Saudi Arabia to lower oil prices, the houston boom is over

Heard the actual logistics of implementing EPIC wasn't great and was pretty disorganized, sourced from some MD Anderson redditors on r/houston.

 

There is a transition period, so I get that, its an EMR system that catalogues everything and pretty much allows everything. Its also a **** load of money. I hated it when I first used it, but it ultimately leads to better care due to having a walking patient everytime you open a record. Communication and orders are also better relayed. Medication errors etc are avoided because the system won't allow you to do it. I've used Vista as well at the V.A and while it is much simpler and organized it is a pain in the ass.

 

between [oasis,indofault,volte ,chartmax,labnews, softpath,Echo .....,] it take one hour minimum per new patient

 

EPIC is the 90s Microsoft of EMRs. Very aggressive sales tactics and overpriced. It is not the least user friendly EMR/CPOE (that honor goes to meditech), but I could see how your billing goes to hell if the docs don't use it the way the folks in Madison want them to use it. A place like MD Anderson should have been able to have Epic support staff on site for at least a month to make sure everyone is doing the right thing. Yet here we are, and they are now cutting jobs because of lost income. I suspect a lot of them are legacy staff, though. But legacy staff are usually older, have no skills in today's economy, and will likely be unemployed long term.

 

I don't understand why so many hospitals are using 30 year old software sold by a dictator lady.

 

I agree completely .quite frankly, this could be said too about MDAnderson clustered business model and marketing. for the lost jobs ,the're going to be replaced mainly by volunteers ,the projected initial price tag will be doubled by the end of the transitional period like also most hospitals,extra licence fee-software,renewal,update and hidden costs) , the end result might be like the one I'm working at: each floor has their own unique systems

 

Well MD Anderson is pretty disorganized in general, so that makes sense......

 

I wonder if those implementation costs include the costs from the other systems they began implementing before pulling the plug and then finally ending up with Epic.

 

Doctors hate Epic because of insane amount of charting.

 

MD anderson is bloated in terms of employees. They had an EMR they custom built that catered to the whiny clinicians there. Then they went and bought the more rigid and expensive software out there so they don't feel left out (all other hospitals in houston except memorial have epic).
to compound the issue the training was non existent for crucial things like how to bill and close visits. they tried to make epic into how their old EMR was.

add in the change in insurance stuff relating to obamacare (like blue cross dropping coverage) + expensive EHR + poor training + lack of accountability on the providers side...and u get a giant deficit.

http://www.houstonchronicle.com/bus...e-leaves-cancer-patient-in-limbo-10422774.php

 

What does Memorial Hermann use?

 

You have to click a 1000 buttons to order one stupid test. Other than that, I stand behind its better for pts...maybe not us but we're in it for the patients in case some forget.

 

Honestly, EMRs are designed for insurance companies (faster billings) and public health types (population health information). But for Doctors, Nurses, Labs, etc it's just a one size fits none process that is more complicated and slower than the paper charts that came before it (and I hated paper charts). Epic not even that hard to learn, it's just not making patient care any more efficient with the sole exception of being a silo of information that every provider can view. But if no one actually puts their notes in a timely fashion or decides to auto-populate them with useless crap, even more time is wasted searching the patient record.

The real question for MD Anderson: Is this a one off, or is the cancer giant in trouble?

 

Not sure about the financial stuff, but the doctors and staff at MD Anderson are AMAZING. A couple of years ago I spent way more time there than I would've liked, but they did their thing.

**** cancer.

 

It essentially is a glorified billing platform. Every conversation somehow ends with how are we going to bill ungodly amount of money from the patients?

 

http://www.houstonchronicle.com/local/prognosis/article/MD-Anderson-10835560.php

Eleven presidents of the University of Texas System, including financially ailing MD Anderson Cancer Center, received annual performance bonuses this week totaling more than $1 million.

MD Anderson President Dr. Ron DePinho got the largest bonus, $208,000.

 

Their strength is clinical trials,aside from Philly ,this should remains intact for the future.

 

a fraction in comparison to school head coach:
Jim Harbaugh,Michigan 9million$.

 

I came in this thread expecting to read a continued discussion on oil not software used by doctors....

 

Maybe this thread should be changed to a Houston Economy thread. Energy and Healthcare are pretty much all we have here. So based on the comments here it sounds like MD Anderson just mismanaged everything but the shot callers are getting bonuses and the workers are getting fired for cost cutting measures.