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Epic Systems (MyChart)

2025/4/21
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Ben Gilbert 和 David Rosenthal:本期节目探讨了 Epic 系统这家位于威斯康星州农村的低调公司,它在我们生活中扮演着巨大的角色,大多数人可能通过其医疗病人软件 MyChart 认识它。Epic 系统是一家非常不同寻常的公司,它不做营销,不做销售,从不融资,47 年来从未进行过任何收购。它的总部位于一个农场里,拥有一个巨大的园区,建筑设计风格独特,包括模仿奥兹国、魔法学院、树屋、谷仓和纽约中央车站等。Epic 系统拥有美国大部分主要医院系统作为客户,47 年来从未丢失过任何一个客户(仅有一次例外,一个客户流失 6 个月后又回来了)。其创始人 Judith Faulkner 是一位伟大的创始人,公司至今仍是私营企业,她及其家族基金会拥有大约一半的股份。Epic 系统的目标是永远保持私营,永不公开上市,永不被收购,Judith Faulkner 已经制定了继承计划和信托结构来确保这一点。Judith Faulkner 在创建 Epic 系统的过程中,成为历史上最成功的女性企业家之一。美国医疗系统存在诸多问题,包括成本失控、行政负担沉重以及过度浪费,而要理解这一系统,就必须了解 Epic 系统在其中的作用。

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What if we told you that the most important company in US healthcare was run from a farm in rural Wisconsin? And that farm contained the world’s largest subterranean auditorium, as well as Disneyland—style replicas of Hogwarts and the Emerald City? What if we told you that the person who started, runs and owns this establishment has legally ensured that it will never be sold, never go public and never acquire another company? And that this person, Judy Faulkner, is also likely the wealthiest and most successful self-made woman in history?

Welcome to the story of Epic Systems, the software company that underpins the majority of the American healthcare system today. Epic isn’t “just” an electronic medical record (the category it’s usually lumped into), or an online patient portal (which is how most of the US population interacts with it via its MyChart application). It’s more akin to a central nervous system for hospitals and health clinics. Almost everything in a hospital — from patient interactions to billing, staffing, scheduling, prescriptions and even research — happens on Epic’s platform, and over 90% of American medical schools’ graduating doctors, nurses and health administrative staff are trained on it during their educations. Tune in as we dive into the almost-unbelievable story of how this epic company came to be!

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