Since the 1980s, I have been promoting the vision of interoperable EHRs worldwide. To bring this vision to reality, I participated in and many standards organizations and committees. Among them, I chaired 12 standards organizations, including the Healthcare Informatics Standards Board of the American National Standards Institute (ANSI HISB) that coordinated standards organizations such as HL7, X12, IEEE, etc. and was the precursor ANSI HITSP. I am one of the founders of ISO TC 215 Technical Committee on Health Informatics and served as the initial head of the U.S. delegation. Also, I served on the Board of SNOMED INTERNATIONAL (now IHTSDO).

 

The Failed Vision of EHRs

Instead of interoperable EHRs, vendors, providers, and other stakeholders have focused on implementing electronic medical records (EMRs) that only provide limited interoperability within a provider or enterprise setting. Systems are widely based on digitizing documents of the traditional (paper) medical record into computer systems, many by scanning documents into their their systems. Others use computer input to create document-based and document-compatible EMR systems that contribute to their lack of interoperability, that provide poor user interfaces, and that lack needed and desired functionalities. Since 1995, I have urged the healthcare community to focus less on EHRs and more on the functionalities of care that deliver data interoperability, communication-based care (including mHealth functions), and artificial intelligence (AI) applications. (Link to a published interview)

See some of my comments on Meaningful Use.

I have been cited by HealthLeaders as one of 20 important people in healthcare. Through my 25-year career as CEO of the Medical Records Institute, I gained recognition as a world leader on electronic health record systems, leader in standards, and independent analyst.

 

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