Kadrith's comments

Presumably the organization has already performed a risk analysis and determined that the existing compliance program is sufficient to address the risks and threats while not being too burdensome. The OP and many others may disagree, but it is not their call to arbitrarily change how things are done.

I'm in charge of IT security and the designated HIPAA Security Officer for a health network. Some of my favorite conversations will typically begin with someone saying that they will follow the rules when they believe the rules make sense.

I read the comment from nkoren differently and agree. With something like ClearCase or a CAD tool there is a defined licensing model. They aren't going to charge based upon each CAD file generated.

With meteor there is no knowing how the pricing will be without asking first; but nkoren's concern is that they won't know a viable business model until after significant work has gone into development. At that point if nkoren doesn't like the pricing they would have to switch to another framework.

I never got the impression that nkoren was against paying for meteor, just against taking a leap of faith on _any_ system which would require significant investment of time before finding out even a general idea of how the pricing works.

I have autofill enabled with Chrome 19.0.1081.0 on Windows 7 and it did not fill the hidden fields. I have an update pending for Chrome, maybe it will reintroduce the issue.

Kaiser uses Epic, so they have a system called Intraconnect; now Care Everywhere to share information. This also works between other Epic customers with Care Everywhere installed. For the non-Epic customers there is something called Care Elsewhere.

But there are a LOT of smaller practices without an EMR or that don't want to go through the work of initial integration.

I have a list in GV for people who frequently dial the wrong number. It plays a special VM telling them that they often dial the wrong number but to leave a message if this is correct and I will get back to them, eventually. I would probably use this for a similar setup.

I'm often on the other end of this; assigning "10 minute" tasks to people. What I try to do is have a common place where I will put these with the expectation that it is checked at least once per day; normally OneNote. I don't expect all of the tasks to be done each day, but I also don't want them sent into a black hole. I leave it up to the team to figure out when they can accomplish the tasks based upon when I need the work done or to provide me with feedback on feasibility.

If I have an urgent item that has to be done RIGHT NOW there may be an exception but in four years of being in this job I've only had a few of those. Those types of events are usually patient safety events where a patient's life is literally on the line and some piece of technology is acting up.

I don't think that is their target market right now. There is a land rush on for people that do not have an EMR and do not want to join with a larger facility that already has an EMR.

My understanding of Epic's approach, to some extent, is that they know approximately how much it will cost to support an organization. When we were going live they had reservations due to our size at the time; if we were not big enough they did not want us as a client since the cost of support would be greater than what we honestly afford.

I really like how they have structured the support concerning Forums, UGM and Good Maintenance; for an enterprise software company it is the best approach I've seen.

Not always true; for any project we do which would impact patient care there is always at least a physician involved, sometimes a nurse as well. The reason our Epic UI looks they way it does is because clinicians want it that way.

We have tried to streamline the interface, but they don't want IT telling them what is important to put on the screen. During our last upgrade we had issues because some physicians put so much on the screen that caused a problem with the program; Epic implemented a fix for us, but the physician took something we showed them and ran with it. Then they started telling others who did the same.

The end result was like the image people like to link to whenever this topic comes up; a screen full of check boxes and sliders. They like this because all of the information they want is on one screen and they can quickly go down the screen making selections. When we tried to streamline this they didn't like that there would be multiple screens to load and then they wouldn't have one way to see everything selected without a summary page which was yet another screen.

I work in IT security and user experience is one of the key things we focus on; a system that is confusing or difficult to use will be used in ways we do not expect. Making the most obvious choice the right choice reduces risk, confusion and helps ensure people do the right thing.

We can't standardize on RDP because it closes the remote display when we need someone to walk our help desk through what they are experiencing, VNC was hit or miss for features and support when we were looking at products so that wasn't used. pcAnywhere also integrates with our asset management system and help desk; both from Symantec.

How is this iPad app any different from what Canto provides from Epic for physicians and MyChart for patients?

Disclaimer: Where I work we use Epic as our EMR and have been on it since 2005.

We use it extensively since we require logging and the ability for remote troubleshooting.

I don't pirate and have no ties to anyone that produces content. With that said; what is the difference between doing free coding or consulting for exposure and access? I used to own a consulting company and people tried that line a lot, even when starting out I never consulted for free to get "exposure;" why should we expect any different from other industries?

Agreed; perhaps a tiered approach where people who buy early get a lower price but with limited quantities of the discounted tickets available.

That could be one way for anyone concerned with the integration to get around this. Create a fake name, Google will disable the G+ profile and you can still use Gmail.

I thought it was possible to hide who you have in your circles. I know I can for a page, but haven't looked for my personal account.

Would Facebook and Twitter be expected to put G+ buttons on their respective sites against SOPA/PIPA? Oh, wait...

What if the data is transmitted on a cable under the ocean. Do you get an exemption for being underseas rather than overseas?

I would love to see two things from Google:

  * Change the logo; even just a black bar through the middle since the logo gets a lot of attention.

  * For any SOPA/PIPA supporter's site in their results, mark it in some way.  Don't block it, but indicate that this is a supporter and use that to demonstrate what SOPA/PIPA might do.  This allows people to ignore those sites if they want, but does not remove them from the index or cause any permanent harm.

I like that Google does this and think it is in the best interests of the Internet and most people in involved. By creating opensource implementations and testing them we can move things forward faster; rather than letting people tie up standards in committee for years or creating something that can't be implemented well.