One of our hospitals is about to begin an Epic rollout. Please keep me in your thoughts during this difficult time.
I'm no stranger to Epic -- been using it at another hospital for years. Epic updates and implementations are rapidly replacing Joint Commission visits as the most anxiety inducing hospital events. Epic as a brand has become synonymous with healthcare, on par with Tylenol, Band-Aid, and Ozempic.
Epic and its EMR remind me of 90's era Microsoft and Windows. Companies using their market position to push a ubiquitous operating system that many find convoluted, cumbersome, and user unfriendly. Updates that add features no one asked for, bring unnecessary changes, and fix things that aren't broken. Extremely high switching costs that ensure continued dominance.
MSFT and CEO Bill Gates were eventually called to the carpet by the DOJ -- a case that threatened to break up the company but was eventually settled. Particle Health is now suing Epic claiming monopoly status. The parallels between Epic EMR and MSFT Windows make for an interesting legal case study (alas, I'm no lawyer).
To be fair, Epic isn't completely to blame. In many ways, mandated policies and procedures helped create the monster and continue to feed it. Medical records are supposed to be a repository of high value information facilitating communication and crafting a clear picture of a patient's history. Instead, they're lowered the barrier to over-protocolization, check-box policies that take away from patient care, and death by 1,000 clicks. Epic didn't create these problems, but it did facilitate them.
It's not all bad with EMRs. We can't live in the past of paper charts (as efficient as they may be). But we are not leveraging technology to its best potential. What we have is a co-dependent relationship of technology and policy gone wild.
MSFT ended up with a slap on the wrist, but Windows is no longer its flagship product. A post-PC era, ushered in by tablets and cellphones, changed the market. Will something similar happen to Epic and EMRs? Maybe. But we need to figure out how to use tech in healthcare to make things better, not worse.
#medicine #healthcare #EMR #helath #healthcaretechnology #healthtech
Credentialed Sr IT Trainer in Epic ADT/Prelude and Nuance Dragon at UNC Health
6moCongrats Kimberly!