Small is Beautiful

As noted in early blogposts, there are active discussions in several countries, notably the US, UK and Australia, about the wisdom of large scale EHR projects.  A recent Millbank Quarterly study examined hundreds of previous studies on EHR implementations and, according an HealthBeat article (http://www.ihealthbeat.org/articles/2009/12/14/study-ehr-adoption-does-not-always-lead-to-efficiency-gains.asp), the researchers involved in the study suggest that “small, local EHR systems tend to be more effective and efficient compared with larger systems.”   As I have argued in past blog posts and my most recent Healthcare Information Management & Communications Canada “Last Words” article, healthcare delivery is an ecosystem that consists of many co-operating players and not a single enterprise.  Hence, the suggestion that local systems are mroe “effective and efficient” is not suprising to me.

Mike

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s