Only if you go into management. Regular engineers actually hate all this bullshit.

Of course not! *Pushes straight to prod*

No.. but there's time. Study hard, and one day, you could be part of the anti-solution. muahahaha Or maybe switch majors now and go into venture-capital.

Software development is designing a solution to a problem with built-in problems, which you then sell the solutions to in the premium subscription.

As a computer engineer, yes. Yes, we are.

Careful not to trigger us instead tho ahaha

That would brighten my day 😂 I feel seen 😢

Well done. Well done. Additional things to add would be asking your nurse how their utilization chart reviews are going, and ask your physician how they feel about patient satisfaction based healthcare and it’s affect on patient mortality and morbidity.

I really like that question. ❤

@@jimyeats Indeed. Having watched Dr. Glauc videos for a long time, I learned just how busy family medicine doctors are. Just getting prior authorizations from the Medicare Advantage insurers is enough of a time-suck, but then having Epic extend charting time…and then having a patient try to make joking small-talk about all of it…I can recognize this line of chat as a potential triggering annoyance. In the future, I think I’ll tone it down and just send a food gift to office staff and the doctor…but with a note saying I am aware of the burden of private equity-sponsored healthcare systems making healthcare decisions as if they are licensed practitioners, and of how they are burdened with software prioritizing the prevention of litigation rather than functionality and efficiency of charting.

0200: Epic downtime begins 0200 + 1 second: 900 call bells from patients all suddenly wanting controlled substance medications and a blood transfusion

And as a MLS everyone wants their results. Hang on, I'll fax them to you

​@@girlboymusic😂

ya, don't forget us lab people

@@parus6422 the patients dont forget you. Anyone whos had to deal with the medical system as long as I have. Blesses you lab people. 💙💙

And it's "Epic Intergalactic Headquarters"

How come epic is so expensive? I mean up to a $100 million?

@@DrsilmiepICK pays a lot of people a lot of money. That money has to come from somewhere so it comes from the customers.

@@Drsilmi Is there a sale in your country on epic? We paid like $1000 million initially and over $100 yearly, forever!

The fact you people have a hot dog slide on your main campus makes me think you're not spending your money wisely.

That genuinely concerned me because as annoying as it is for arbitrary changes to happen in non-essential software, the introduction of changes in essential use-cases like the medical field is borderline criminal because of how it can interrupt flow/efficiency and even open the door for corruption of input accuracy that can have serious consequences for YEARS. 😥

If it works well, it must be changed immediately!

If it ain’t broke, fix it, till it is!

I feel like that rearrangement is done every time I go away for a few days! Dreading tomorrow now...

I feel like that rearrangement is done every time I go away for a few days! Dreading tomorrow now...

Not sure when you started working on hospital systems but the uptime in the last 20 years has greatly improved. Our first Epic downtimes 15 years ago were monthly and if we were installing an upgrade would last 4 hours. Now Epic major upgrades are less than 2 hours and sometimes when we go down it’s not to upgrade Epic, it’s for applying operating system patches or network upgrades.

@@Jen39x Never have worked on hospital systems in particular. In fact, my comment was meant to imply the opposite: That my experience in non-hospital systems is very much in line with this portrayal and it seems to be the way most technology companies operate. I'm really glad to hear that improvements are being made, but especially the "change the UI completely for no reason" and "reset all the passwords" is horrifyingly relatable. I can only say that the fact that the problem isn't much worse is actually a testament to how much the makers of Epic care and/or are under legal obligation to make a good product as he didn't mention a thing about patient dat going missing. Data consistency issues are annoyingly common and in my own self-employment I've suffered a few catastrophic database losses which set back the projects I was working on at the time for months. IT fraggles are doing our best given what we're given to work with, usually and as frustrating as these systems can be sometimes they're minor miracles to work as well as they do. I don't think that excuses the way things are handled, especially for medical filing and billing. There should at minimum be an A/B implementation for minimizing or ideally eliminating downtime, for example. But as bad and frustrating as Epic may be for the doctors who have to rely on it, it works pretty remarkably well from what I can tell and from what you've said, it's getting better. Love to hear that. Not many things are.

Yes! They recently rearranged one of our screens with no warning!

This happened during a big December update that made my department so angry the IT department was forced to change it back because January is the busiest time in the pharmacy!

Well, Windows does that re-arranging every day when I dock my laptop ....

I wish I knew HOW to customize my home screen - at 68 there’s not much room in my brain anymore

PREACH. Also Healthcare IT here. All true. And we still use pagers. (GASP IN HORROR!)

I feel this. BTDT

@@FSMface the reason the updates are at 4AM on Tuesday is not because we wanna piss off emergency medicine, it's because everyone who maintains any pharmacy, radiology, nuclear medicine, or any other associated application is gonna have 500 rude things to say about us if we do it when people are awake... And unlike the doctors, those teams know how to access the RFC queue to find out which tech team was actually responsible...

But MONDAY overnight??? Why not another night? That’s just cruel…

tell me moooooore@@mistaecco

He had a tie on. Can't be a normal day at Epic.

@@lordthanda yeah he should have been in sweat pants and a T-shirt but I won't nitpick

Stay strong my friend

I knew it! ;)

do you live in verona wi or in madison

Did your unit not have a downtime computer?

Once had to stay 3 hours over my shift just getting notes into epic. Getting slammed all night with no emr is brutal. Definitely slept on the couch in back before driving home.

At least you all know what to do. You have no idea what a major mess when Epic is down during the day!

@@Ec11223 we used computers on wheels. I had access to EPIC Downtime, but could only see the track board and stuff as it was at the time of the downtime. I had to chart separately and then chart it all into Epic again once we were back online.

@@Ec11223 WHAT? wait, wait, wait. This happened to us one time. One time in anyone's memory. And we've been printing wristbands and labels the night before ever since. Where do I go to find out more about downtime computers?

I just hope she doesn't sue 😭

Judy, not Sue. ​@@katsaramlakhan5495

Being Canadian, I wasn't aware of Epic or Judy Faulkner. I thought the photo was a guy in drag. I looked up both Epic and Googled photos of Faulkner. The photo of her in the video looks better than she is. With her facial bone structure, she looks even more like a guy in drag. And Epic? Wow, talk about problems and controversies!!! The doctors, nurses and other healthcare providers hate it for good reason. I read how it was introduced and implemented in Nordic countries. What a complete mess and screw-up!! 😳 It wasn't introduced in all Nordic countries at the same time and I would've thought that countries introducing it later would've seen how bad it was from each countries previous experience. Wow. I'll have to ask my doctor what they use. I know a new program was introduced a few years back and he HATES it, as much as its difficulty of use as for the problems it creates. When I asked him about it, he went on a short rant but not angry with me, thank goodness.

I spit out my water at that 😂😂😂😂

Paper forms? The horror!

@@dr.floridamanphd That's right, PAPER! They have to actually fill out a paper Downtime Order Form and send it down via the pneumatic tube system with the specimen! And then in the lab we have to put special downtime labels on the specimen and actually write out on the label the patient info and the tests ordered! Everyone, lab fraggles and unit staff alike hate it.

*Hand written* lab orders??? The HORRORRRRRR!😱🙀😭

God i work in xray and its the same shit when cris goes down lol. Doctors would actually rather completely forgo xrays than write that shit out and send it with the patients

@Michael-bb1cw How true is this LOL, where I work we have order sets(nursing use but not us😩) sometimes they call us cause they have no idea what tests are in their order sets and neither do we!!😂😂👍🏻The downtime reqs that come to our lab can be very interesting to say the least🤣.

Cerner builds are evil.

yes, I've had relatives in Wisconsin who work at EPIC. Driving out from the airport, I saw EPIC grow and grow out into the cornfields.

​@@skybluedrummer*saying with crack in voice* creeeepy (literally the building apperently crept further into the corn fields.)

Coz we know that just logging in is the hardest thing Ortho ever does. How could Ortho deal with a password change??

I hope one day an open-source alternative will bankrupt you.

It doesn't present any extra risk. In fact it can present less. Because you can use a web based system from any OS which means you can dump Windows and switch to something more secure like Mac or a Unix derivative.

@@matthewhall5571 the web address began http and not https. So the website itself wasn’t even secure. Not even the minimal level of encryption required to call it safe. There were no limits on trying to enter a username or password so it could be brute forced easily. And since it was web based, as opposed to software installed on a companywide intranet, none of the data was stored on the local network. This means patients full names, DOBs, SSNs, home addresses, diagnoses and prescriptions, and everything else could be obtained with minimal effort. Hell, a script kiddie could break in to it no problem at all. I brought this up to the facility admin and she just shrugged and said “it’s not the budget.”

United Healthcare was just hacked. How safe do you feel? I practiced medicine for over 40 years but my paper charts and billing were never hacked. 😂

@@TheRealJBMcMunn UHC also doesn’t invest in proper cybersecurity. Then again most large corporations don’t. But I’d feel a hell of a lot better with a modern EMR on a companywide intranet behind a basic firewall than either something on the web or a doctor still doing everything by hand because notes can be quite easy to lose.

Have to say I feel the same. Clouds are selling systems right and left but putting a large system EMR anywhere but in house is crazy. When the cloud crashes how do you guarantee you are first to get help? You can’t.

Tues 0200-0400 is still Mon night duty so yep, hurts hard.

It’s like they’re messing with my brain!!! 😂😂😂

One of my friends from elem-HS works there too. The pics I see of the tours are insane!

@@dawnbailey9241 ive been on a tour, as i live in verona. the headquarters is very weird

I rather go to the source of Spotted Cow. Creamy Ale.

​@@rafaeldeleon3386they are only an hour away from each other, so why not both!

Ask providers about Cerner or MediTech. That'll probably get you some posttraumatic shudders (if they've used either before.)

Epic can be a pain, but I'll take it any day over Cerner. (shudder)

​​@@lisafall8920 Literally came here to say this lol I still think about the urgent messages I missed from the surgeons because of the stupid manual refresh BS. I went from Epic > Cerner > Epic and was *so* happy when I finally got to use it again.

As a pharmacy technician in a specialty pharmacy that relies on copay cards, I feel you.

Epic is in The Netherlands, too, so there's a chance.

@@Jke198299 oh! I did not know that! Thanks! But then, how dare they! Those poor dokters and nurses!

@@Jke198299 WE ARE EVERYWHERE

Was on EM Wednesday night for our hospital’s downtime and it really did feel like no one else suffered 😅

@@whitneywujkoayala8613 And it's always at times like those where you get a bunch of really high acuity patients that require strict and minute documentation 😅

Optum/ Change Healthcare had a cyberattack, they are one of the largest Rx insurance processors, so orders, pre-auths, auths and billing go through them. Most hospitals cut the access between systems to avoid possible attacks through those file transfers. Not being able to e-prescribe is better than the whole system being down.

😂😂😂

That's a good one!

How? Are you working in the Antarctic?

​@@gritskennedy5007 the ER is open 24hrs a day, every day. My only shifts are scheduled for overnights instead of any other time slot.