By NextBestFitRecords don't follow patients
Records are scattered across incompatible EHRs; tests are repeated and information is lost between providers.
Who's affected
Who is hurt
- People with ongoing or specialist care needs: Incompatible records lose information across providers and cause repeated tests.
Who gains while it lasts
- Health administration and software vendors: Record-system lock-in benefits vendors.
- Hospitals, clinics, and care organizations: Fragmented records help keep patients within their systems.
Under your mix of paths
Paths that fix or soften it
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Root causes
- Proprietary systems
- Competitive incentives to hoard data
Related costs
Open questions
- Should there be a single national health record or claims database? Who controls it?
Solution paths (2)
Open a path for what it fixes, what it creates or worsens, who gains and who loses, precedents, and how it connects to other paths. See all paths as a decision tree.
One national record that follows every patient.
- +Records don't follow patients
- +Low-value care and overtreatment
- +Medical errors and poor care coordination
- −Health privacy
- −Cyberattacks can halt payments and care
- −Requires new or changing information systems
Enforce FHIR APIs and ban information blocking.
- +Records don't follow patients
- −Takes years, or money up front, before it pays off
- −Requires new or changing information systems