The slow revolution in Healthcare IT

For years, healthcare IT has been dominated by big players and arcane system architecture that resembled the ERP market in the 1990s.  Playing into this is the vendor dominated CCHIT certification process, which required everything under the sky to pass, but did little to ensure the software support a better care delivery or even integration with the disparate systems used by different physicians.  However, there are reasons to be optimistic as 2009 comes to a close, as written in this blog.

Looking at healthcare IT, I see a lot of parallels to how the enterprise IT space has evolved over the last 15 years.  There were many promises and much money spent, but little to show in the form of tangible quality improvements or cost savings.  Sure the marketplace will eventually sort out winners and losers, but I postulate that government stimulus money will make the outcome of this evolution different.

Granted, what needs to happen in this space isn’t limited to just moving the power from traditional HIT vendors.  The interoperability in HIT in general is abysmal.  Even new vendors aren’t much better at allowing physicians and patients share data.  However, there are reasons to be optimistic that people building HIT software would consider a multi-tenant system or a data sharing platform a fundamental requirement instead of an afterthought.

What do you think?  I am especially interested in hearing from those who are involved in healthcare delivery.  After all, I am peddling wares just like everybody else.  You the user should have the final say.

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