Oracle plans to rewrite parts of Cerner

[Nancy Anthracite]

https://www.fiercehealthcare.com/health-tech/oracle-plans-rewrite-vas-cerner-ehr-system-fix-outages-amid-increased-scrutiny-congress 

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Nancy Anthracite

[Matt King]

"We believe we can deliver a system that will leapfrog existing commercial EHRs and deliver for our service members and veterans the gold standard for modern healthcare technology," he said.

This is the only reason to replace VistA. Why spend 10's of billions on a system that at best provides the same functionality as VistA?  The product should be so different, it would be like comparing horses to cars.

[Sam Habiel]

We have this gem:

> Mike Sicilia, executive vice president, industries at Oracle told lawmakers that the tech company plans to "rewrite" the Millennium EHR as a cloud application with new capabilities within the next six to nine months in order to fix stability issues and ensure better performance for clinicians.

> A beta version of the cloud application version of the EHR will be available in 2023, he noted.

Wow! Just wow! If it were so easy to re-write any computer program, no matter how simple. I am sure the engineers at Cerner are regretting having those words uttered.

--Sam

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[mikeginsburg (null)]

If the new one is in the “cloud” what is the current one?

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On Sep 27, 2022, at 9:43 AM, Sam Habiel <sam.h...@gmail.com> wrote:



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[Phillip Johnson]

On-prem using outdated hardware, so if the server Cerner hosts your EHR goes down you’re screwed. 

“Cloud” EHRs benefit from the redundancy of shared servers. Think of it like having many Wi-Fi access points in your building sharing the same SSID. If one access point goes down you wouldn’t notice because there are other access points in the building you can connect to. 

Sent from my iPhone

On Sep 27, 2022, at 10:30 AM, 'mikeginsburg (null)' via Hardhats <hard...@googlegroups.com> wrote:

If the new one is in the “cloud” what is the current one?

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[Valerie J H Powell]

I wonder if this effort will handle negation better than VistA. Valerie

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Valerie J H Powell RT(R) retired, MS, PhD
University Professor Emerita, Computer & Information Systems
Project on Clinical Data Integration (CDI)
Robert Morris University
6001 University Boulevard
Moon Township, PA 15108-1189 USA 

[Steven L]

You all remember eVistA and efforts to move this back ~2004 and again ~2012?  Harder to recode and transition such a complex, large program.   2023?  Good luck  

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[mikegi...@aol.com]

I thought the VA had consolidated their data centers, so for most intents and purposes Vista is already in the cloud. What was Cerner planning to do initially, put computers in each location.?

 

Sicilia’s response sounds like marketing bullshit and believe me, I know marketing bullshit.

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[Evil Roy Slade]

Cerner, now owned by Oracle, will probably follow Larry Ellison's business model. He's stated in the past that he champions an immediate 80% to 85% solution with the remaining percentages following at some future unknown date, and that the business should conform to the software and not the other way around. Shifting the VA's business model to fit whatever 80ish percent Cerner creates will be a nightmare of monstrous proportions. Add that to the loss of 15% to 20% of the existing functionality (which may seem small, but who decides what's going to be lost and for how long?) and you have a classic boondoggle. A six month rewrite of an entire package, and a one year release date isn't "marketing bullshit", it's a true steaming shovelful. The testing and documentation required for FDA clearance will take longer than they are allowing for rewrite and release. Pardon me while I get my popcorn ready.

https://www.computerworld.com/article/2591287/the-85--solution.html

Randy

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