many different hosp…

Post by zdw » Sun, Aug 06, 2023, 11:11 PM UTC

Herodotus38 wrote: post #9

zdw wrote: post #5

This software is the epitome of a roach motel, or Hotel California - data enters, but can never leave. Epic software is so proprietary and customized for each customers that two hospitals using it can't even exchange records, or have the same interaction methodology (source: I have family that worked at two large hospitals, both with Epic). People had a fit over Windows in the 90's and 2000's being proprietary lock i…

This is not universally true, but I don’t know where your family works or in what capacity. There are a lot of issues with epic but unfortunately it is the best out of all the garbage out there. Out of all the EMR’s I have used, Epic is the easiest to share information both within different hospitals using epic and sharing from epic to other emrs like Cerner. Source: Am physician who has worked in many different hosp…

Post by zdw » Sun, Aug 06, 2023, 11:15 PM UTC

nradov wrote: post #20

master_crab wrote: post #4

The key to making money: find something with extreme regulatory capture.

There is actually not much regulatory capture in the EHR market. The FDA doesn't classify most of those products as regulated medical devices. Provider organizations are required to implement certain open interoperability standards so that authorized parties can securely access patient charts so they are unlikely to buy an EHR without those features. But the required APIs are fairly easy for any competent engineering…

Post by cosmojg » Sun, Aug 06, 2023, 11:33 PM UTC

zdw wrote: post #27

nradov wrote: post #20

Earlier quoted context omitted.

There is actually not much regulatory capture in the EHR market. The FDA doesn't classify most of those products as regulated medical devices. Provider organizations are required to implement certain open interoperability standards so that authorized parties can securely access patient charts so they are unlikely to buy an EHR without those features. But the required APIs are fairly easy for any competent engineering…

> huge investments in direct sales and consulting services Ever been to the Epic campus? It's literally like Disneyland - they have a whole section that is entirely made up like Alice in Wonderland: https://www.nytimes.com/2018/12/20/business/epic-systems-cam... They also wanted to build tunnels into the facility that were too low for the local fire department's trucks to get through, so they just... bought them all…