"one of our consultants just told us that onsite digital storage is
preferable with encrypted offsite back-ups."
This is what I liked. Was what my office used that IT set up. An SSD
RAID on the Mini, a nightly Ethernet backup to SSD using Carbon Copy
Cloner drive locked up at night. Never used offsite directly, took the
weekly drive offsite and copied to another drive.
I have mentioned elsewhere that MEDITECH had an onsite client/server
that was fast as heck and reliable with offsite backup, that I really
liked. We used paper charts, the most effective way to do Labor and
Delivery. Current systems are designed to hide data and treat it as
Military Grade Top Secret stuff. It used a dashboard interface which was
clean, and all windows remained open so no opening delays going back and
forth as is what EPIC does tying 3rd Party modules together with
Microsoft scripting.
My own druther for hospitals would be to go in the direction of
OpenVIsta which I had not used, but many Clinical people I know in the
VA liked it. Federal Government dumped it for Microsoft/EPIC which has
so much network traffic and uses scripting and html, which is why we are
in the mess. Most of the data we need except for LAB/IMAGES is not live,
so making access to all the archived data as if live (web) is wasteful.
Entering data and clinically using data is frankly not compatable with
data mining. And no one is writing decent interfaces because of all the
web rendering, which is again pretty non-standard.
I tried to put up for the third time a Wordpress site - reminds me of
the Fortran days when you had to buy massive expensive libraieis that
you could not figure out, and FILEMAKER also that was accessable to
non-programmers using purchased scripts. I found FILEMAKERSr's jump
outword from the database program thru a system call from a field, as
contrasted with Helix's drill inward within the program, interesting.
One is controlled by one company (HELIX), other is not standardized at
all - the WINDOWS way. Everyone reinventing the wheel in non-compatible
and changing ways and getting paid for IT overhead, now some 25% of
office overhead.
I often wonder if Jobs had not dissed HELIX in the beginning where our
world would be. America has been described to do things every way wrong
until doing it the one way right.
Tim Bilash
_______________________________________________________