5 ms·

They're in a very different market from Practice Fusion though. There aren't many small/independent practices rolling out Epic deployments...

skwb 7y ago
Now you're right in that traditionally Epic has served larger healthcare systems and tertiary hospitals, (hell they have even been known to turn down customers), but I think there's potentially a bit of role reversal on the horizon. Some Epic deployments have been creeping into community groups through licensing agreements [1, 2]. Probably makes more sense if you want your clinic pop to have greater access to tertiary services. It's something I would keep my eye on within the EHR business space. Also, my previous comment was in response to no one liking Epic though, so certainly on topic. [1]. https://health.ucsd.edu/news/releases/Pages/2015-05-06-uc-san-deigo-health-system-enters-agreement-with-ECRMC.aspx https://health.ucsd.edu/news/releases/Pages/2015-05-06-uc-sa... [2]. https://ucsdhn.org/providers/physician-network/advantages/technology/Pages/default.aspx https://ucsdhn.org/providers/physician-network/advantages/te...
nradov 7y ago
Small independent practices are a dying market anyway. Provider organizations are all consolidating in order to achieve economies of scale (especially for EHRs), provide comprehensive services to patients under one roof, and achieve greater pricing power when negotiating with payers. Plus most physicians prefer being employees; they just want to practice medicine without the additional administrative hassle of running a small business.
- conanbatt 7y ago
  Its true that running independently is getting more difficult, but that's not "on the market" but on the insidious regulations around insurance, malpractice law, etc. A doctor can't open up an office and tend to patients with pen and paper anymore, and they have to pay thousands of dollars a month to systems that are truly terrible to be compliant.
  - skwb 7y ago
    *If they want to accept Medicare dollars (and usually private insurance just follows Medicare). I remembered some South Western (I want to say Arizona) specialty clinic that basically didn't accept insurance and had pen and paper charts still.
  - nradov 7y ago
    Medicine is also a team sport now. Caring for patients with complex conditions requires coordination with multiple other practitioners. Exchanging paper records with them just isn't practical or safe. Plus if the doctor has to write a prescription, doing it on paper is so error prone as to border on malpractice.
    - conanbatt 7y ago
      I will be willing to say the opposite as well. Exchanging records is terrible. If you get records from say, Epic, you might get 300 pages. Which doctor is going to read 300 pages of documentation for one if his 16 30-minute appointments a day?
conanbatt 7y ago
When small practices get bought or acquired by hospitals they typically switch to epic.

skwb 7y ago

Now you're right in that traditionally Epic has served larger healthcare systems and tertiary hospitals, (hell they have even been known to turn down customers), but I think there's potentially a bit of role reversal on the horizon. Some Epic deployments have been creeping into community groups through licensing agreements [1, 2]. Probably makes more sense if you want your clinic pop to have greater access to tertiary services. It's something I would keep my eye on within the EHR business space. Also, my previous comment was in response to no one liking Epic though, so certainly on topic. [1]. https://health.ucsd.edu/news/releases/Pages/2015-05-06-uc-san-deigo-health-system-enters-agreement-with-ECRMC.aspx https://health.ucsd.edu/news/releases/Pages/2015-05-06-uc-sa... [2]. https://ucsdhn.org/providers/physician-network/advantages/technology/Pages/default.aspx https://ucsdhn.org/providers/physician-network/advantages/te...

nradov 7y ago

Small independent practices are a dying market anyway. Provider organizations are all consolidating in order to achieve economies of scale (especially for EHRs), provide comprehensive services to patients under one roof, and achieve greater pricing power when negotiating with payers. Plus most physicians prefer being employees; they just want to practice medicine without the additional administrative hassle of running a small business.

conanbatt 7y ago
Its true that running independently is getting more difficult, but that's not "on the market" but on the insidious regulations around insurance, malpractice law, etc. A doctor can't open up an office and tend to patients with pen and paper anymore, and they have to pay thousands of dollars a month to systems that are truly terrible to be compliant.
- skwb 7y ago
  *If they want to accept Medicare dollars (and usually private insurance just follows Medicare). I remembered some South Western (I want to say Arizona) specialty clinic that basically didn't accept insurance and had pen and paper charts still.
- nradov 7y ago
  Medicine is also a team sport now. Caring for patients with complex conditions requires coordination with multiple other practitioners. Exchanging paper records with them just isn't practical or safe. Plus if the doctor has to write a prescription, doing it on paper is so error prone as to border on malpractice.
  - conanbatt 7y ago
    I will be willing to say the opposite as well. Exchanging records is terrible. If you get records from say, Epic, you might get 300 pages. Which doctor is going to read 300 pages of documentation for one if his 16 30-minute appointments a day?

conanbatt 7y ago

When small practices get bought or acquired by hospitals they typically switch to epic.