EHR Market Commentary

The Future of HIT Innovation is Ambulatory

by Jerome Carter on September 14, 2015 · 2 comments

Well, it’s time to start designing new clinical care systems.  MU is winding down, so the yearly certification requirements churn will be ending soon, or at least slowing greatly, which is a good thing for someone jumping into the market. Current vendors have to support users who do continue in MU because, no matter how […]


Clinical Care Systems: The Next Generation

by Jerome Carter on July 27, 2015 · 2 comments

As many of you are aware, I am the editor of Electronic Health Records: Second Edition.   I will not be editing a third edition.   At first, I was ambivalent about the publisher’s decision to let the book go out of print – it was well received. However, after a while, I realized that the time […]


Clinical Software, Innovation, and Alice v. CLS Bank

by Jerome Carter on February 2, 2015 · 0 comments

A few years ago, a defense attorney for an EHR vendor being sued for a patent violation contacted me about being an expert witness. After hearing about the case, I was shocked at what was being asserted as a patent.   Circumstances prevented my being able to take the case. However, a little while later, curiosity […]


This might seem like a silly question with an obvious answer, but is it really?  The solution to any problem grows out of the environment in which it appears and from the mindset in which it was conceived.  In 1970, the answer to this question would have been a mainframe system.   By 1981, after […]


According to Ben Franklin, John Adams, or someone else (I could not find a reliable source), “Every problem is an opportunity in disguise.”  This bodes well for clinical care software because the number of complaints about current EHR systems grows louder each day.  We know the problems: poor usability, lack of workflow support, reporting difficulties, […]


Is the Electronic Health Record Defunct?

by Jerome Carter on April 28, 2014 · 10 comments

When building software, requirements are everything. And although good requirements do not necessarily lead to good software, poor requirements never do.   So how does this apply to electronic health records?   Electronic health records are defined primarily as repositories or archives of patient data. However, in the era of meaningful use, patient-centered medical homes, and accountable […]


Now that EHR adoption is well under way and meaningful use is in full-swing, the effects of EHR systems on every day clinical practice are becoming more obvious.    According to studies that look at how providers spend their time, clinicians are increasingly spending more time with computers and less time with patients.    Is this merely […]