Generative AI

adrienveidt said:
The absolute last people that should be making decisions about where and when to implement this shit is the fucking MBAs, but they're pretty much the entirety of people doing so.
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I used to work for a company run by a Wharton MBA who told us not to hire Wharton MBAs because "it's a useless degree and everyone is just there to network."
 
adrienveidt said:
The absolute last people that should be making decisions about where and when to implement this shit is the fucking MBAs, but they're pretty much the entirety of people doing so.
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Hives scum and villainy, every single one of them. With no understanding of creation and no respect for human labor. I've never worked with an MBA I didn't want to kick in the dick.
CTV said:
SaaS, of course!
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I just shook my fist in the air and yelled SAAAAAAS! when I saw this. Of course.
CTV said:
I used to work for a company run by a Wharton MBA who told us not to hire Wharton MBAs because "it's a useless degree and everyone is just there to network."
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A really good friends works for Harvard Business and says basically it's a psychopath factory. He feels ethically compromised but he's got a family to keep fed and sheltered and so he stays, but he basically refers to working for that Harvard school as blood money.
 
docsilence said:
And what it isn't. Another interview I did recently: doctors have started believing AI diagnoses and not questioning them because they're rushing around and not taking the time to verify the information that's being surfaced. Meanwhile insurance wants to opt out of coverage for incidents involving AI because they KNOW people are going to be harmed by sloppy use of it. Is it good at dredging up the 50 articles on using X medication off label so you can review those articles and make an informed decision? Honestly, it really is. Can it diagnose the patient in your chair correctly? Absolutely fucking not. But the problem is HUMANS not knowing the difference.

(The expert in this article has started asking his own doctors to turn off ambient listening because it's so bad at getting the information correct - cases where ambient listening diagnosed a patient with diabetes because the doctor asked the patient about their MOM's diabetes, which then impacted the patient's insurance rate later on... we're not ready for this technology, and it's doing so much harm by not realizing we're not ready for it.)
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Sigh. So many echoes of EHRs here. I once had a surgeon tell me (decidedly not a clinician, but rather an EHR analyst) to put in his post-op orders for him after a real surgery because "isn't that what you're here for?" No motherfucker, you still have to do your job. Or when a nurse relies on notifications to tell them to document on a flowsheet or administer a med and enters a patient safety issue when they don't because somehow the EHR is at fault for not telling them to do the things they're literally trained to and required by law to do.
 
docsilence said:
Hives scum and villainy, every single one of them. With no understanding of creation and no respect for human labor. I've never worked with an MBA I didn't want to kick in the dick.
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I have an MBA! Fair warning, my dick is quite small and difficult to kick. I got it taking evening classes while working in my mid-late 20's when I hated my job. Everyone got A's and B's no matter what because the school just wanted our money. I didn't know what to do with my life (still don't!) and figured no matter what I did it would involve business. My actual business knowledge did go up, but not by as much as you might think. My presentation/talking in front of a group skills went way up though. Almost every class was about presenting your work. I'm eternally grateful for that.

I went into business school thinking the Stock Market was just legalized gambling. I left knowing that was true.
 
Chooch555 said:
Sigh. So many echoes of EHRs here. I once had a surgeon tell me (decidedly not a clinician, but rather an EHR analyst) to put in his post-op orders for him after a real surgery because "isn't that what you're here for?" No motherfucker, you still have to do your job. Or when a nurse relies on notifications to tell them to document on a flowsheet or administer a med and enters a patient safety issue when they don't because somehow the EHR is at fault for not telling them to do the things they're literally trained to and required by law to do.
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Oh man, I don't want to derail the political thread with the BIG PROBLEM WITH EHRs but man, writing about healthcare since... the mid-aughts? Nothing has gotten better about them. Just bad but different. that whole "once you've seen one EPIC setup you've... seen exactly ONE EPIC setup and you have to relearn the whole thing at the next facility..." (Meanwhile healthcare is singlehandedly keeping the fax machine alive)

Chooch555 said:
I went into business school thinking the Stock Market was just legalized gambling. I left knowing that was true.
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My dad's a business major / worked in banking / got blacklisted for trying to stop sexual harassment at his workplace and ended up finally finding work investigating banking fraud. He's always banging on about how I need to play the stock market and I'm like "ITS GAMBLING FOR PEOPLE WITH MONEY THEY CAN AFFORD TO LOSE!" And I don't have enough money to play the stock market in a manner that would benefit me. I don't even like buying scratch tickets.
 
docsilence said:
Nothing has gotten better about them. Just bad but different. that whole "once you've seen one EPIC setup you've... seen exactly ONE EPIC setup and you have to relearn the whole thing at the next facility..." (Meanwhile healthcare is singlehandedly keeping the fax machine alive)
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While much of this is true (and boy do I have thoughts on Epic as an organization) the one positive thing I'll say is that Epic and other EHRs being customizable is giving the client what they want. Clinical, billing, and scheduling practies vary so, so much that it would be impossible to code them one way. The biggest issue implementing an EHR in a HC system is how much it shines a light on how different people within the same organization do things differently. The effort to get people to agree to a single workflow is 1000x harder than the technical work.
 
Okay, that "got it taking classes" thing was EXACTLY the laugh I needed after all of the news today.

Also my dick is so uneducated, he's just a Boston townie hood rat dick with prison tats, utterly illiterate.

Chooch555 said:
While much of this is true (and boy do I have thoughts on Epic as an organization) the one positive thing I'll say is that Epic and other EHRs being customizable is giving the client what they want. Clinical, billing, and scheduling practies vary so, so much that it would be impossible to code them one way. The biggest issue implementing an EHR in a HC system is how much it shines a light on how different people within the same organization do things differently. The effort to get people to agree to a single workflow is 1000x harder than the technical work.
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The thing I've had come up a lot lately is the push to interoperability and how that customizability is creating a choke point. But also, part of that choke point is "omygod why is private equity buying up healthcare orgs and forcing them all onto the same systems" thing that's happening, too.

But we also need a system where our health records follow us around better, which Epic could be ab ig part of. But that requires probably some government regulation and/or financial nudging in the right direction while we've got a guy in charge of HHS who writes poetry about felching and swims in sewage, so that's not happening any time soon.
 
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