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John Cox

Bruce: excellent post, couldn't agree more.

As a company founded by doctors with a goal of creating technology that works for clinicians (as opposed to the other way around) we have a vision very consistent with what you describe. Best-of-breed applications that serve specific functions integrated together around the most logical tent pole: the patient. The EHR as it exists today is tied to the institution but the patient is not. There needs to be a higher level construct that facilitates sharing of information and (more importantly) context between applications, within or across institutions. But that doesn't have to be a monolithic application from a single vendor.

Let the EHR continue to focus on what it does best - keep a record of the services performed at a facility for billing purposes - and let's open up the playing field for other classes of application to deliver real innovation, and efficiency and quality gains.

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