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Healthcare tech firm Epic Systems says it won't consider any Apple buyout offer
He is talking from Judy's book, i.e. Epic corporate BS.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".
1. Most of the opinion are pretty accurate in terms of the technology (or lack of) being used by Epic. They relay on InterSystem cache and Microsoft Visual Basic (not pre dot net version) for most of their UI stuff. They host a IE browser control in there VB app and call it WebApp. However, the web app is based on some ancient ASP.NET and JS stuff written by a group of people, who wrote the VB UI and had absolutely no idea how to modern webapp works. The result is a Frankenstein hybrid of VB and IE host web page and VB Win32 UIs.
2. Epic is all about "Judy" and "Carl", if they they you otherwise, you are being brain washed
3. People do the real work i.e. take care of patient absolutely hate Epic, it's a tool for administers to monitor how fast a Physician can finish a appointment, and save hospital money. The bottom line is make hospital money.
4. Customization is not a problem but poor software design (by amateurs in the company since early on but still have a heavy grip on any software design decision) and implementation.
5. Same as 4
6. EHR, CRM, HR, SFA all sucks, you know why? It's all about Money! No one cares they actually improves users' quality of life, it just need to be not suck bad enough so users still pay for their sh*t. These fields have a high barrier of entry and lack of competition leads to crapy products.
7. MUMPS is a great programming language and database backend in the 70's, but technology has since advanced there are better alternatives out there (I am not talking about Oracle SQL).
>> I have been around there have been printed and hung all over their campus "Epic's 10 Commandments";
You've been drinking too much of Judy and Carl's kool aid. You need to be very wary of any company that invoke anything remote close to " xyzzy Commandments", it usually has some sinister motive to it, especially it's Capitalized "Commandments".
"Do not go public",
"We are not for sale"
Who reaps the ultimate benefit? Who's being accountable to whom? Who has ultimate control?
For people signing Judy's praise you need put down the kool aid.
