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Re:CDC website built by Deloitte at a cost of $44M is abando... by theshrike79 on Sunday January 31, 2021 @07:26AM (#25978302)
Politics.

This is how hospital software is handled (at least in Finland). The one making the decisions is the head doctor in the hospital, because they have the most power.

They know fuck-all about software and fuck-all about the day to day work of the nurses and doctors who need to use the product every day.

And this is pretty much how we ended up giving Epic Systems 774 million for their MUMPS-flavoured piece of shit rebranded as "Apotti". And the project - started in 2015 - isn't even done, nor bug-free yet. The American model of everything being cost first didn't fit the Finnish model of medicine - to the surprise of no-one outside of the organisation.

It was so bad that other cities refused to use it and went with their own solutions instead of using Apotti.

Re:CDC website built by Deloitte at a cost of $44M is abando... by specialist on Sunday January 31, 2021 @12:43PM (#25980706)
Dr Corn Flower (Blue).

That was our nickname for our worst customer. Some wannabe nerd promoted to CIO, probably to keep him away from patients and the other staff.

His most substantial contribution was divining the precise shade of the highlight color used by our theme.

Our "portal" had labs, scripts, meds, notes, referrals, and on and on. Stuff like lab reports were industry standard (we had domain experts on our team). Dr Corn Flower had opinions on all of it. Not detail too small to argue about. Every pixel mattered.

We eventually got to the point where two team member's full time job was babysitting Dr Corn Flower, while others were permitted to do real work (skunkworks style).

And that was just one hospital. We had dozens of other customers, and 100s of partners.

Re:CDC website built by Deloitte at a cost of $44M is abando... by systemvoltage on Sunday January 31, 2021 @11:51AM (#25980130)
Not the same industry, but it’s changing. Silicon Valley meets big Gov:

https://a16z.com/2019/10/03/anduril/

Basically, build first at the VC’s risk and then deliver a finished product to Gov.