A comment by Naveen in my post about the Health IT and EHR Bubble, caused me to stop and think:
HIE will eventually become the new necessity in the light of the development of regional ‘community’ systems of care (aka ACOs) – in the same way that EHR’s enable a system to talk, they inhibit neighbors from talking.
I had to think this over a little bit to understand that final part about inhibiting neighbors to talk. If I understand him correctly, the challenge is that if I’m in ACO A and my neighbor is in ACO B, then I actually don’t want to communicate with my neighbor.
This is a bit troubling when you think about the value that can be gleaned from exchanging healthcare data. If we aren’t careful as we build ACOs we might be building in more perverse incentives for doctors to not want to do the right thing. This is a huge problem in healthcare now. We don’t need to make it any worse.