Thanks for the response Jim, and all excellent thoughts. I would like to answer each one:
We just converted our EMR from McKesson to Epic. Prior to Epic we were heavily Tcl driven. When we moved to Epic, we opted to go heavily using Xlates with minimal Tcl – that are widely reusable.
We are multi-site – We took the opportunity to set up our sites with a brilliant consultant when we switched to Epic. Our sites are based on message types (ADT site, Orders/Results site, Charges site)
We do use a combination of both detailed specifications as well as what vendor provides. It has really depended on who we are working with. As an example we are working with a HIE company that we basically built the interface specifications for them as we went along in testing.
We pretty much allow each engineer to build as they see fit, as long as we all agree that each one on the team can support once the build goes live (and it’s stable of course 🙂
We are looking for someone that can lead our team. Which is comprised of one getting his level 2 certification this year (me), and two others that will be getting their level 1 this year (although already very familiar with cloverleaf)