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In hospitals and healthcare new software is designed around accounting and billing requirements. The result is that the new software system makes the putative p

In hospitals and healthcare new software is designed around accounting and billing requirements. The result is that the new software system makes the putative primary function, the delivery of healthcare much, much worse. The cause of this is that for the managers who commission and pay for the systems and to the developers who create the systems, the primary healthcare function is irrelevant. To the managers, it is about billing insurance companies and monitoring productivity. They then move on to another management gig at another corporate. To the software developers it is about getting paid for the software contract and burnishing their CV. They then move on to another software gig at another corporate. Neither the software developers or the managers have any interest or understanding of the healthcare problem domain. Since this does not affect getting paid, nobody cares about this situation. https://www-nrk-no.translate.goog/mr/helseplattformen-i-helse-more-og-romsdal_-lege-i-volda-alexander-borgen-tror-pasienter-vil-do-1.16839912?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=wapp https://www-nrk-no.translate.goog/mr/helseplattformen-i-hels... https://www-nrk-no.translate.goog/trondelag/steinkjer-vraker-helseplattformen-1.17041572?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=wapp https://www-nrk-no.translate.goog/trondelag/steinkjer-vraker... https://www-helse--mr-no.translate.goog/fag-og-forsking/samhandling/helseplattformen/rontgensvar-ble-ikke-sendt-ut-til-fastleger/?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=wapp https://www-helse--mr-no.translate.goog/fag-og-forsking/samh...

nradov 2y ago
That's partially true, but employees at health IT software vendors often have long tenures. Some of the key developers at Epic have been there for decades and understand the domain quite well. It's just a fundamentally hard problem to solve because they have to balance so many conflicting priorities. The software is also highly configurable, so many of the usability and workflow problems that customers experience are self inflicted. The leaders at every provider organization wrongly believe that their way of doing things is the best so they incur high costs in customizing the software to match their processes instead of just changing their processes to match industry best practices.

nradov 2y ago

That's partially true, but employees at health IT software vendors often have long tenures. Some of the key developers at Epic have been there for decades and understand the domain quite well. It's just a fundamentally hard problem to solve because they have to balance so many conflicting priorities. The software is also highly configurable, so many of the usability and workflow problems that customers experience are self inflicted. The leaders at every provider organization wrongly believe that their way of doing things is the best so they incur high costs in customizing the software to match their processes instead of just changing their processes to match industry best practices.