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I'm a doctor - help me disrupt healthcare

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Re: I'm a doctor - help me disrupt healthcare

#51

Post by zodiac »

md2be wrote: post #34
smalter wrote: post #8

My unsolicited advice: rather than being "fairly certain" that you can make $500/mo with your idea so that you would prefer to start a company first, I suggest that you reverse the order of operations. First, be certain that you can make $500/mo by building it yourself and get the hospital paying $500/mo. Then, if the opportunity looks good, start organizing (aka building an organization, a company) around that. You'…

The guy is a first year resident and should be working 70 hrs a week perfecting his skills. If he is cheating the system now by not being fully committed, I can only imagine what he will be doing 7 years from now.

Residents don't need to spend every waking hour focused on their job. As long as he is doing his job properly, what's wrong with doing some coding / business on the side?

Re: I'm a doctor - help me disrupt healthcare

#52

Post by babuskov »

wojt_eu wrote: post #30
smalter wrote: post #8

My unsolicited advice: rather than being "fairly certain" that you can make $500/mo with your idea so that you would prefer to start a company first, I suggest that you reverse the order of operations. First, be certain that you can make $500/mo by building it yourself and get the hospital paying $500/mo. Then, if the opportunity looks good, start organizing (aka building an organization, a company) around that. You'…

> First, be certain that you can make $500/mo by building it yourself and get the hospital paying $500/mo. I'm currently chewing on ideas from "Lean Startup". It suggest to try and validate your idea before even building a product, for example with a interactive prototype. If the OP has a good contact with his hospital, he can show the prototype and ask: "If I build this, will you buy it? Will you pay upfront for a d…

I highly recommend reading Steve Blank's "4 steps to epiphany".

Re: I'm a doctor - help me disrupt healthcare

#53

Post by md2be »

mdmarra wrote: post #37
md2be wrote: post #34

Earlier quoted context omitted.

The guy is a first year resident and should be working 70 hrs a week perfecting his skills. If he is cheating the system now by not being fully committed, I can only imagine what he will be doing 7 years from now.

Since when has the technology community at large considered automating menial data entry to be "cheating?"

Hospitals spend hundreds of thousands of dollars training residents (med students learn practically (as in practical knowledge) nothing in med school). Therein lies the cheating.

Re: I'm a doctor - help me disrupt healthcare

#54

Post by md2be »

tpainton wrote: post #45

As a physician of 15 years in internal medicine all I have to say is residency must have become ridiculously easy if you have time to start a company.. For me, 100 hours a week made that impossible so I waited until I was done. Your idea is an old one. It's been deliberated and contemplated. You forget that you're writing code that is essentially a medical tool that potentially affects peoples lives. You will need ma…

Bingo. This guy should quit commit or quit.

Re: I'm a doctor - help me disrupt healthcare

#55

Post by cimorene12 »

jonaldomo wrote: post #28

I would be willing to bet the hospital you work at is paying several million a year for their EMR and all sorts of smaller contracts that probably nobody knows about. One of those contracts probably supports the integration you are looking to do and has not been configured yet because it has not went high up enough the food chain. I think you are better off asking contacting the IT department of the hospital and have…

I second just telling the IT department about it so they can tell the vendor. I work for an EMR company and I'm pretty sure UCSF is one of our organizations. I don't know if the hospital will pay you extra for an interface solution that the EMR company is supposed to take care of. I'd check with your hospital first.

Re: I'm a doctor - help me disrupt healthcare

#56

Post by md2be »

zodiac wrote: post #51
md2be wrote: post #34

Earlier quoted context omitted.

The guy is a first year resident and should be working 70 hrs a week perfecting his skills. If he is cheating the system now by not being fully committed, I can only imagine what he will be doing 7 years from now.

Residents don't need to spend every waking hour focused on their job. As long as he is doing his job properly, what's wrong with doing some coding / business on the side?

A First year resident know jack shit about medicine and works 13 hrs a day making mistakes along the way in hopes of learning enough so not to make these same mistakes when they will be in command (5 years from now).

Re: I'm a doctor - help me disrupt healthcare

#57

Post by bigchewy »

Hi, I'm a 3 time healthcare entrepreneur (10 years) who has been down this path, and many like it, several times already. The problem you are describing is well known and in your hospital's IT queue, just so low on the list to be invisible.

As others have rightly pointed out, the technical issues are perhaps 10% of the problem. On top of that, because each EHR is configured so differently, your solution will be a consulting effort not a product (read: expensive)

My suggestion - thoroughly evaluate how difficult this would be to get approval for at your hospital. If you get past this stage, talk to other hospitals. Learn what the implementation process will be at each hospital. This will likely dissuade you but, if not, you've found a niche.

The reality is that this is not an IT problem but a process flow problem. Somebody with a lower pay grade should be entering this data, say an MA or a 1st year resident, until the IT team can prioritize this known issue.

Re: I'm a doctor - help me disrupt healthcare

#59

Post by fnordfnordfnord »

md2be wrote: post #34
smalter wrote: post #8

My unsolicited advice: rather than being "fairly certain" that you can make $500/mo with your idea so that you would prefer to start a company first, I suggest that you reverse the order of operations. First, be certain that you can make $500/mo by building it yourself and get the hospital paying $500/mo. Then, if the opportunity looks good, start organizing (aka building an organization, a company) around that. You'…

The guy is a first year resident and should be working 70 hrs a week perfecting his skills. If he is cheating the system now by not being fully committed, I can only imagine what he will be doing 7 years from now.

Working Smart > Working Hard

If a Dr. sacrifices their productivity for a short time, with the result that he increases the productivity for all Dr's; then the Dr. has done the opposite of cheating.

>I can only imagine what he will be doing 7 years from now.

OP could follow your advice and be an average Dr. Or OP might actually succeed in improving wasteful processes in hundreds of hospitals.

Re: I'm a doctor - help me disrupt healthcare

#60

Post by bigchewy »

PeterisP wrote: post #41
md2be wrote: post #34

Earlier quoted context omitted.

The guy is a first year resident and should be working 70 hrs a week perfecting his skills. If he is cheating the system now by not being fully committed, I can only imagine what he will be doing 7 years from now.

If you gain 10 minutes/week for every surgeon in USA, then you've done more healing than you could by simply being a great surgeon for your whole life.

Have lower level people, such as a Medical Assistant or a 1st year resident do the data entry.

ahhh, feels good to do more healing than a great surgeon, before I've even had my Sunday coffee.

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