Most EHR systems do not excel at coordinating care across multiple sites and clinicians.   At a minimum, care coordination requires support for data sharing, synchronous/asynchronous communications, role-based information access and workflow support.   Creating an ideal system for managing care across people and sites presents interesting architectural and workflowContinue Reading

By encouraging adoption of HIT, the EHR incentive programs have forced everyone to deal with the realities of current EHR system designs.   In fact, this might be one of the most significant outcomes of the entire program.   Now that there is a general acceptance that HIT needs to evolve inContinue Reading

When it comes to creating electronic systems that support clinical care, the dominant paradigm has been the electronic health record. The reason for this is obvious; for decades the paper record has had a central role in care delivery.   However, as care delivery comes to embrace care coordination, patient engagementContinue Reading