re: EHR Innovation Gap Threatens Healthcare Progress
IG«÷m a healthcare clinician, software inventor and entrepreneur who has been involved with health IT for over 30 years; I commend Drs. Mandi and Kohane for their on-target insights!
My personal experience--as the president/CEO of a small, nimble health IT company offering novel, secure, inexpensive disruptive innovation--coincides with much of what the authors are saying. IG«÷ve seen numerous examples of both public and private efforts to stifle, or at least fail to support, true innovation in favor of maintaining the power and control wielded by large corporations fueled by the faulty belief that G«£bigger is always betterG«•). IG«÷ve seen firsthand how mandated regulations add tremendous unnecessary cost and complexity by establishing technical standards that ignore simple, low-cost, creative alternatives. It is very frustrating especially with our countryG«÷s economic woes.
I agree with the authors that todayG«÷s EHRs, while being an essential component of a complete health IT system, simple lack critical capabilities required for improving patient care. Filling this EHR capabilities gap requires innovative G«£bolt-onG«• tools that provide cost-effective ways to help improve clinical outcomes and control costs by (a) coordinating care across specialties, settings and organizational boundaries; (b) presenting a G«£whole-personG«• (biopsychosocial) lifetime health records containing rules that support clinical decisions (for prevention, diagnosis and treatment), as well as continuous quality improvement; (c) providing health data to researchers enabling ever-evolving evidence-based guidelines and public health surveillance; and (d) measuring and incentivizing high-value care.