u/Ok-Possession-2415

Hi all,

I’ve been working in EHR consulting for about 4 years, with the last 3.5 years focused on Epic. I have several Epic certifications and work full-time for a consulting firm in the Netherlands/Europe. My work consists mainly of full implementations etc.

From what I know, my company bills me out at an average rate of around €120/hour, while I earn roughly €55k/year. I completely understand that billable rate is not the same as salary. There is overhead, bench time, sick leave, sales, management, non-billable employees, etc. However, the gap still feels pretty extreme to me. I’ve brought up compensation multiple times, but I mostly get vague answers about “overhead” and the need to pay for people who are benched, sick, or otherwise not billable. There never seems to be a concrete explanation of what I would actually need to do to make significantly more.

Another thing that increasingly bothers me is the mediocrity I see around me. I periodically work with colleagues who, in my view, are significantly less capable, less productive, or need much more hand-holding, yet some of them earn considerably more than I do. We really have some ''10 year maintenance analysts'' that are now consultants and are just plainly incompetent.

I know comparing yourself to colleagues isn’t always productive, but it becomes hard to ignore when compensation seems to have relatively little relationship with actual performance, Epic knowledge, responsibility, or the amount of value someone delivers.

It sometimes feels like in Europe, and perhaps especially in the Netherlands, companies are very comfortable giving small incremental raises regardless of performance, while the only way to actually reset your market value is to leave. I hear so much similar stories from friends in completely different fields of work.

So I’m curious what people here think:

• Does ~€55k sound reasonable?
• How much should I realistically care about the fact that I’m being billed at ~€120/hour?
• How do you deal with seeing mediocre colleagues earning substantially more than you?
• Is there any realistic way to force a meaningful salary correction internally, or is switching firms usually the answer?
• If switching is the answer, which Epic consulting firms in Europe/the Netherlands would you recommend?

Would especially like to hear from people who have worked in the European Epic consulting market. For now trying to stay away from freelance since i just bought a house, and apart from mediocracy, i do like to have colleagues.

Is this possible? Or does an end user have to reconcile the lab result manually first?

Most of the clinicians I support seem OK with grouping externally resulted labs in with results done at their org. Which seems logical to me too. But I am unsure of anyway to get them to pull in.

The primary need is for providers treating a patient who are empowered to diagnose but are uninformed of the telling information documented on the patient elsewhere. These NPs are more than willing to diagnose a patient with CKD using their internally eGFR if the patient has had a uACR resulted elsewhere. But they/we want a way to surface that naturally - maybe automatically- in the workflow without expecting the user to go out their way to click into CE just in the hope there is a uACR there.