OK, I’m probably going to raise some people’s blood pressure, but here it is: Is it possible that EMRs are a transitional technology which the industry will outgrow within the next several years?
I contend that with telemedicine expanding rapidly, connected/remote health changing the focus of care and smart phones evolving along their own path — just to name a few factors — that which we call an EMR might not be up to managing care of the future. Given the need for corporate and medical security, EMRs are also ill-equipped to give the emerging class of e-patients the data access they demand.
Yes, you can connect telehealth sites with a health system or clinic network. You can burn through developer time making sure your EMR supports the latest developments in mobile health applications. You can find ways to integrate the data generated by remote patient monitoring and make it usable. But will the final result, the application which governs all of this, be the EMR we know today?
Today’s EMR, let’s face it, is not great at connecting beyond the institution where it lives. Sure, we’re building HIEs, but there’s a reason why so many are still at an embryonic stage; forming such networks is a damnably hard job.
So what will happen when medical interactions and care shift decisively to environments and platforms outside of a hospital or clinic? I don’t know, but I think it will take a different type of system — focused on coordination rather than just data storage and analytics. It will need to be wherever patients are, collect data in whatever form it’s generated and support care delivery in ways that are in their infancy today.
So, that’s my opinion and I’m sticking to it. What about you?