Here is my problem, I’m trying to fix. I built a custom EHR. I want to give it free to solo physicians. The healthcare system is rigged against us.
I don’t want money but obviously will need it to support infrastructure. My problem, how to add AI to help physicians in charting and workflows. Should I just add a wrapper and pay the big boys or do something else?
Wow! You've made my day. Thanks so much for your support.
Here’s the reality I deal with almost daily. You can go to the "dark side" and try to do "interoperability" with "you know who" all day long. And don’t believe anyone when they say it’s easy. Those folks have clearly never done the dirty work. It’s not easy - hence, the whole freaking industry of Epic middlemen.
Or you can do what you’re doing: build a modern tech EHR, with clean APIs and endpoints that actually serve physician needs (and I know of a few startups doing just that). But if you go that route, you’ll be competing with incumbents, and they will not be kind to you once you reach a certain size and start tapping into large health organizations.
Yes, AI training is super expensive. So it’s no sin to take something off the shelf. Inference costs are coming down. The only thing you need to make absolutely sure of is that you’re HIPAA compliant at all times. Some people say turning off the “Use my data” option does the trick. I’d say, to be 100% sure, never let identifiable PHI go through a commercial AI engine.
At the end of the day, the real question is: can you build a customer base that sustains the business? Customers will help you shape the product. Trust me. And your product will be better because of it. That’s how you compete with the outdated but so powerful EHR incumbents.
Can I pick your frontal lobe if I become a founder ?
Pick away. But my frontal lobe has office hours. 😉
Ok founder I am.
Here is my problem, I’m trying to fix. I built a custom EHR. I want to give it free to solo physicians. The healthcare system is rigged against us.
I don’t want money but obviously will need it to support infrastructure. My problem, how to add AI to help physicians in charting and workflows. Should I just add a wrapper and pay the big boys or do something else?
Russell,
Wow! You've made my day. Thanks so much for your support.
Here’s the reality I deal with almost daily. You can go to the "dark side" and try to do "interoperability" with "you know who" all day long. And don’t believe anyone when they say it’s easy. Those folks have clearly never done the dirty work. It’s not easy - hence, the whole freaking industry of Epic middlemen.
Or you can do what you’re doing: build a modern tech EHR, with clean APIs and endpoints that actually serve physician needs (and I know of a few startups doing just that). But if you go that route, you’ll be competing with incumbents, and they will not be kind to you once you reach a certain size and start tapping into large health organizations.
Yes, AI training is super expensive. So it’s no sin to take something off the shelf. Inference costs are coming down. The only thing you need to make absolutely sure of is that you’re HIPAA compliant at all times. Some people say turning off the “Use my data” option does the trick. I’d say, to be 100% sure, never let identifiable PHI go through a commercial AI engine.
At the end of the day, the real question is: can you build a customer base that sustains the business? Customers will help you shape the product. Trust me. And your product will be better because of it. That’s how you compete with the outdated but so powerful EHR incumbents.
🔥