Over and over I hear some doctor or EHR industry person say, “Why doesn’t the government just provide one EHR for all of healthcare?” Usually this is followed by some suggestion that the government has invested millions (or is it billions?) of dollars in the Vista EHR software and they should just make that the required national EHR.
You can see where this thinking comes from. The government has invested millions of dollars in the Vista EHR software. It’s widely used across the country. It’s used by most (and possibly all) of the various medical specialties. Lots of VA users love the benefit of having one EHR system where their records are always available no matter where in the VA system you go for health care. I’m sure there are many more reasons as well.
While the idea of a single EHR for all of healthcare is beautiful in theory, the reality of our healthcare system is that it’s impossible.
I’ve always known that the idea of a single government EHR was impossible, but I didn’t have a good explanation for why I thought it was impossible. Today, I saw a blog post called “Health IT Down the Drain” on Bobby Gladd’s blog. The blog post refers to the $1.3 billion over the last 4 years (their number) that has been spent trying to develop a single EHR system between the Department of Defence (DoD) and Veterans Affairs (VA). Congress and the President have demanded an “integrated” and “interoperable” solution between the two departments and we yet to see results. From Bobby’s post comes this sad quote:
“The only thing interoperable we get are the litany of excuses flying across both departments every year as to why it has taken so long to get this done,” said Miller, the chairman of the Veterans Affairs Committee…
The government can’t even bring together two of its very own departments around a single EHR solution. Imagine how it would be if the government tried to roll out one EHR system across the entire US healthcare system.
I hope those people who suggest one government EHR can put that to bed. This might work in a much smaller country with a simpler healthcare system. It’s just never going to happen in the US.