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becoming increasingly convinced that fighting against the siloing of data in healthcare is the wrong play, instead its probably worth fighting for frameworks that are more easily harmonizable (standards, not products). If silos must happen, lets make them weak
ex. imagine instead of epic integration you just get the cohort of new primary care practices to collaborate on a single export file format, and then combine efforts to integrate THAT format with epic. Requires large coordination, but standards have much easier update here
While a few EMRs (Athena) are pushing for these initiatives, the more archaic players (Epic, Cerner) are ultimately a lost cause, imo. Yes, companies will continue to (try to) integrate with them for the near future, but they will likely be left behind in the long run.
There is no world where Epic is unseated by Athena's EMR, this is clear. You can't out innovate the infrastructure layer, and as long as no one is beating EPIC you better integrate, or you don't survive.
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