In The Dangers of Too Much Ambition in Health Information Exchange Micky gets straight to the source of so much frustration in building health information exchanges (HIEs) and created a very credible prediction for a repeat of the same hype cycle.
Read it and then come back to this; my comments will be more germane.
Micky gets several +1s:
- +1 for calling out the new PPT-ware about a completely architected “eco-system” as wrong-headed at a time when so little is known about the demands of accountable care, the malleability of organizations and systems and the relative urgency of various drivers. One CIO recently told me that after presentations from seven vendors on how they had little now but planned to solve create a new architecture, her staff has started to refer to these as “vendor ego-systems.”
- +1 for placing the problem in the laps of high-end buyers as much as the vendors. They are drowning in unknowns and looking for any rope someone might throw their way.
- +1 for recognizing that when the market is the wild West, the best strategy is incrementalism.
- +1 for recognizing the frightening tangle created by the natural desire to pull data and the ability to duck the tangle by innovating with “push.”
Who wouldn’t want to the the first to be given the IT solution for accountable care? To paraphrase Conan Doyle, when you have eliminated the impossible, whatever remains, however improbable, must be the path forward. The not-impossible for now is to create an environment that facilitates the use of point solutions in projects that can be up and running before the requirements change.
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