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SpamSandwich said:tjwolf said:SpamSandwich said:ravnorodom said:I had only used Apple Pay once because I accidentally left my wallet at home and I needed gas badly at that moment. Credit cards are still my go-to payment method even my "Wallet" app has all the cards in there. This is more of a habit that I'm used to. Not to mention when pumping gas, who wants to walk all the way in the store just to use Apple Pay when the pump accepts only cards.
matthewk said:I am a hospital CIO and have implemented Epic at multiple sites (big systems, not small regional facilities). I hold no interest in any EHR company, nor do I receive any compensation from any of them, these are just my observations having been in this industry for a long time. When it comes to EHR's, in my humble opinion Epic is the best of them, but none are perfect. A couple comments about all the comments on this thread.
1. In my opinion most comments here are inaccurate, and demonstrate a lack of understanding of the platform or EHR systems in general.
2. Epic isn't about "wealthcare", I meet with Judy, Carl and the rest of the Epic leadership several times a year, and the fact is they always put patient outcomes first. Yes, they are expensive, but they have a very comprehensive solution which they spend a considerable amount of their revenues into R&D. Their ratio of income to R&D is likely the highest of any software vendor in any industry.
3. Absolutely physician fatigue with the EHR is real, this usually isn't a result of "bad software". There are massive CMS and other regulatory mandates which dramatically increase the data collection requirement burden on the physicians. These mandates are typically formed by large committees of academics and politicians who have little to no bedside experience. See the details for the 724 page regulation HHS just put out on data sharing. https://www.healthcareitnews.com/news/hhs-unwraps-new-information-blocking-rule
4. Secondly, poor implementations riddled with years of customizations are very real issue and dramatically increase keyboard time and flow of the UI. These poor implementations are the result of bad decisions relating to need, design and scope, not bad software. (this is largely consistent in all large package software platforms regardless of industry)
5. Adding to the poor usability of the application stems from technology decisions as health systems rationalize many specialized systems onto the Epic platform, while not learning about the epic functionality and trying to rebuild their legacy applications on to their new EHR platform.
6. Epic, just as all EHR companies are constantly evolving and innovating within their projects. Unfortunately many hospitals tend to try and build it rather than evolve with their vendor's roadmap. This leads to a huge administrative burden and a UX that doesn't flow through the platform. (this isn't just common to EHR platforms, ERP, HR, CRM and SFA all suffer similarly) It really is a lick of discipline..
7. Those critical of MUMPS again seem not to understand the application on the language in high volume transaction environments. It's very powerful when it's used appropriately. It's widely used in the financial sector. Ameritrade's entire platform is based on it. Epic has long been converting their legacy modules to browser based the complete conversion will be complete in probably 3 more years.
Epic has come a long way since it's inception. It's not perfect, but when implemented by people who understand it, it has the ability to drive better care. For as long as I have been around there have been printed and hung all over their campus "Epic's 10 Commandments"; Number one is "Do not go public", number two is "Do not be acquired". Judy wasn't patting herself on the back, she was just saying what has been at their core since their inception "we're not for sale".
As I mentioned in a recent post, I've worked with Epic (albeit many years ago), and I currently work with 3 different EMR systems, in inpatient and outpatient settings, at three different hospitals. I'm a specialist physician faculty at a medical school that does consults as well as regular patient care.
All of the EMRs I have worked with have horrible UIs, with clumsy design, are unintuitive, have inconsistent and nonsensical icons, and have very poor output of information that makes it very difficult to convey meaningful patient narratives (eg horrible formatting/layout, terrible templates that constrain and obfuscate information). I could go on. The doctors are pragmatic, busy, and don't have the time it takes to compile the multitude of tiny things that add up to make these systems unwieldly and unusable. So administration is content to just keep the status quo. And in my experience, when I do make a list of complaints, they're not addressed.
In short.. yes, Epic and other EMRs work. A tricycle works too (or, to Epic's credit, a bicycle). But I think I'm going to stick with my car to get around. It's a sad state of affairs when the best we can offer doctors and patients are the equivalent of bicycles.
But when will Apple use their tech? Apple acquired a company years ago that had a voice assistant that was so smart it makes all the current assistants look like 4-year-olds.
That's unfortunate. EMRs are incredibly complex and require massive amounts of red tape to get through. It would be a great foot in the door to many top hospitals if Apple acquired them.I havn't used Epic in a while, but it's probably still one of the best out there, as sad as that is. *All* of the EMRs I have ever used, including Epic, have been beyond terrible. However, I'm sure there are smaller systems out there that are doing it well. If Apple brought up a smaller company, then paired up with a hospital to implement their own system, it would literally save lives. And save doctors from a lot of unnecessary frustration and excessive charting time.
This is great news. Since Apple's own products (Maps/Siri) are almost worthless at search (although directions are fine, interface is great), it's nice to have an alternative that will help me continue to avoid google/bezos/microsoft. In an ideal world, the most valuable (until recently) public company would have their own viable option after 1/2 a decade in development.