In response to my post on EMR and HIPAA called “Interoperability versus Usability in Best of Breed or All-in-One HIS Systems” I got the following message:
It’s unfortunate in today’s environment that we still have a “versus” in the equation. There are some systems that fall under “best of breed” and/or “integrated” and do a pretty good job at supporting interoperability. But, there remains some that rely on proprietary data models and archaic interfaces as part of their revenue stream. Hopefully as more and more emphasis is associated with clinic value derived from data exchange/sharing the “dinosaurs” will be eventually phased out 🙂
This comment prompted me to ask the question: Should we get past closed gardens and just start sharing all our data?
The simple answer that I think we all know is the right answer is: Yes, we should get past the closed gardens and start sharing our data.
All of us in our heart of hearts know this is the right thing to do. Sure, we all also know that we need to put in proper controls so that we’re sharing it appropriately, but that can be done. Why then aren’t we doing this if we all know it’s the best thing we can do for healthcare?
My simple response is that there are still financial benefits not to do it. We need someone to lead us to a point where the financial benefits of not exchanging data are so valuable that those who want closed gardens start to suffer.
This will happen. It may take some time, but the clinical value derived from data exchange/sharing will make it so the “dinosaurs” have to hop on board or become extinct.