Why? I'm assuming corruption and lobbying by Epic.
https://www.dagensmedisin.no/helse-midt-norge-rhf-helseokono...
To me this system just seems destined to fail because there is no chance the public entity is able to write comprehensive requirements. Creating the bid is also a huge undertaking, and large suppliers and consulting companies will have a large edge by having experience with creating such systems and with creating bids, so they usually win. I dont know how to solve this though.
All of these entities had working EHR systems.
They were the only vendor capable of submitting the «objective» tender that is madated by law, and the decisionmakers are too stupid and chickenshit to consider that this process is in itself guaranteed to produce a worse outcome than alternative approaches.
The funny thing is they started this project even though there were earlier catastrophic Epic implementation examples from Denmark and Finland.
As a physician, using Epic is a pre-requisite for me to consider working at a hospital.
Yes it has flaws (ordering and encounters are still very annoying but make sense for billing purposes), but it’s also incredibly powerful and once you learn how to use it there isn’t really a better alternative (in my opinion).
A couple of sources, can be viewed with google translate: https://www.cw.no/debatt-helse-it-bransjen/helseplattformen-... https://tidsskriftet.no/2023/01/helseplattformen-en-it-skand...