Really fascinating article. Thanks! In perusing all functionality of Epic EHR, I see no mention of behavioral health screening in ambulatory (primary) care. Has this feature been intentionally omitted?
I agree, great start! I look forward to the installment when you get to covering Epic's sales success. Epic is a financial sale, not a clinical sale. Sure, health systems have teams of clinicians to review and compare to Cerner (the only viable competitor for large systems), but the outcome of those reviews doesn't matter even a little bit. The CFO gets wholly convinced that their health system can only survive financially under the Epic monolith, and then the CFO convinces the whole C-Suite of that. Poof, another Epic installation in the works.
I would say that thought is roughly encapsulated into this piece, which articulates how hospital executives and IT leaders seek certainty. Epic's results of better clinical and financial outcomes (whether real or marginal) offer risk mitigation to CEOs, CIOs, and CFOs, who make enterprise sale decisions.
Great to see the record straightened regarding HITECH ;-) The only thing missing is the summary from Dr. Brailer (1st ONC Director): "I never would have spent money on direct subsidies to providers. We've built the Frankenstein Monster I was most afraid of."
Gurley's criticism hasn't changed that much. He articulated something pretty similar at SXSW in 2015:
Great start to the series, Brendan!
Great stuff Brendan
Really fascinating article. Thanks! In perusing all functionality of Epic EHR, I see no mention of behavioral health screening in ambulatory (primary) care. Has this feature been intentionally omitted?
Not my deepest area of expertise but Epic has flexible Questionnaire capabilities, including things like PHQ-9
https://bpb-us-w2.wpmucdn.com/voices.uchicago.edu/dist/9/2662/files/2019/04/EPIC-Tip-Sheet-Depression-and-Anxiety.pdf&ved=2ahUKEwj0qaq6w9yJAxVvMDQIHV22ASUQFnoECBYQAQ&usg=AOvVaw0wOALjbB2cEw5391SYIFA6
Thank you very much Brendan! The appendix that you have here is the most comprehensive of all Epic modules on the internet.
I agree, great start! I look forward to the installment when you get to covering Epic's sales success. Epic is a financial sale, not a clinical sale. Sure, health systems have teams of clinicians to review and compare to Cerner (the only viable competitor for large systems), but the outcome of those reviews doesn't matter even a little bit. The CFO gets wholly convinced that their health system can only survive financially under the Epic monolith, and then the CFO convinces the whole C-Suite of that. Poof, another Epic installation in the works.
Thanks!
I would say that thought is roughly encapsulated into this piece, which articulates how hospital executives and IT leaders seek certainty. Epic's results of better clinical and financial outcomes (whether real or marginal) offer risk mitigation to CEOs, CIOs, and CFOs, who make enterprise sale decisions.
Great to see the record straightened regarding HITECH ;-) The only thing missing is the summary from Dr. Brailer (1st ONC Director): "I never would have spent money on direct subsidies to providers. We've built the Frankenstein Monster I was most afraid of."
Gurley's criticism hasn't changed that much. He articulated something pretty similar at SXSW in 2015:
https://www.forbes.com/sites/danmunro/2015/03/22/why-uber-wont-be-coming-to-healthcare/