I had an old physician colleague whose favorite hobby was bitching about EHRs, and one day told a story about…
Readers Write: Our Experience with Epic’s App Orchard
Our Experience with Epic’s App Orchard
By Chinmay Singh
Chinmay Singh, MBA, MSE is co-founder and CEO of SimplifiMed of San Francisco, CA.
SimplifiMed went live last month on App Orchard after several months of work. I believe other startups can benefit from our experience as they pursue integration with Epic.
We integrated with many other EHRs before Epic, including Athenahealth, Centricity, and Drchrono. As I review my experience, there may be a whiff of unavoidable comparison.
1. Epic is the most customer-focused EHR vendor
This became clear to me in my first call with Epic’s App Orchard team. I could vividly imagine a customer in the center of anything App Orchard team discussed — workflow, security, or marketing message. For this reason, I would recommend that startups first integrate with other EHRs, learn from that, and then approach Epic.
2. The App Orchard team knows the customer
Your contact at App Orchard is unlikely to be a mere project manager. He or she will be an active participant and will gently prod and challenge you on your workflows and the selection of APIs. If you don’t have an active Epic customer, this is one of the best resources you have to compensate for the lack of information. Use it.
3. Epic listens to App Orchard members
We all have heard about a certain recalcitrant Midwest company. I was surprised at how receptive the App Orchard team was to my suggestions on the program, pricing, and terms. They listened to my concerns and responded to them in a timely fashion, and I assume that the new program terms were partially influenced by the feedback I provided to them. Reach out to them with your feedback.
4. App Orchard documentation is lacking
The API documentation is very basic, and in some cases, unusable. For example, there is no explanation of the different versions of the same APIs. Or that two different APIs appear to be doing the same thing (they are not) without a good explanation. The advice in #1 and #2 above partially compensates for this. If Epic team needs some inspiration, they should look at Athenahealth’s developer suite. Not only does Athenahealth have more robust documentation, all of their APIs can be tried in the sandbox.
5. No Hyperspace
This is the biggest issue with App Orchard. Without access to Hyperspace, it is difficult to test the product. Moreover, Epic periodically resets the back end, forcing you to re-create your test cases. This is a huge time sink. As we are experiencing now, prospects want to see a demo of SimplifiMed working with Epic. But without access to an Epic instance, we are unable to do so. I would love to hear from other App Orchard partners on how they are overcoming this problem.
EPIC Orchard is a joke. Costs 5, 15 or 30K to integrate and lacks basic functionality to get data inbound into the system.
You may want to check the revised fee structure for AppOrchard. It’s not perfect but much more friendly than the original one. At the end of the day, I would like to see EHR vendors take a long-term view of their ecosystem, identify what is core for them and enable partners to develop around that core.