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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

#121

Earlier quoted context omitted.

I fundamentally disagree with the idea that the system can somehow overcome poor implementation; guardrails can only do so much. At the end of the day you can set up almost any piece of software in a way that hinders rather than helps a user. At some point the organization needs to take some responsibility for that. At any rate, this all started with a glib "garbage software" comment, so I suppose I should happy that…

> 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.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#122
post #63

Earlier quoted context omitted.

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)

eClinical?

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#123
post #8

Googler, opinions are my own. WSJ has had some good converge about parallel medical record stories that are going on right now too, as has CNBC: https://www.cnbc.com/2020/01/17/epic-systems-warns-customers... https://www.wsj.com/articles/paging-dr-google-how-the-tech-g... WSJ podcast about it: https://www.wsj.com/podcasts/the-journal/why-google-is-pushi... To quote the end of the WSJ article: > Existing players in th…

The cool thing about medical data is, that you only have to lose them once in order to be out there

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#125

This is a head-in-the-sand move by US companies (not just Cerner and Epic, but the hospital system CIOs). If they really think Google is going after healthcare data, they should keep in mind Google is already working with NHS and has a little thing called the Billion Users project focused on India. The British and Indian populations have the same health problems Americans do. Proportions might change, but the content…

Your AWS conspiracy theory is bizarre.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#127
post #106
post #103

Earlier quoted context omitted.

Not just their billing, but their terrible interface. I shouldn't have to ctrl f everytime I want to check ec2 instances. Whoever decided to show 200+ "services" on a single screen is a crazy person.

At the company level of conversation, the UI of AWS services isn't that big of a deal. The people with budget authority usually don't even see the AWS UI and have most likely never logged in.

OK, granted. But I'm the dude using it. And when asked, I'll champion anything else. Sometimes making engineers happy makes a sale.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#129

Earlier quoted context omitted.

I have only limited experience in the healthcare space when it comes to cloud selection, but I can tell you that every single healthcare company I work with uses Azure. They don't do it because it may or may not be right for their needs. They pick Azure because somewhere along the line the mid- and upper-level managers, including director-level IT people, have been made to believe that anything other than Windows is…

>They pick Azure because somewhere along the line the mid- and upper-level managers, including director-level IT people, have been made to believe that anything other than Windows is insecure and not suitable for HIPAA. I'd argue it's less because of a belief that a non-Windows environment is inherently insecure and more that Microsoft very aggressively promotes their products as being compliant with regulations like…

“Director-level IT” healthcare person here. We use AWS but are evaluating Azure because of the way Microsoft includes VDI in the form of Windows 10 Multi-Session licenses available only with Azure+Windows Virtual Desktop. Classic Microsoft bundle approach.

Oh, and Slack is available with HIPAA compliance — https://slack.com/help/articles/360020685594-slack-and-hipaa

Also, as someone who actively shops for SaaS offerings for healthcare users, I can say that AWS and Azure are some of the very, very few organizations who offer anything with HIPAA compliance that isn’t locked away at the most expensive “contact us for pricing” tier. It’s so annoying. Never a chance to try a service with a low cost/stakes pilot/prototype because they hit you with the full sales pitch and highest price points. Being able to dip our proverbial toe into AWS with a low time/dollar commitment was a huge win.

Re: Epic Tells Customers It Will Stop Google Cloud Integrations

#130

Earlier quoted context omitted.

I have only limited experience in the healthcare space when it comes to cloud selection, but I can tell you that every single healthcare company I work with uses Azure. They don't do it because it may or may not be right for their needs. They pick Azure because somewhere along the line the mid- and upper-level managers, including director-level IT people, have been made to believe that anything other than Windows is…

>They pick Azure because somewhere along the line the mid- and upper-level managers, including director-level IT people, have been made to believe that anything other than Windows is insecure and not suitable for HIPAA. I'd argue it's less because of a belief that a non-Windows environment is inherently insecure and more that Microsoft very aggressively promotes their products as being compliant with regulations like…

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