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What is your ERM of choices? Opinion on EPIC?

I just worked on an Epic rollout that went live last week.

I think for most companies EPIC is too much, and EPIC tends to agree, they won't talk to you unless you have at least a thousand providers.

I can't pick one over all, it really depends on what your health care company does. I researched dozens to find one for our company, and it was one focused on behavioral health.

In general I'd say stay away from Nextgen like the plague, and avoid Netsmart too. Those are the worst I've ever seen. I could write a small book about Nextgen's failures.


Great article.

While the definition changes, the expertise shifts and with it the field. Computers eventually became statisticians and data scientists. Printers became graphic designers.

What I found most interesting is that when positions undergo such evolution (printer -> graphic designer), a number of skills which were previously different expertise altogether, combine to create a new field. In other words, a new multidisciplinary field is born.

I think a good example is data science, the field at it's core is applied statistics using modern techniques such as data management and computing [0].

The question is, what is the new evolution of a programmer? Lots of folks like to use the term "engineer", and previously I thought this was silly. But now with LLMs, maybe that is a good descriptor; software engineer.

[0] https://www.welcometothejungle.com/en/articles/story-origin-...


> what is the new evolution of a programmer?

The moniker already exists which we need to revive and repurpose for the LLM era;

"Systems Engineer" i.e. one who does Systems Engineering - https://en.wikipedia.org/wiki/Systems_engineering Because the focus is no longer on coding alone but involves specification, verification (formal and testing), traceability and correctness. All using a whole plethora of third-party infrastructure, tools and components.

In the early days there used to be "Systems Analyst" and "Systems Designer" in addition to the above. All of them go together. The Systems Analyst is business requirements facing, The Systems Designer maps it to implementation architecture and The Systems Engineer pulls everything together (including costs/risks/specific implementation technologies etc.) to produce the complete functional system.

See also my previous comments here - https://news.ycombinator.com/item?id=48264680


If you were a real programmer, you'd know that it is all hype.

Agreed, the paper describing the methodology uses basic techniques, no mention of AI or LLM usage.

https://www.nature.com/articles/s41541-024-00950-9

Its bizarre and even frustrating to see basic bioinformatics methodology referred to as AI.

AI had become a catch all term for... Everything.


Notification requests add to decision fatigue, which can lead to bad things.


Its really telling the example of personal AI/AGI given was booking tickets to a show.


As someone who dreams up many types of businesses (yet rarely go through with any), thanks got sharing your blog.

Reading it now, great read!


Besides your point but I learned about Mondragon on hacker news!

https://news.ycombinator.com/item?id=41438060


How can you tell?


LibreOffice did a great job of transitioning to an alternative UX and went further to implement not just ribbons but different combinations classic menu with ribbons.

That's the answer IMO, yeah now there's two UX to maintain but it's a step forward.


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