In response to my post on EMR and EHR about specialty specific EHR, we started a nice discussion about the need for specialty specific EHR vendors and all EHR vendors to create the capability to integrate with third party vendors who can extend the functionality of the EHR. This is not a new subject for Healthcare Scene, but it is an important one.
After talking about the dream framework of a middleware provider that connected third parties with every EHR, one of the readers offered their perspectives on the current EHR “reality”:
1) EHR vendors believe they are making great progress with their evolution.
2) EHR vendors believe that the next release is going to make everything right.
3) EHR vendors don’t believe that anyone can deliver a better solution then they can.
4) EHR vendors want to restrict access to “their” data. There’s money in that thar data.
He then offered a quote from this article: “we are stuck in a perpetual midpoint” along with these insights:
Procrastination is the best defense the EHR vendors can use to protect their turf.
That is where we will stay.
Unless there is some type of congressional action we will all keep wondering why interoperability keeps stalling and UCD is failing.
Those are some stinging words. The sting is stronger because I’ve seen so many cases of what he describes. I’ve seen glimpses of change on the horizon, but they are just glimpses. We’re really talking about an entire change in culture when it comes to EHRs.
I asked him this question, “Can the current crop of EHR build an app store model that would enable this vision? Is it an opportunity for a new vendor?“