I have worked in health IT for over 16 years.
First at a hospital (7 years), then at a Software firm, producing Software for the health sector. I live in an european country.
?Our sweet spot is to focus on customers using our technology, and letting them add functionality"
This is weird, unless you are talking about large IT departments at huge hospitals. You don't let average user add functionality without expert consulting.
"Some 80% of MedPlus customers have five or fewer doctors in them. ?Our belief is the needs of the small physician practice is entirely different from that of the large practice.?
This is wrong. The basic needs are the same, although there might be additional needs at larger practices, (lab, X-ray, financial software, etc.)
Different needs comes from different
expertise.
General practitioner need at a small practice is pretty much the same as a general practitioner at a large practice.
Dermatology has different needs, but a lot of it is in common with GP needs, (which are fare more complex BTW).
X-ray and lab needs are on the other hand quite different, but pretty much the same at small or large scale.
The main difference for X-ray though is type of storage medium.
Larger practices might have more demands regarding electronic messaging (prescriptions, etc). But done the right way it can be economical for small practices also. I know this first hand as that is what we are doing.
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