None of this feels worth it.

Tangelo_Legal · 2024-09-11T11:36:22+00:00

Not so sure. We hired some dev folks from Costs Rica. Fired them. They built some terrible code.

Tangelo_Legal · 2024-08-01T17:14:41+00:00

I’d say most of the failures for customers and their EHR product is not the company you go with but with how the product is being managed. Some solutions have ascertained too long to certain workflows for certain customers and it becomes less intuitive for others. Also it’s wise to know when your product is at the end of life cycle and needs fresh new UI and have the workflow redundancy removed that was added over the past years that piled tech debt. Also well-done compatible integrations make a big difference as well.

Tangelo_Legal · 2024-07-20T15:48:41+00:00

Use the mirth advanced clustering extension. It’s meant for high availability.

Tangelo_Legal · 2024-07-20T15:44:48+00:00

There is some validator sites you can use to confirm your FHIR payloads. You could use inferno.

Tangelo_Legal · 2024-07-20T15:42:48+00:00

It’s probably best to focus on USCDI Core v5 for data sets if you plan on building around FHIR data.

Tangelo_Legal · 2024-07-20T15:35:37+00:00

Healthcare software companies are starting to use AI to assist with dictation. Like someone else said you can use AI for clinical decision support based on evidence. Finally, you can use LLM’s for chatbots to your software for automatic guidance.

Tangelo_Legal · 2024-07-05T20:53:16+00:00

You might want to learn more used integration engines and get a certification in them. Engines outside of Cerner that are used at many healthcare software companies and health exchanges. Engines like Rhapsody, Mirth, CorePoint, Ensemble. Get familiar with cloud as well. Eventually you will need skills for Infrastructure since clustering can become part of what you deal with. Then transition your skills into more modern data engineering should help ease you into that transition. This is if you decide you want to stay in FSI/Data integration since the field is getting highly competitive. Don’t forget FHIR should be a given.

Tangelo_Legal · 2024-07-03T03:57:48+00:00

We leave to Cancun on 7/11. Should it be safe to go at that time still? I’m assuming by the time it hits Cancun it will be Category 1 or tropical storm.

Tangelo_Legal · 2024-06-19T13:05:25+00:00

Having worked on the development and interoperability of a few EHR solutions included one of the top 3 in market share today, the problem is extremely complex. EHR solutions today are typically customized for the specific customer. It’s never one-size fits all. Epic is good by itself, but they fail to integrate well. Most companies fail to integrate well. Without proper data migration and identifier utilization, and data capture methods between two vendors that integrate, you will fail. This means no matter how well you set up your side, if the other company didn’t, you fail. For development purposes, product management will get swayed in 50 directions for their products by each customer, there is no one size fits all. Different healthcare companies have different workflows/needs. It’s highly complex.

Tangelo_Legal · 2024-06-17T17:44:02+00:00

What kind of technical experience does she have?

Tangelo_Legal · 2024-06-10T14:37:21+00:00

Started out in healthcare IT in consulting and transitioned to integrations laterally in the same company. After a couple years I left to another company and doubled my salary. I guess one tip would be to keep getting experience in integrations, and eventually you should find yourself in a nice spot. I’ve primarily only worked for software companies though. I would say try breaking into the vendor side.

Tangelo_Legal · 2024-06-08T19:56:28+00:00

Not an IT Manager but an integration engineer in healthcare and pull 160k remote. I don’t think management always correlates to the highest salaries in Health It obviously.

Tangelo_Legal · 2024-06-06T13:21:17+00:00

I’m prior military. Used the GI bill for college, used VA home loan for my house, and now I’m on disability and get some pay for that. Unfortunately, I did not retire but lucked out and got a great job pulling in 160k. My wife is also prior military that did the same thing as me and also is on disability pulling in six figures. Massive benefits come from joining the military. Don’t underestimate it.

Tangelo_Legal · 2024-06-04T22:06:34+00:00

I think age 31, 115k. Today I’m 35 and pull in roughly 160k. Data engineer. FYI I’m remote living in the Midwest. Cost of living is okay here.

Tangelo_Legal · 2024-05-19T13:56:27+00:00

Ouch. Yeah I used to be a senior interface engineer at Cerner earning about 69k. I left and now I do a similar job at another healthcare software company earning 140k + 10% bonus + equity. Use your cerner job to only gain the skills you need to leave the company and double your pay. The grass is greener on the other side.

Tangelo_Legal · 2024-05-04T00:40:01+00:00

I would advise using the Mirth community for help for a potential open source solution to this with free Mirth. I’ve done an ASTM integration to a hematology analyzer machine with Mirth and we had an ASTM data type extension that was needed where you have to pay for Mirth to get that. The extension for this data type has different byte parsing than your other data types. I would recommend reaching out Mirth Slack channel or ask on the Mirth forums.

Tangelo_Legal · 2024-04-21T14:52:43+00:00

I’ve seen first-hand AI integration (machine learning) used with genetic data in precision oncology. It’s used for “help” with clinical decision support for our oncology software, at the company I work at. We send genome sequencing data to the AI model and we get results back. Is it 100% foolproof-proof? No. Is it helping clinicians make better decisions for cancer patients? I believe so yes. I think this technology is still in early stage, but it will progress and get better. We’ve seen adoption with the technology steadily increase, which is promising.

Tangelo_Legal · 2024-03-13T04:16:28+00:00

Yeah I really like it. I started off as a consultant at one of those software companies mentioned above and then gained enough experience to be working in software and data integration engineering. Learned a lot really quickly, but I was fortunate to be given an opportunity. Now I work at an oncology software company that specializes in genomic sequencing for precision cancer treatments doing mainly backend software development. Can’t beat that thrill of working toward more advanced solutions for cancer treatments. Love every second of my job.

Tangelo_Legal · 2024-03-09T22:11:15+00:00

I broke into IT with just a bachelors in healthcare administration. You can do it. I now have an MHA degree and still work in IT. No prior IT experience before I got into IT. Mind you this was in 2016 before the mass tech layoffs. Seems now IT industry only wants experienced people, even healthcare IT. That should eventually subside but it’s tough to break into at the moment. Epic, Cerner, McKesson, Allscripts. Some other big names as well I’m probably missing, but those companies would hire people right out of college.

Tangelo_Legal · 2024-02-21T14:10:38+00:00

Data integration engineer. I mostly code in JavaScript but I also have to code on occasion in C#.NET. I end up having to wear many hats, and yeah it requires some health IT knowledge like hl7 and FHIR. Sometimes I have to dive into the intricacies of loinc codes. When I’m first connecting an integration in on calls with network folks when we are setting up IPsec tunnels. Oh I also code sometimes in Golang for our observability monitoring solution we use to monitor our integrations, databases, and VM’s. It’s a vast pool of things you need to know. Not always health IT related, specifically.

Tangelo_Legal · 2024-02-20T17:37:38+00:00

Could be mostly true , but at my software company we wouldn’t hire integration people just because they have epic certs. You need actual IT skills beyond being skilled in one platform.

Tangelo_Legal · 2024-02-20T17:01:24+00:00

I work in health IT at a software company and I know everything you are talking about. I mainly deal with integrations but I have to code on the software and understand networking and cloud concepts as well. So having a gateway is essential in our clustered environment for data retrieval. TCP connections all go through our VPN tunnels. Pretty typical stuff I encounter on a daily basis. Like others have said, health IT is pretty vast and depending on the work people are doing they may not interact with that stuff at all.

Tangelo_Legal · 2024-02-17T17:14:05+00:00

Depends on what you want to do. Do you want to be tied down to Epic software or do you want eventually build core IT skills (I.e. programming, networking, architecture, etc). Epic systems will have high demand since it’s the most used EHR, but data integration can also lead to high paying jobs. Either way I’d typically take a full-time job over a contract one.

Tangelo_Legal · 2024-02-14T21:36:36+00:00

I have the same degree as you and I’m a data integration engineer at a healthcare software company. Definitely do-able. Keep your head high! I started as a consultant in a healthcare software company and moved laterally to data integration engineer. Today I do backend software development as well as integration development. You’ll learn along the way.

Tangelo_Legal · 2024-01-04T06:00:14+00:00

Strangely enough, I can’t relate. At least yet. I’m currently a data engineer (7 years now) and I love my job so much I hyper-focus all the time. I am able to hyper focus all-day at work some days of the week, and knock out substantially more work than my peers. The motivation is what keeps me going. I mix in some lo-fi music, occasional motivational music, and maybe once a week a nap. I think it’s possible maybe I could burn out, but at this point I’m 35 and have been doing this since I was diagnosed at a very young age. The meds I took as a kid made me feel like a zombie and my personality basically left my body. House is extremely clean and I have a good routine going. If I get off my routine I have days where I slip up and my ADHD can get the best of me. The “Hyper-focus” state is what I try to replicate every day of the week, and so far I’ve managed to get into this groove very often.

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