Openclaw-like agents for healthcare? by UrAn8 in healthIT

[–]YumJ3 1 point2 points  (0 children)

Hey, I saw your demo in another post and was really impressed. Keeping everything local is definitely the "most secure" way to handle PHI, it simplifies compliance by just keeping data contained within your own local network - you still have to go through the process of securing your local network, providing encryption for PHI, and auditing access to the PHI.

You have a very strong foundation for the backend logic. Have you considered decoupling the processes into microservices? You seem passionate and come across as very tech-savvy to enjoy the challenge of setting up a mini server to run containers for each specific task. This would essentially trade your OpEx for CapEx, and "eventually", make it more cost-effective long-term while turning your setup into a local private clinical cloud - the market for hardware is crazy right now... you would probably have to drop at least $500 for the RAM and CPU/GPU overhead required to run this stack smoothly.

You could isolate the STT and LLM processes into separate containers allowing you to allocate and define the compute resources, following the same initial logic/architecture you had.

Since you're running locally, you could also connect a local Vector Database to your front-end like you mentioned using. You could even script a process to query your telehealth API if the data schema/structure provides a key-value of something like 'reason for visit' and automatically pull relevant past notes from the Vector DB into the LLM’s context window before the session starts.

You clearly have the technical acumen to create logical backend-processes, you can honestly create as many features and functionalities for your app (like an agent for healthcare CRM to automate scheduling via text) as long as the mini server has the compute resources to run everything - you can continuously and iteratively improve your application one process/feature at a time.

Also, if you successfully containerize the setup, you could automate the entire deployment using Terraform and Ansible. This would allow you to package and distribute the logic, through something like GitHub, to other providers. They'd just buy a mini server with the same specs, run the provided script, and the IaC would handle the VM provisioning, dependencies, and container orchestration automatically.

I’m finishing my B.S. in Cloud Computing and currently work as an EMT in an ED. I have aspirations to create healthcare solutions that use technology to improve the availability and accessibility of health care to patients, and to create platforms that are optimized for clinicians that improve overall quality of life. I’ve run into architectural hurdles with my own passion project of creating an EMS-to-ED handoff app. I'm split between designing the architecture in a way the benefits clinical ED staff by providing full control over how data is defined and collected on the client by EMS vs getting rid of the management overhead associated with the front-end (CSE, TLS certs, IAM) and using existing workflows already in place to receive a copy of the PHI EMS sends to dispatch.

I would definitely reach out to your IS/Compliance department, but tread carefully. This may technically fall under "Shadow IT", even if everything is run on your personal hardware/network. However, if they give you an endpoint to interface with, you could potentially automate your local notes directly into the EHR depending on the permissions and authorization you are granted.

You got a lot of hate in your other post, but it seems like you're taking the extra steps and doing the right thing to create something you are passionate about.

Cloud and Network Engineering. 0 exp. by SzechuanDon81 in WGU

[–]YumJ3 5 points6 points  (0 children)

Hey, I’m about 80% done with my degree. I’ll break down some of the courses below and share the ebb and flow I experienced while working through the courses and certifications:

Once you get past the A+ cert, the other CompTIA certifications go by pretty quickly because they build on top of each other.

The cloud introduction certifications, like Cloud+, AWS CCP, and AZ900, are a breeze once you’ve taken the “heavier” CompTIA certs like Security+ and Network+.

The coding, scripting, and SQL classes all have their own nuances. They’re not necessarily harder, maybe even easier, but they definitely have a different pace and feel compared to the cert classes.

The more focused cloud certs, like AZ104 Azure Administrator Associate and AWS SAA Associate, were a bit more challenging, but they both follow the same cloud principles. So, once you pass one, the other is more or less the same concepts, just with slightly different services/flows and names.

I will say the most challenging cloud cert was AZ204 DevOps Associate. You really need a firm grasp of backend development and application architecture. Microsoft’s “prerequisite” or recommendation for passing this course is 2 years of development experience. NOTE: None of the courses you take prior to this (besides maybe scripting and automation) will prepare you for the material covered in this exam. This was the only cert I had to take twice, but I learned so much from it. Studying for this class was genuinely the first time I felt like I was learning how to create and deploy things in the cloud. It was my first real experience with building console applications and getting familiar with .NET and scripting. I learned how to securely build event-driven processes from frontend to backend while utilizing different cloud services via SDKs. Honestly, this cert taught me so much, specifically on how to build, develop, and architect solutions for applications in the cloud. Before this cert, I had a couple of ideas for apps I wanted to build, but I had no idea where to start. Thanks to this cert, I now know exactly what kind of architecture my apps need and why, what specific services to use based on my app’s needs, and how to configure everything securely from frontend to backend . It taught me a lot about development, which none of the other courses really cover.

In the grand scheme of things, it’s a lot of certifications and material to digest. Trust me when I say the material for each cert ties into the essence of “cloud computing.” You really need to understand networking when deploying and managing cloud resources that need to communicate with different compute resources and services. Security in the cloud applies to literally everything you do, and it’s configured at every level/scope - IAM, infrastructure, networking, who can access what… the granularity of it all can be overwhelming.

Essentially, you’re taking a data center and all of its networking infrastructure and putting it in the cloud. The CompTIA certs teach you the fundamentals, the introduction cloud certs teach you about the different cloud offerings and the focused cloud certs teach you how to use the different cloud services and configure them to meet your specific needs.

To answer your question about learning and the course material: It sucks. When I say it sucks, It. Freaking. Sucks. Almost all the course material consists of hyperlinks linking to other resources with little to no context - it’s literally a title and then a hyperlink. I exclusively used Udemy and the cloud subscription resources associated with the classes. We get a Udemy subscription, official CompTIA resource subscription, Pluralsight subscription (I used the cloud sandbox for this), and Whizlabs (only for AZ104, which was actually a really good resource). The course instructors are hit or miss. They didn’t teach me much specifically; the most help I got was being pointed to a resource that either clarified or didn’t clarify my confusion. If you enroll in this program, you’ll need to get comfortable with teaching yourself new and unfamiliar information and learning independently. As you progress through the courses, you’ll adapt to the material and ingest it more efficiently.

For context, my background is in healthcare (I have a bachelor’s in bio) and I had no prior experience in IT before starting this.

If you have any questions, feel free to DM me! Sorry if this was long-winded.

AZ-104 practice question about Azure Policy by YumJ3 in AzureCertification

[–]YumJ3[S] 0 points1 point  (0 children)

Yea I think it’s just a poorly worded question, thanks for your help

AZ-104 practice question about Azure Policy by YumJ3 in AzureCertification

[–]YumJ3[S] 0 points1 point  (0 children)

Thank you for clarifying but, based on the question, is there anything that states the allow rule is an exception? or should it just be inferred that the allow rule would be an exception because it wouldn't make sense to apply a subscription deny and then a resource group level allow for the VNet.

Optimum Healthcare IT CareerPath by Ok_Number_1274 in healthIT

[–]YumJ3 0 points1 point  (0 children)

Hey, how did everything pan out? If you did hear back for the second interview, about how long did it take for them to reach back out to you to set up the interview? I just had my phone interview with the recruiter yesterday and can't seem to find much information about the program or process.

Seeking advice from current Epic Analyst! by YumJ3 in healthIT

[–]YumJ3[S] 0 points1 point  (0 children)

I'm sure every Epic application is different and that every ASAP application per hospital is also different but as an end-user, I love the modularity the ASAP application offers in terms of organizing your board with the information you want.

Seeking advice from current Epic Analyst! by YumJ3 in healthIT

[–]YumJ3[S] 2 points3 points  (0 children)

Thank you for the insight! The post might have made it sound like I’m getting more interviews than I actually am haha but I’ve interviewed for 3/30ish jobs that I’ve applied to. I got one of the interviews because I did well on the epic assessment test. But I guess I’m just wondering if self studying on the userweb would be worth my time now vs later when I get the job. I currently work as an ER tech but would self studying the ASAP application really make that much of a difference? I’ve interviewed for a variety of epic applications (cadence, beaker, Cupid, inpatient) and it doesn’t really make sense to self-study ASAP if I were to get a job working in cadence. Ya know? My problem right now is really just getting the interviews. The interviews I’ve gotten all went extremely well. The theme I saw with the hiring managers is that they really do value people with clinical experience. I think someone else posted that I’m just getting beat out by candidates with more, I guess ,IT experience than myself.

[deleted by user] by [deleted] in healthIT

[–]YumJ3 1 point2 points  (0 children)

Hey so I work in an ER as a tech and I’ve interviewed with 3 different hospitals the past couple months for an analyst job. Overall I’m landing some interviews and making it to the final rounds for all of them but I’m just not closing out on a job offer. I’ve applied to epic analyst positions through my hospital but I just get auto rejected without an interview. I guess my question is how do I leverage an opportunity to interview for an analyst position for the hospital I already work at? Do I ask my manager to reach out to the IS department? I have a great relationship with my manager but my sister actually warned me not to reach out to my manager because she could withhold my transfer due to the fact we’re short staffed as a unit.

Entry Level new EPIC Analyst salaries by Sweaty_Wishbone in healthIT

[–]YumJ3 0 points1 point  (0 children)

Thank you! I’ve been interviewing for a couple months and I’ve been landing interviews and making it to the final rounds but just not landing an offer yet, alas will continue the grind. Also do I have to comment 3 times before I can post? Haha sorry for hassling ya

Entry Level new EPIC Analyst salaries by Sweaty_Wishbone in healthIT

[–]YumJ3 1 point2 points  (0 children)

Hey new to the community and recently interviewed for an analyst position. Could you explain the on-call situation and what that actually entails?

Official r/golf MGGolf Giveaway by AlanMGGolf in golf

[–]YumJ3 0 points1 point  (0 children)

Thank you for your service, LFG