Postmodern EHR: Solving the feral systems dilemma

Feral systems are software solutions developed by individuals or groups to help with day-to-day activities. They are called feral (or “wild”) because they are used in addition to core IT systems, working around key system architecture – more often than not without the blessing of management. I was first made aware of this expression a couple of years ago by Ewan Davis, who wrote a blog post about it stating: “The hundreds of “Feral Systems” in an average large hospital represent a goldmine of knowledge and innovation that could be harnessed in the design of digital systems that really work, but as they are today they also create a massive technical debt and create safety, governance and reputational risks for the organisation in which they are used.”

Living in a Retro Health Care System

EHRs are a perfect example of how we took something that should revolutionize health care, and turned it into something that not only no one is happy with but that many feel often impedes care, to the point some want to go back to paper records.  That's not retro, that's just stupid.  We didn't do the wrong thing with EHRs, we just are doing it wrong. As I've written before, we should be thinking big and bold about how we want our health care system to work in the 21st century.  We should be setting tough goals for how effectively it works for us -- and expecting to achieve them.  We should be looking forward, not backward...

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Halamka's Advice to the Trump Administration

As I've listened to the confirmation hearings for cabinet nominees, I’ve realized that no one with healthcare IT expertise has yet been identified by the transition team. I continue to ask all my colleagues about any contact they’ve had with anyone advising the new administration - so far, no one has been asked anything by anyone related to healthcare IT. At this early time in the administration, it’s important to offer advice as to the priorities ahead for the next few years. What would I recommend to the new administration?

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  • February 2, 2017 - Roger A. Maduro - Open Health News
    Feral systems are software solutions developed by individuals or groups to help with day-to-day activities. They are called feral (or “wild”)...
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    Predictions for 2017 are everywhere this time of year, and it is no wonder.  There are so many technological advances, in health care and...
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