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I'd suggest working with one hospital to demo and test the idea first in their local environment. Getting buy in from multiple hospitals to try an idea out on a

by lbhnact 11y ago

I'd suggest working with one hospital to demo and test the idea first in their local environment. Getting buy in from multiple hospitals to try an idea out on an infrastructure you have not yet created is unlikely to be successful, unless there is a very clear ROI that you can model for them. I would recommend Aptible for a simple HIPAA compliant app dev environment. They are fast and professional. If you need integration-as-a-service and have some kind of budget, I would call Catalyze or my company, Fleet.

kohanz 11y ago
Thank you for the PAAS recommendations. I agree one hospital and then upward would be the way to start, but we've got a bit of a different scenario. We're coming into a project where the non-technical founders out-sourced the MVP (basic CRUD app) and it has been running in a hospital already (locally hosted within hospital). They now apparently have the go-ahead and buy-in to try this out in a dozen hospitals and need an app that can handle that deployment. Of course we will initially deploy in one hospital, but we've got the business buy-in to deploy in multiple centres. Same CRUD functionality, but with data eventually being pooled in a central cloud-based DB. I guess one would say they need to find a team that has been there done that, but based on how scarce it would seem such solutions are, that doesn't seem easy, and of course I would like to rise to the challenge. It's just that there doesn't seem to be much information out there (beyond working with the hospitals themselves, and we have some experience there). The information in this thread has been super helpful. I've learned a lot and it has also confirmed that most of my assumptions (which err on the side of caution) are not too far off from other people's experiences.
- lbhnact 11y ago
  We provide API integration solutions along the lines of other companies. We have not been around as long as Catalyze (which does a very good job) but are experts in FHIR, and have an infrastructure that may be more multi-party friendly. We have a pretty cool multi-tenant database solution that hospital parties could pool data into with highly granular authentication, access control, and auditability at both the db and API levels. No one else offers this yet, but it also may be more robust than the hospitals understand enough to care about. Happy to discuss if you are interested at the commercial site listed in my profile. Also happy just to share our experiences in similar situations, or make recommendations for other more simple solutions on your own stack. Good luck!

by lbhnact 11y ago

kohanz 11y ago

Thank you for the PAAS recommendations. I agree one hospital and then upward would be the way to start, but we've got a bit of a different scenario. We're coming into a project where the non-technical founders out-sourced the MVP (basic CRUD app) and it has been running in a hospital already (locally hosted within hospital). They now apparently have the go-ahead and buy-in to try this out in a dozen hospitals and need an app that can handle that deployment. Of course we will initially deploy in one hospital, but we've got the business buy-in to deploy in multiple centres. Same CRUD functionality, but with data eventually being pooled in a central cloud-based DB. I guess one would say they need to find a team that has been there done that, but based on how scarce it would seem such solutions are, that doesn't seem easy, and of course I would like to rise to the challenge. It's just that there doesn't seem to be much information out there (beyond working with the hospitals themselves, and we have some experience there). The information in this thread has been super helpful. I've learned a lot and it has also confirmed that most of my assumptions (which err on the side of caution) are not too far off from other people's experiences.

lbhnact 11y ago
We provide API integration solutions along the lines of other companies. We have not been around as long as Catalyze (which does a very good job) but are experts in FHIR, and have an infrastructure that may be more multi-party friendly. We have a pretty cool multi-tenant database solution that hospital parties could pool data into with highly granular authentication, access control, and auditability at both the db and API levels. No one else offers this yet, but it also may be more robust than the hospitals understand enough to care about. Happy to discuss if you are interested at the commercial site listed in my profile. Also happy just to share our experiences in similar situations, or make recommendations for other more simple solutions on your own stack. Good luck!