Just a few years ago, things were looking up for the American health care system. We were going to start finding better ways to pay for care: call it pay-for-performance (P4P), value-based purchasing (VBP), or similar terms. We were going to nudge -- or, rather, push -- providers into more clinically integrated systems (e.g., ACOs) to help improve outcomes and to control costs. And, of course, with wider use of electronic health records (EHR), we'd be able to better coordinate care and make decisions based on actual data. It all sounded very promising. Now, though -- what's that old expression about the leopard not being able to change its spots?...
At this year’s HIMSS conference, interoperability was again one of the hottest topics of discussion. Interoperability was even a featured showcase at the HIMSS Interoperability Showcase. Yet the lack of interoperability in HealthIT remains. "HealthIT is not unique in its interoperability woes and other industries, including the automotive industry, are still struggling with associated safety issues."