Everyone hates the electronic medical record • Hacker News Board

Re: Everyone hates the electronic medical record

#341

Post by kakoni » Tue, Feb 06, 2024, 4:34 PM UTC

DANmode wrote: post #94

hyponatremia121 wrote: post #86

Earlier quoted context omitted.

"Operations (not surgery) are so incredibly bad / incompetent in most healthcare settings that software frequently gets the blame for much deeper problems." "In my experience doctors are a tremendous barrier to resolving problems in healthcare operations," I'm a hospital-based physician that works in a system with great operations and results. The physicians, nurses and other staff work amicably together. Management…

So you and your colleagues are protecting the patient (thank you). Who's been protecting this EMR? (Who likes using it?, who doesn't lose their job by continuing to choose that vendor?, who gets kickbacks from that vendor?)

In Finland the tender was between Cerner and Epic. Because our largest hospital district wanted to buy American eletronic medical record system. I guess the biggest influencer was Kaiser Permanante (=they are world class and are using Epic, so it has to be best system in the world)

Re: Everyone hates the electronic medical record

#342

Post by kakoni » Tue, Feb 06, 2024, 4:44 PM UTC

boxed wrote: post #78

FwarkALark wrote: post #7

Earlier quoted context omitted.

Is this something where a public competitor might help? It surely can't be worse than private industry.

In Swedens capital region they failed with this too. It's dominated by a system that is largely quite well polished but has some scaling issues that has lead to down times. The region decided to develop their own in cooperation with other regions, but instead of just hiring two-three developers and putting them in a room inside some small hospital, they decided to make a Grand Political Project out of it. Billions of…

Interesting, what was this project called?

Re: Everyone hates the electronic medical record

#343

Post by firejake308 » Fri, Feb 09, 2024, 2:24 PM UTC

analogj wrote: post #278

firejake308 wrote: post #219

Earlier quoted context omitted.

The problem is that in the US, many EMR's don't automatically connect to each other. If you're going from a hospital owned by one chain (say, Hospital Corporation of America) to another hospital owned by the same corporation, then yes, it works like you said and doctors have access to your historical data. But God forbid that you should ever end up at a hospital owned by a different corporation, because then you have…

This is not quite the case any longer The 21st Century Cures Act was signed 8 years ago (but compliance was only required as of 2023). It states that Healthcare Institutions (& EHR developers) must provide a mechanism for patients to access their health records electronically in a standardized format (FHIR). It's what allowed my open-source startup Fasten Health to even exist. I was diagnosed with a chronic condition…

Cool, does your product fall into the category that they call "patient passports"?

Also, I looked into your website, and it looks like you have the https://www.fastenhealth.com, but you forgot to register the subdomain without the www. I remember having to configure that the last time I deployed on Netlify. Also, I was gonna try the Careers link on the website but it looks like it's a dummy link, which is fine if it's intentional.