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Comment by HWR_14

4 hours ago

> What if, instead of having to reach out to the big players, the economics of having a software developer or 2 on staff make it such that you could build custom-tailored, bespoke software to work "with" your company and not against?

It's probably risk and liability and not development costs that keep things from moving in house. Not things AI is great at mitigating.

Hospitals are huge liability sinks. Doctors are constantly sued for killing, injuring, or traumatizing patients, because it's impossible to consistently save everyone.

  • Which is why they don't food liability when they can. Is it worth saving $100,000 a year if it allows the lawyer to say "if they had used industry standard software would the medical error have happened?"

That's not actually true. It might be for the bigger companies, but certainly not the smaller ones.

And "risk" in this industry could mean any number of different things. We, as a medium-sized provider, have a BAA with Microsoft for HIPAA. That means that I can utilize information I've gotten from my EMR and build line-of-business apps that bridge the gaps between other systems they may have to work in. In fact, our Microsoft tenant has a much higher level of security than the underlying EMR.

I'm quite literally living what I spoke about above. The reason why I was brought in was because teh current CEO has a very tech-focused mindset, otherwise agencies usually can't afford a full-time software developer. Now, those economics are changing.

Also, I haven't heard of an agency that didn't want custom reports built because they found the default ones unsuitable. So even something like the ability to mainline Power BI reports would be compelling.