markolschesky

Maybe that's the headline that did best in an A/B test.

That's the most that we have on the calculator, but we can help you with whatever your need. Email me (mark@catalyze.io) and we can work with you to meet your infrastructure needs.

Cool! I had not heard of dnanexus before. Looking forward to checking it out.

Agreed. Anyone that you choose for HIPAA-compliant hosting should be able to outline their policies. Where I work at Catalyze, ours are here:

https://catalyze.io/hipaa/ https://catalyze.io/policy/

And we've gone through a HITRUST audit to validate these claims:

https://catalyze.io/compliance/

Where I work at Catalyze, we offer a starting package beginning at $500/mo that includes one database container and one server. Or, if your application only required a secure backend, prices start as cheap as $100/month. We have a calculator here to compare prices: https://catalyze.io/platform-as-a-service/

We've been building applications with both startups and large healthcare organizations like the VA. I'd love to talk with you more to see what your needs are. Feel free to hit me with an email (mark@catalyze.io) with any questions.

Good luck!

I used to work at Epic. I don't think that we had shills. I think we had more farmers employed than marketing staff when I was there, honestly.

All jokes aside, I think the passing of the ACA has changed things drastically. With insurance companies no longer able to make more money by charging more money/denying coverage to the sick, they are slowly becoming more active on coming up with ways to be innovative on making patient care more streamlined and affordable. Sometimes they'll work with startups (Aetna CarePass comes to mind), and they definitely should. But, sometimes they'll go it alone as well. It's exciting to see it all play out right now in the industry.

This is actually my #1 problem with Quora too. I try to write a lot of pragmatic questions to answers, mostly because I like the idea of helping folks. Unless I'm totally in left field, I feel like I'd like some acknowledgment that my answer was either what they were looking for (thanks!) or that they thought that it was incorrect (I disagree because...).

I spelled it wrong. It's right here: https://www.medable.com/

If you're looking for someone that provides the database component with the ability to upgrade to moving your entire stack to the cloud, Catalyze has both BaaS and PaaS offerings.

I think HIPAA-BaaS are great products to get storing PHI (Protected Health Information) immediately. I'm working with companies in health tech right now that are working with hospitals, but not storing patient data. BaaS, from startups like Catalyze/TrueVault/Medable, provide a quick and easy way to get started on that path and determine if it's a good long-term strategy for your company. But, once you're dealing with enough patient data crunching, the rest of your application stack will really need to be secure. That's where PaaS products like Catalyze/Aptible come in.

(Disclaimer: I work for Catalyze)

EDIT: Medable, not Medible.

Epic, which delivers most of the Electronic Medical Records software for large healthcare organizations in the United States, has never raised any funding. With revenues over $1.7 billion a year, their valuation is certainly greater than $1b.

The Helpouts signup form feels janky. I know as random guy looking to help people with healthcare technology advice isn't the most pressing use case to fast track to beta status, but I wish I heard more from them after signing up.

I think the tricky thing about Allscripts is that it doesn't have a sole, dedicated patient portal like Epic does (which is where the healthkit integration is). Old Allscripts customers are using Medfusion, newer customers are using Jardogs software, and other places installed patient portals by companies like Medseek (Dignity Health comes to mind). Lots of integrations would need to be built to various portals for that to work.

In the United States, insurers can no longer discriminate against members through the ACA in most ways (like healthkit):

(a) IN GENERAL.—A group health plan and a health insurance issuer offering group or individual health insurance coverage may not establish rules for eligibility (including continued eligibility) of any individual to enroll under the terms of the plan or coverage based on any of the following health status-related factors in relation to the individual or a dependent of the individual:

(1) Health status.

(2) Medical condition (including both physical and mental illnesses).

(3) Claims experience.

(4) Receipt of health care.

(5) Medical history.

(6) Genetic information.

(7) Evidence of insurability (including conditions arising out of acts of domestic violence).

(8) Disability.

(9) Any other health status-related factor determined appropriate by the Secretary.

I imagine that it's this (requires OpenID login):

http://open.epic.com/Clinical/PatientTrackingData

The double-twist to open the camera on the Moto X is probably my favorite physical interaction with a device. It works perfectly 100% of the time and I never accidentally open my camera in my pocket. I take more instantaneous photos than ever before. If that precision is brought to the interactions on this watch, sign me up.

There was a bit of jest in the smugness, but in my case it was because I inherited the SSL responsibilities from an outgoing engineer and randomly thought to myself "I wonder when these servers certs expire?". It's the type of thing that multiple people need to keep an eye out for, not just one person in the event of inevitable turnover. For something that can entirely take down your site/service for an indeterminate period of time that is entirely out of your control, it's a necessary evil.

Heh. I wrote 3 calendar reminders 60, 30 and 15 days out for our engineering team on Friday reminding us to do this when the time comes. Now, I will reserve the right to feel smug.

What are the statistics on the number of canceled or delayed flights that the average flier has in a year that would qualify for reimbursement?

I used to have 40 round trip flights a year not so long ago, and I'd say that there was probably only one or two flights that were canceled during that duration of time. Occasionally I'd volunteer to get off a flight to grab a voucher for reimbursement, but most of the time I only got a hotel or other small voucher for a flight cancellation.

I understand that Europe provides more compensation for technical problems, but are flight cancellations really that common of an occurrence for non-frequent fliers?

You're going to get raked over the coals if this is your first time and you have absolutely nothing built yet. Ideas are pretty cheap in the grand scheme of things. If you can manage it, you should turn your idea into some kind of a product and try to get it out there. Win some awards, get some press. With nothing, you're in a position where you can't negotiate anything right now, but you can change that.

Since the last time I had to pick a maps platform service(last year), it looks like MapBox now offers SSL maps in it's free/cheap payment tiers. It was a dealbreaker for me at the time, so with that out of the way, I'd definitely go back.

I'm always really impressed by the detail put into Rdio. Dragging a song allows me to drag it into a playlist or to share it with friends. In HTML5/Javascript? That's pretty rad.

Spotify feels way too much like iTunes to me. That's not a compliment. My only fear is that I've picked the wrong side in this one and that Rdio will be gone soon enough.

I feel like you're already using the right term, just applied to the wrong group of people in your organization.

When I read your post, I thought about Resident Advisors in college and it seemed like an apt comparison. When I was an RA, I wouldn't say that my residents were my students. They learned things from me, but I also learned things from them too. I had some wisdom, but it didn't really come from a place of power. We were mostly peers, just I had the keys to their rooms when they were locked out and mediated disputes.

I feel like you should call your current residents advisors and your participants residents;residents of the hacker school

I always want to be able to respond with an actual answer if someone asks me "Do you know 'x', you are connected with her/him on LinkedIn". Otherwise, it's really just a waste of both of our times since I think improving your connections with the people that you know somewhat well is the true key to using LinkedIn well. That connection could be as simple as "I met them briefly at a conference", but it can't be non-existent.

I think the tricky thing is that many Health IT people aren't really interested in what's going on on the other side of the fence except sales people scoping out competition. I only know alot about other Health IT software vendors that I've replaced their software with the company that I worked for. Someone that knows a lot about one vendor might not know anything about any of the others. It makes it easy to make sweeping generalizations sometimes; some of which aren't always warranted.

You could also say the same thing about HN, but it always has this feeling of articles that are either "Academic or things the Valley would care about". Most Health IT topics are neither.

But, I do love the idea.

I have a Windows XP VM on my computer that runs my client connection to a piece of essential hospital software. It cannot be run on a machine that has .NET 3.5.1 and > 4.0 installed simultaneously, or it throws assembly compatibility errors. The ActiveX components seemingly only work in IE8, not even IE9 in compatibility mode. The vendor will probably only fix this compatibility problem when the piece of software has even less support than VB6 (i.e., virtually none). Because healthcare.

Wow. If you ever want to read something that's a major downer in the afternoon.

Anything that you want to! So far I've

- Organized drinks with friends for the weekend - Planned thanksgiving with my sisters - Have a running place to make sure my friend in NYC and I pick a cool place to mountain biking next fall.

I don't know how I feel about the content of the article, but I do know that finding UIFaces is a winner. What a neat service.

HR at a large company is not like HR at a small company. Broad strokes have to be taken to make the process manageable at scale while being somewhat fair. Generally speaking, the phone screen comes after any pre-requisite criteria are checked (such as programming competence). Phone screens aren't very useful from an interviewing standpoint anyways; most simply exist to weed out candidates that are non-adjusted or have interests that lie entirely elsewhere (e.g., I only want to work here before I go back for my M.S. in CS in 6 months). They are more for the benefit of the interviewee if the company isn't a household brand; I think you probably already know most things you need to know about Facebook.

Interestingly enough, the picture you showed is of VISTA used in the VA hospitals, which is generally considered to be the most usable EHR by clinicians. An ignominious honor, perhaps, but it's worth consideration. 60% of doctors know how to use it, since most doctors do some type of rounds through a VA hospital since it's the largest medical system in the United States.

You're right, most EHR UI is bad and it's built upon old technology. It entirely pre-dates the "design era". But, part of the reason for this is that healthcare was one of the first major industries to use IT heavily. What these systems lack in modern design principles, they often make up for in stability and ability to support system flows for larger organizations.

I admire your spirit and I hope that you do make an impact on healthcare. But, it might be wise to try and glean some lessons from the past vs. writing everything off as something that "fucking sucks". You might learn something along the way on your path to making health delivery better.