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Glad to see DrChrono taking health care on and I hope many others follow. With that said ... The problem with the healthcare industry's lack of modern technolo

Glad to see DrChrono taking health care on and I hope many others follow. With that said ... The problem with the healthcare industry's lack of modern technologies isn't a technology issue - the tech that doctors and hospitals need to manage EHR/EMR/PHR existed 20 years ago. This isn't a computer problem, it's a human problem. You wouldn't believe the hoops I had to jump through to get a Django app into the VA in Los Angeles. Why? Because Python isn't an approved language and Postgres isn't an approved DB. "Someone" has to approve them and I'm guessing "someone" has something else they'd rather o. They're both on the "For consideration" list. Anyone who has worked in a bank can probably relate. So we put our Django app into a JAR file and run it using Jython. "Oh it's Java now? That's OK." I think the true tipping point will be when people of a new generation (readers of HN perhaps?) become hospital administrators and with that bring a new culture and view of technology.

siculars 16y ago
>I think the true tipping point will be when people of a new generation (readers of HN perhaps?) become hospital administrators and with that bring a new culture and view of technology. I have very little hope of that happening. Hospitals are run by doctors and frankly, they lack the technical foresight and respect for non-doctor advisors (cio, cto, etc.) to make correct technical decisions.
- aladoc 16y ago
  > Hospitals are run by doctors Typically US hospitals are run by MBA types, whether it's a for-profit or not-for-profit facility. They, or their corporate overlords, make all the decisions about capital outlays, like IS. The marketing folks just have to tell them, "The docs'll love it!" No EMR system I've ever looked at successfully models my clinical thought process. I have to work around or against the tool, rather than it disappearing into the task at hand. </rant> Now ask me about modal popups...
  - michaelbuckbee 16y ago
    "Run" is a somewhat subjective term. I used to work on implementing EMR/EHR systems for radiology groups within hospitals. Twice (separate states, separate hospital systems) I arrived onsite to find that all of the radiologists had quite en masse over the implementation of one of our systems.
mleverne 16y ago
The VA are a very special bunch. A lot of hospitals are now forward thinking in terms of solutions. Sometimes to much so. I have often had to deal with "buzz word" syndrome, explaining why Web Services, SaaS and HL7 3 are not necessarily required components of their EMR solution.

siculars 16y ago

>I think the true tipping point will be when people of a new generation (readers of HN perhaps?) become hospital administrators and with that bring a new culture and view of technology. I have very little hope of that happening. Hospitals are run by doctors and frankly, they lack the technical foresight and respect for non-doctor advisors (cio, cto, etc.) to make correct technical decisions.

aladoc 16y ago
> Hospitals are run by doctors Typically US hospitals are run by MBA types, whether it's a for-profit or not-for-profit facility. They, or their corporate overlords, make all the decisions about capital outlays, like IS. The marketing folks just have to tell them, "The docs'll love it!" No EMR system I've ever looked at successfully models my clinical thought process. I have to work around or against the tool, rather than it disappearing into the task at hand. </rant> Now ask me about modal popups...
- michaelbuckbee 16y ago
  "Run" is a somewhat subjective term. I used to work on implementing EMR/EHR systems for radiology groups within hospitals. Twice (separate states, separate hospital systems) I arrived onsite to find that all of the radiologists had quite en masse over the implementation of one of our systems.

mleverne 16y ago

The VA are a very special bunch. A lot of hospitals are now forward thinking in terms of solutions. Sometimes to much so. I have often had to deal with "buzz word" syndrome, explaining why Web Services, SaaS and HL7 3 are not necessarily required components of their EMR solution.