it will still have problems without a lot of oversight. look at car manufacturers -- now that is some capitalism, right? they want to make money, they need efficiency, they need talent, they need a work pool, they need a global supply chain...and they need oversight or they will get people killed over a frickin ignition switch or ruin the environment even more than we thought because they will lie about emissions tests and the like.
without oversight other companies would hire child laborers---which we are ok with as long as they arent *our* kids, in *this* country--or theyd give people shit pay and benefits and let the top execs take it all for themselves, or theyd dump chemicals in public water sources or do whatever they want.
capitalism can get a whole hell of a lot done, but i needs a whole hell of a lot of oversight not to fuck up everything in its wake as it moves us forward. i'm scared about the price we are paying for it sometimes
to me its been decided by the supreme court. so have gun rights. women can have abortions. people can have guns. honestly i think both suck.
abortion is lousy, but i dont have a problem with it in some cases, and i have a huge problem with the lack of follow up of unfit mothers who can have umpteen fucking kids and raise them poorly to have more kids they will raise poorly.
i dont really like the ridiculous number of guns and gun deaths we have, but its a right and you can have them and everyone has them and people--innocent people--just keep getting shot. god forbid you do anything about the guns, but hey...
innocent people die in car accidents, too, and nobody is up in arms over *that* atrocious figure--we just want to keep our cars. those arent even a right!!
and people die in wars--a lot of people. its way easier to stop abortions and women's rights than it is wars, or cars, or gun owners--so i think people sort of gave up on those things
i think the real maturation of internet tv is going to come when the exclusive content agreements stop. i thought music was on the way to getting this right, but...its not. you cant quite get everything on one music service, and video is way behind music in getting it right.
hell, i pay the NHL a few bucks a month for gamecenter live, but my local team is blacked out, and national games are blacked out. for the games i *CAN* watch, there are no commercials or half-time commentary or anything. its weird for a game to go to commercial, the tv to go silent, and the screen to say "we will be right back" and worse, theres NO option to pay a few more bucks a month to get my local games, or to get the national events, and i dont like commercials, but its a weird, weird way to watch anything on tv when there is a 2 minute or 15 minute silent intermission.
hell, id pay twice what what i do now to stream it so that i could watch what satellite/cable users can subscribe to, but thats not a thing. its bizarre.
seriously, or a kindle on sale. they are 40 or 50 bucks, have a 7" screen and can display photos, times, blah blah. the problem is hiding the power cable but *shrug* it could be worse
so their ebooks go on sale a lot, i stock up on $2-$5 books now and again. i have a kindle paperwhite and love it. but their movie and tv prices suck. the free media included with prime has some decent options, but a lot of purchases and rentals are way overpriced.
i'd say take the position and try to grow it from there, if you need to. if you need data about configurations, ask for it anytime you need it. if they cant get it to you in a timely manner, complain up a few times, then try to get more access. sounds like not having to change things is a good way to not get called to fix them, however. also sounds like you are being rewarded and should accept it. maybe you'll find they are open to you doing more once you prove you can continue to handle your duties well.
it seems like, since UofP started, a lot more Unis have upped their game for online-classes to get their standard degree. The local area Uni here let's you do a huge amount of online work for many bachelors and masters degrees at north carolina in-state tuition pricing. I finished my bachelors that way for a couple of reasons and had some pretty good classes that way.
im a uni student and get msdn-like access to microsoft software, and have even had access to vmware software (mainly workstation, but that was pretty handy)
i like to run servers in a whitebox vmware esxi server for testing things, sometimes just to learn, sometimes because the IT consulting company i work for doesnt have anything i can test in before i do things at a client, and there are times where i am looking to make a chance that might cause a lot of problems if i cant do some quick testing first. without that vmware/ms software i wouldnt have had the skills to get this job at home.
so my plan was to get technet after i graduated and keep it, id pay happily to keep getting server and desktop OSs that i can test with. meh. thanks, microsoft.
ill just have to hope the IT firm im at doesnt ever change their msdn login, as i dont want to be with them much longer....but i would like the software to play with:)
the medical group i worked with and sometimes consult for uses EPIC. not all of the clinics like it once they move to it, steep learning curve between systems apparently. never heard anyone bitch about the billing aspect, but they have been using it for several years now and are committed to it across 10 hospitals and dozens of clinics. I wasnt around when the main hospitals originally moved to it, so maybe it was something they had to deal with a while back. As it is now...nobody complains and the medical system is a non profit with revenues over expenses averaging 3 - 4 % annually and they continue to expand.
working with IT and ambulatory for a regional medical group the biggest thing ive heard complaints (and responses from the medical group):
your EMR system is not customized to suit our practice type, the one we use it (we will do some customization for you, we MIGHT do a lot) your EMR system does not keep pictures? why? (too much data usage, per IT at the medical group, they are working on a testing group for emergency use) your EMR system kicks me out after 15 minutes of inactivity, this is not convenient (sorry, HIPAA is not convenient, welcome to modern medical practice) your screen saver locks my screen after 10 minutes of inactivity, this is no convenient (sorry, HIPAA is not convenient. still) I have to change my password every 3 months (HIPAA: sorry) i cant read the type on this laptop (we can change the resolution so it sucks, or you can get over it) --shame IT doesnt test out a couple of other models, or support ANY tablet PCs --- one manager has started to support iPad access to the system on a limited, request only basis. he wants to expand this.
There are a ridiculous number of emr systems out there, several with available 3rd party support to manage your IT setup, and some that will offer a VPN or secure citrix environment to work in.
I worked as an intern in IT for a large medical group a couple of years ago, and the consulting firm i work with now does a lot of support for just clinics/doctor offices and the IT aspect alone is expensive. In particular we help them upgrade IT infrastructure in a clinic so they can go live with their central EMR system.
there are workflow assessments to be done, and IT assessments to be done. We charge $95/hour per person, i can spend 3 - 8 hours doing an assessment and documentation for an office. They have staff to do the workflow assessments. We have assessed and rolled out 40+ offices in the last 12 months.
There are PCs to buy (Figure ~1 grand each, though they use thin clients now and again....just not often) and even a small clinic may need 6, a large one may need 30 or even more. Dont forget printers, patients are required to receive after visit summaries from their providers. and a couple of scanners for each clinic.
There is cabling to run...a lot of older buildings have zero cat5/6 wiring so that can be expensive.
there is networking equipment to buy (switches and wireless APs)
there is bandwidth to pay for (most clinics for this group have metro to get them to the main IT office)
there are laptops to buy (often with rolling carts for mobility/convenience)
sometimes we install mounts for the desktops in patient rooms.
there is labor required to image and prep the PCs and laptops, and labor required to roll them out and train the users on the very basic IT concepts they need.
There is training needed to prep users for the EMR system and massive training to get into details and customize the EMR system for a practice or provider.
I don't want to know what the average cost is to take a clinic live with EMR for this group. I know we billed out $300k in IT and cabling services last year, so thats several grand per clinic, minimum, in IT support. nevermind the emr staff and all of the equipment needed. Then the follow up IT support for misc PC issues, misc EMR issues, misc printing issues.
Some clinics already had a 3rd party supported EMR system that got replaced, but they have to keep it available for years. some of them were on their second system before we took them live on the new one...i have no idea how the very first one is supposed to get supported as legally required, but they were told to keep vendor support for anything they can as long as legally required because the medical group cant support anything but their own system.
for some clinics its a nice, welcome change. for some they equate to some level of hell. for everyone clinic there is a pretty serious cost to consider, and a lot of clinics had a very old or limited IT infrastructure to support what they already had.
Im not in such a bad, or odd position, but I will say that getting time to document really isnt always on the to-do list at places. I was a work study student for a small community college (2000 students, 900 pcs, several server) and the admin had almost zero documentation because he never had time to do it between managing accounts, server and telephone issues.
Then i interned at a large health system. Some stuff is relatively well documented, some stuff has a little to go on, some stuff has zero and you cant even find who worked on it last. They are asked to document things, but they arent always allotted time.
I work for an IT consulting company now who services over 200 customers in eastern north carolina. In a given day I might go to 4 different customer sites. I try to document while Im on site, but then I have to clean that up, put it in the notes/visio that the company uses because another tech might go to that site in the very near future, and get that uploaded to the office so someone can get it.
It's tough, and while the techs generally do a good job of it, stuff gets missed because we NEVER get administrative time scheduled to do documentation.
tell it to businesses, but its not likely to happen
id like to see the US and Canada fine them or whatever the hell is appropriate for bullshitting two national governments in order to handle your private affairs for you.
Im honestly not sure why theyre bothering. Android is already a well-known product with lots of support, applications and users, and is itself based on linux. Id much rather see them implement controls and whatever else they think makes chrome special into android, along with a good browser with features. It bugs me that chrome is such a good browser, and that they have an OS based on it, but that the stock android browser is so mediocre.
Cant see myself ever wanting a chrome book. An android notebook like the transformer? Maybe, if the app support improved and a few key features im interested in got added. I love my android phone and rooted nook color.
The only thing that still bugs me about it (and i use office 2007/2010 semi-regularly) is that icons change when i downsize the window. It kicks the familiarity i have with the interface in the balls almost every time, but Ive gotten used to it.
Sometimes I like the changes they have made, sometimes I still hate some of it. Ive used it so long, however, that looking for something in OOo or older versions of office is a waste of time. Ill never find what I want in those anymore. *snaps fingers* oh well.
If someone steals or finds a lost, working iPhone; he probably has a 80 - 90% chance of finding the device not secured with a passcode to begin with.
Jeebus. I lock my android phone, and my nook color which runs android, with the swipe lock. My friends and their ipad? Not so much, and they're nerds who should know better
"this guy was a registered jew" does have a bad ring to it, but afaik, sex offenders are required to be registered (when that is actually good idea is another debate) and jewish people are not./its jewish, say the whole word!
I dont read loads of sci fi...but i always liked reading it more than watching it, due to what is often meh acting and special effects (i understand this is due to budget and such, but i dont care for it)
also, id rather play a fun scifi video game. mass effect 2 was pretty good, imo./not a sci fi snob, just like what i like//beer snob, however.
Really. I work at corporate for a medical system with a few hospitals and clinics...only late last year was IE7 approved for deployment because (finally) a couple of key software vendors supported it. Deployment is still optional at this point in time, but theres talking of making it automatic soon.
Slashdot Mirror
it will still have problems without a lot of oversight. look at car manufacturers -- now that is some capitalism, right? they want to make money, they need efficiency, they need talent, they need a work pool, they need a global supply chain...and they need oversight or they will get people killed over a frickin ignition switch or ruin the environment even more than we thought because they will lie about emissions tests and the like.
without oversight other companies would hire child laborers---which we are ok with as long as they arent *our* kids, in *this* country--or theyd give people shit pay and benefits and let the top execs take it all for themselves, or theyd dump chemicals in public water sources or do whatever they want.
capitalism can get a whole hell of a lot done, but i needs a whole hell of a lot of oversight not to fuck up everything in its wake as it moves us forward. i'm scared about the price we are paying for it sometimes
to me its been decided by the supreme court. so have gun rights. women can have abortions. people can have guns. honestly i think both suck.
abortion is lousy, but i dont have a problem with it in some cases, and i have a huge problem with the lack of follow up of unfit mothers who can have umpteen fucking kids and raise them poorly to have more kids they will raise poorly.
i dont really like the ridiculous number of guns and gun deaths we have, but its a right and you can have them and everyone has them and people--innocent people--just keep getting shot. god forbid you do anything about the guns, but hey...
innocent people die in car accidents, too, and nobody is up in arms over *that* atrocious figure--we just want to keep our cars. those arent even a right!!
and people die in wars--a lot of people. its way easier to stop abortions and women's rights than it is wars, or cars, or gun owners--so i think people sort of gave up on those things
i think the real maturation of internet tv is going to come when the exclusive content agreements stop. i thought music was on the way to getting this right, but...its not. you cant quite get everything on one music service, and video is way behind music in getting it right.
hell, i pay the NHL a few bucks a month for gamecenter live, but my local team is blacked out, and national games are blacked out. for the games i *CAN* watch, there are no commercials or half-time commentary or anything. its weird for a game to go to commercial, the tv to go silent, and the screen to say "we will be right back" and worse, theres NO option to pay a few more bucks a month to get my local games, or to get the national events, and i dont like commercials, but its a weird, weird way to watch anything on tv when there is a 2 minute or 15 minute silent intermission.
hell, id pay twice what what i do now to stream it so that i could watch what satellite/cable users can subscribe to, but thats not a thing. its bizarre.
seriously, or a kindle on sale. they are 40 or 50 bucks, have a 7" screen and can display photos, times, blah blah. the problem is hiding the power cable but *shrug* it could be worse
so their ebooks go on sale a lot, i stock up on $2-$5 books now and again. i have a kindle paperwhite and love it.
but their movie and tv prices suck. the free media included with prime has some decent options, but a lot of purchases and rentals are way overpriced.
i'd say take the position and try to grow it from there, if you need to.
if you need data about configurations, ask for it anytime you need it. if they cant get it to you in a timely manner, complain up a few times, then try to get more access.
sounds like not having to change things is a good way to not get called to fix them, however. also sounds like you are being rewarded and should accept it. maybe you'll find they are open to you doing more once you prove you can continue to handle your duties well.
personally, i make a habit of blaming developers
it seems like, since UofP started, a lot more Unis have upped their game for online-classes to get their standard degree. The local area Uni here let's you do a huge amount of online work for many bachelors and masters degrees at north carolina in-state tuition pricing. I finished my bachelors that way for a couple of reasons and had some pretty good classes that way.
im a uni student and get msdn-like access to microsoft software, and have even had access to vmware software (mainly workstation, but that was pretty handy)
i like to run servers in a whitebox vmware esxi server for testing things, sometimes just to learn, sometimes because the IT consulting company i work for doesnt have anything i can test in before i do things at a client, and there are times where i am looking to make a chance that might cause a lot of problems if i cant do some quick testing first. without that vmware/ms software i wouldnt have had the skills to get this job at home.
so my plan was to get technet after i graduated and keep it, id pay happily to keep getting server and desktop OSs that i can test with. meh. thanks, microsoft.
ill just have to hope the IT firm im at doesnt ever change their msdn login, as i dont want to be with them much longer....but i would like the software to play with :)
the medical group i worked with and sometimes consult for uses EPIC. not all of the clinics like it once they move to it, steep learning curve between systems apparently. never heard anyone bitch about the billing aspect, but they have been using it for several years now and are committed to it across 10 hospitals and dozens of clinics. I wasnt around when the main hospitals originally moved to it, so maybe it was something they had to deal with a while back. As it is now...nobody complains and the medical system is a non profit with revenues over expenses averaging 3 - 4 % annually and they continue to expand.
working with IT and ambulatory for a regional medical group the biggest thing ive heard complaints (and responses from the medical group):
your EMR system is not customized to suit our practice type, the one we use it (we will do some customization for you, we MIGHT do a lot)
your EMR system does not keep pictures? why? (too much data usage, per IT at the medical group, they are working on a testing group for emergency use)
your EMR system kicks me out after 15 minutes of inactivity, this is not convenient (sorry, HIPAA is not convenient, welcome to modern medical practice)
your screen saver locks my screen after 10 minutes of inactivity, this is no convenient (sorry, HIPAA is not convenient. still)
I have to change my password every 3 months (HIPAA: sorry)
i cant read the type on this laptop (we can change the resolution so it sucks, or you can get over it)
--shame IT doesnt test out a couple of other models, or support ANY tablet PCs
--- one manager has started to support iPad access to the system on a limited, request only basis. he wants to expand this.
There are a ridiculous number of emr systems out there, several with available 3rd party support to manage your IT setup, and some that will offer a VPN or secure citrix environment to work in.
I worked as an intern in IT for a large medical group a couple of years ago, and the consulting firm i work with now does a lot of support for just clinics/doctor offices and the IT aspect alone is expensive. In particular we help them upgrade IT infrastructure in a clinic so they can go live with their central EMR system.
there are workflow assessments to be done, and IT assessments to be done. We charge $95/hour per person, i can spend 3 - 8 hours doing an assessment and documentation for an office. They have staff to do the workflow assessments. We have assessed and rolled out 40+ offices in the last 12 months.
There are PCs to buy (Figure ~1 grand each, though they use thin clients now and again....just not often) and even a small clinic may need 6, a large one may need 30 or even more. Dont forget printers, patients are required to receive after visit summaries from their providers. and a couple of scanners for each clinic.
There is cabling to run...a lot of older buildings have zero cat5/6 wiring so that can be expensive.
there is networking equipment to buy (switches and wireless APs)
there is bandwidth to pay for (most clinics for this group have metro to get them to the main IT office)
there are laptops to buy (often with rolling carts for mobility/convenience)
sometimes we install mounts for the desktops in patient rooms.
there is labor required to image and prep the PCs and laptops, and labor required to roll them out and train the users on the very basic IT concepts they need.
There is training needed to prep users for the EMR system and massive training to get into details and customize the EMR system for a practice or provider.
I don't want to know what the average cost is to take a clinic live with EMR for this group. I know we billed out $300k in IT and cabling services last year, so thats several grand per clinic, minimum, in IT support. nevermind the emr staff and all of the equipment needed. Then the follow up IT support for misc PC issues, misc EMR issues, misc printing issues.
Some clinics already had a 3rd party supported EMR system that got replaced, but they have to keep it available for years. some of them were on their second system before we took them live on the new one...i have no idea how the very first one is supposed to get supported as legally required, but they were told to keep vendor support for anything they can as long as legally required because the medical group cant support anything but their own system.
for some clinics its a nice, welcome change. for some they equate to some level of hell. for everyone clinic there is a pretty serious cost to consider, and a lot of clinics had a very old or limited IT infrastructure to support what they already had.
come on...are you really trying to say that you dont love cox?
Im not in such a bad, or odd position, but I will say that getting time to document really isnt always on the to-do list at places. I was a work study student for a small community college (2000 students, 900 pcs, several server) and the admin had almost zero documentation because he never had time to do it between managing accounts, server and telephone issues.
Then i interned at a large health system. Some stuff is relatively well documented, some stuff has a little to go on, some stuff has zero and you cant even find who worked on it last. They are asked to document things, but they arent always allotted time.
I work for an IT consulting company now who services over 200 customers in eastern north carolina. In a given day I might go to 4 different customer sites. I try to document while Im on site, but then I have to clean that up, put it in the notes/visio that the company uses because another tech might go to that site in the very near future, and get that uploaded to the office so someone can get it.
It's tough, and while the techs generally do a good job of it, stuff gets missed because we NEVER get administrative time scheduled to do documentation.
tell it to businesses, but its not likely to happen
id like to see the US and Canada fine them or whatever the hell is appropriate for bullshitting two national governments in order to handle your private affairs for you.
Im honestly not sure why theyre bothering. Android is already a well-known product with lots of support, applications and users, and is itself based on linux. Id much rather see them implement controls and whatever else they think makes chrome special into android, along with a good browser with features. It bugs me that chrome is such a good browser, and that they have an OS based on it, but that the stock android browser is so mediocre.
Cant see myself ever wanting a chrome book. An android notebook like the transformer? Maybe, if the app support improved and a few key features im interested in got added. I love my android phone and rooted nook color.
The only thing that still bugs me about it (and i use office 2007/2010 semi-regularly) is that icons change when i downsize the window. It kicks the familiarity i have with the interface in the balls almost every time, but Ive gotten used to it.
Sometimes I like the changes they have made, sometimes I still hate some of it. Ive used it so long, however, that looking for something in OOo or older versions of office is a waste of time. Ill never find what I want in those anymore. *snaps fingers* oh well.
If someone steals or finds a lost, working iPhone; he probably has a 80 - 90% chance of finding the device not secured with a passcode to begin with.
Jeebus. I lock my android phone, and my nook color which runs android, with the swipe lock. My friends and their ipad? Not so much, and they're nerds who should know better
"this guy was a registered jew" does have a bad ring to it, but afaik, sex offenders are required to be registered (when that is actually good idea is another debate) and jewish people are not. /its jewish, say the whole word!
if it was a windows license key, wouldnt the cipher be cracked already? ;)
http://bu.mp/
We're getting there
The future is now
android (iphone)
Also, I dig cards and what not with QR codes.
This. I did installs for a wisp for a while...we did $150 installs and $50 - 80 per month plans. That place barely made any money
nat geo: small town nukes
http://ngm.nationalgeographic.com/big-idea/08/mini-nukes
i have the magazine somewhere, but cant seem to find the article at a glance and dont remember if the print article was any longer.
I dont read loads of sci fi...but i always liked reading it more than watching it, due to what is often meh acting and special effects (i understand this is due to budget and such, but i dont care for it)
also, id rather play a fun scifi video game. mass effect 2 was pretty good, imo. /not a sci fi snob, just like what i like //beer snob, however.
Really. I work at corporate for a medical system with a few hospitals and clinics...only late last year was IE7 approved for deployment because (finally) a couple of key software vendors supported it. Deployment is still optional at this point in time, but theres talking of making it automatic soon.