behindmyscreen

The amount of data on the screen, depending on where you experienced it, is also configurable by the IT department. One of the tasks that I have at my job is to make the data on the screen as concise as possible.

I am not sure when you last interacted with Epic but it has come a very long way in the last 8 years in the realm of personalization, macros, mobile access, and alerting (you can subscribe to results and be notified on your phone or watch when it returns as one example).

My goal with the providers I work with is to provide minimum scrolling, limited clicks, and easy ordering, all while being as workflow agnostic as possible through personalization of the user experience.

As to the need for faxing and scanning, the VA benefits from being completely uniform and, frankly, socialized in its data. The non governmental hospital system consists of millions of data sinks (data centers, file rooms, etc) and all of them are owned and controlled by different entities. The fact that even the level of data that can be requested and accessed instantly between health care providers exists as it does today is impressive.

Are those options or do you use CouchDB for your primary DB and MySQL for your report writing with an ETL process taking data out of CouchDB every night?

There is an ambulatory module that is designed for clinics. The cost of implementing Epic certainly is not within the realm of an independent practice so it is only reasonable for hospital systems to deploy for their clinics and affiliates.

I would not expect the commenter to have had an experience outside a hospital affiliated clinic if they work as an AMB provider.

Operational Database

90% of Epic's issue is how a Hospital implements it. It is so configurable that compliance and leadership will lean on it way more than they should to drive policy leading to BPAs, poorly created OrderSets, and way too many documentation points that contain low value....Then there is the case of not implementing the features that Epic releases that will make life better for the users because the IT department is underfunded or the leadership does not want to change....and then the fact that many users do not like to be trained on how to improve their use of the system.

What is the ODB for this?

Not following how NN is connected then. It's good regulation. It's essentially the first amendment of the internet.

Just like the right goes crazy when using "but muh freedom", or "they want to take your guns".

Supply that meets demand means prices come down... however, it.needs to be the right supply for the right demand. A bunch of high end housing doesn't make middle or low end housing cheaper.

Terminator genes aren't used is any commercial crop. The last two make farming easier and more productive so they are very popular amoung the farmers (even the family farms)

Patents exist outside GMOs. Honey crisp Apple's we're under patent for example.

The patent claim against GMO is a canard.

It's not a supply issue. Disease is wiping out our foods. Land is becoming marginal as the climate changes and is making food production harder. People are dying of vitamin A deficiency. GMOs can fix this.

Please, no. The Anti-GMO movement has no science behind it what so ever.

I feel like I will get Mick Mulvaney and he will tell me that everything was great in the 1950's and that is where he wants to take the CFPB.

The guiding principle however appears to be "Once untrustworthy, always forbidden". That is an issue.

Right. To me, the idea is bad in general, however, if they are going to be doing it, at least be fair and allow for someone to rebuild their social credit just like financial credit.

Was that meant with a tongue in cheek?

Nothing more significant than an eleven year old popular journalism report on genetic science? What about in the intervening 11 years? No new science on that?

Sorry, lame excuse that isn't worth the increase in deaths orcosts to business.

There...are...no... benefit.

I feel like web masters shot themselves in the foot and created this mess. I kind of like just serving the page and letting the market figure it out. Developers would have moved faster to make sure their stuff didn't break and maybe the browser wars and the dark ages that followed would not have happened.

Kim's solution appears to be a better method to use for discovering the roots of a Diophantine equation that has finite roots.

This could have impacts on computational encryption....it could also just make mathematics in this area easier to work through.

Gotcha

You think air bases won't be a primary target as well?

With the current anti-immigrant nature of the American right, the US will start to stagnate in population over the next decade if those people are not removed from power.

MAD under ICBMs allowed us to get our weapons off before we were hit. This tech would allow for very little warning and could potentially take out enemy missile sites before launch.

If only there were a good way of heating the air without contaminating it with radioactive emissions. If we could figure that out, such an engine would be useful in many non war related jobs.

Unions didn't make it too expensive to manufacture. China just made it way cheaper (slight difference there). A Union made product doesn't increase the cost of the product much, but employing people at wages that provide a moderate income level does reduce profitability.

Medicine is an applied science and as with all applied sciences, new knowledge is hard to get into practice among the older crowd.

So, while stent placement in specific cases did not improve the outcomes, getting practitioners comfortable with doing nothing takes time.

Alternative healthcare doesn't exist. If it works, it's just Healthcare....if it doesn't, it gets called "alternative"

Well, we have that process on both ends of the political spectrum.