4 ms·

So very correct. I've solved the problem but, unfortunately there is no way to graft it on to current solutions. There is no way to take data from an inherently

by gmarx 12y ago

So very correct. I've solved the problem but, unfortunately there is no way to graft it on to current solutions. There is no way to take data from an inherently low resolution, poorly modeled system and turn it reliably into complete, well modeled data with standard terminology codes. You need to use a new system. Try convincing anyone of that after a painful, multi-year, billion dollar Epic installation

jarpineh 12y ago
Please, do elaborate. This is currently happening in Finland's capital region: http://www.helsinkitimes.fi/finland/finland-news/domestic/12026-apotti-a-patient-data-system-that-costs-more-than-a-children-s-hospital.html http://www.helsinkitimes.fi/finland/finland-news/domestic/12... Though CGI did stall the process by suing the project in Market Court, claiming Epic has gotten more favorable treatment. Incidentally, CGI is the provider of the current system, which is reviled, costs 45 million a year to maintain: http://www.helsinkitimes.fi/finland/finland-news/domestic/12026-apotti-a-patient-data-system-that-costs-more-than-a-children-s-hospital.html http://www.helsinkitimes.fi/finland/finland-news/domestic/12... Final tally for the new system is estimated to somewhere around half a billion euros.
- gmarx 12y ago
  I can't tell from the article, is this an Epic installation? I don't know the detailed breakdowns but as I understand it, the bulk of the costs have to do with consultants, reengineering process and training than software licenses. My solution involves a system which allows you to create clinical data entry forms to document your encounters. All the information goes in as well modeled data with standard terms applied. It is not a complete EMR. I doubt it would require 100s million euros but it would do all the stuff a proper EMR does either. The problem is convincing people who spent so much on an all in one solution to do best of breed for one component

by gmarx 12y ago

jarpineh 12y ago

Please, do elaborate. This is currently happening in Finland's capital region: http://www.helsinkitimes.fi/finland/finland-news/domestic/12026-apotti-a-patient-data-system-that-costs-more-than-a-children-s-hospital.html http://www.helsinkitimes.fi/finland/finland-news/domestic/12... Though CGI did stall the process by suing the project in Market Court, claiming Epic has gotten more favorable treatment. Incidentally, CGI is the provider of the current system, which is reviled, costs 45 million a year to maintain: http://www.helsinkitimes.fi/finland/finland-news/domestic/12026-apotti-a-patient-data-system-that-costs-more-than-a-children-s-hospital.html http://www.helsinkitimes.fi/finland/finland-news/domestic/12... Final tally for the new system is estimated to somewhere around half a billion euros.

gmarx 12y ago
I can't tell from the article, is this an Epic installation? I don't know the detailed breakdowns but as I understand it, the bulk of the costs have to do with consultants, reengineering process and training than software licenses. My solution involves a system which allows you to create clinical data entry forms to document your encounters. All the information goes in as well modeled data with standard terms applied. It is not a complete EMR. I doubt it would require 100s million euros but it would do all the stuff a proper EMR does either. The problem is convincing people who spent so much on an all in one solution to do best of breed for one component