This is so true. One of my previous professional experience was working for a company that delivered a complete hospital information system that was used in tw

This is so true. One of my previous professional experience was working for a company that delivered a complete hospital information system that was used in two of the biggest health institutions in the Middle East. Initial software development was done offsite, but then, the owner and CTO of the company thought it more wise to bring in the developers on-site. On-site here meant that our team was provided an actual area in the hospital where we were given freedom to observe, collect and synthesize as much information related to the system we were building. One major challenge we faced was that, for example, we have three doctors all specializing in the same category, i.e. cardiologist. All of them would have different ways of wanting how the technology will support their process. One would want information laid out in a different manner, with quicker access to other information he need from other facets of the system. There's just no way to standardize a specific process. This lead to us delivering solutions that allow the doctors to customize as much as they can of the application based off their preferred procedures. Being there in the hospital itself I would say has tremendously helped the team deliver a lot of innovative functionality that I have still yet to see at this day and age. I was interfacing HL7 data with Siemens and GE Radiology and providing the doctors to automatically perform dictation through Philips Dictaphone - where the recording is sent to an offshore transcription company in Asia, and the data returned and tied to the actual radiology exam it is designated for - all under intense security, compliance, and anonymity. I've also observed through working in different hospitals, there is a lot of variations in the workflows, hence the necessity for engineers to actually be present and on-site. This provides the developers a real-world picturesque view of what needs to be built that will make every hospital staff (doctors, nurses, aides) become very productive.