I wish I could share Dr. Singh’s (view article here) enthusiasm for improvements with the current EHRs with data exchange and then AI and machine learning tools to improve the system. Instead, I view that pathway as further burdening the MD with data trash long before AI tools begin to approach the value he envisions. In other words, things with those legend systems continue in my own experience to get worse while IT folks promise the moon and deliver slower less functional and less clinically useful add ons. HIE data will crush the practicing physician, since less than 0.1% of “data” is actually useful. Today, none of that data is really useful when a patient moves out of the legend system, or in from outside. EHR systems can’t even talk to each other across different implementations of the same system. I do not have any easy access to my own hospital’s system (the operative word is EASY), and none to competitor hospitals in my region.
No, the solution is to move the clinically useful data directly to the patient and have the patient replace the HIE hub and the repository not of the data trash crush, but just of the clinically useful data. That’s why SyncMD is constructed to be patient-owned and patient-centric, scalable to every person on the planet, agnostic to every EHR system, filed in individual encrypted files for which the patient is the party granting access permission to their chosen trusted professionals. That is the solution for the future, and it’s already here, on the app stores, free to patients! Sure, voice recognition will help docs, and sure, we can improve the current disastrous EHR implementations, but that is nibbling around the edges. The system needs radical change, and moving away from archives of data mostly useful for malpractice defense and billing necessities to having the doctor patient dyad have access at all times to the clinically useful data is a far better future than the one Dr. Singh is so optimistic about.
Let’s take a different tack! The future of health records has arrived. It’s called SyncMD.