3 ms·
> The big problem is that implementation requires significant up front capital investment and operational changes; for nebulous / speculative ROI in terms of do
by jampekka 2y ago
> The big problem is that implementation requires significant up front capital investment and operational changes; for nebulous / speculative ROI in terms of dollars.
This sounds like something like one field in a database?
- Muromec 2y agoThe actual difficilut problems are never technical ones. It's also probably not one field and not in one database, but something like a federated system. Everything eventually becomes this
- jampekka 2y agoOne field in a database is of course a bit of a caricature, but it does seem like a good example of how dysfunctional the medical software system field is. A single installation of these things can cost literally a billion dollars, yet such straightforward (seeming) things can't be implemented. It's not apples to apples, but that whole Linux kernel is estimated to be "worth" around a single EPIC installation is just bonkers.
- Muromec 2y agoWell, I work in a bank, so the actual one field in the database is still half a year of a job for the reasons that are well intended, but the results are pretty hilarious
- organsnyder 2y agoThe hard part isn't creating the column—it's modifying all of the workflows (or "careflows", as a hospital system I used to work for called them) to make sure they're reliably populated.