“I think something has been lost in the confusion about a national EHR system. After all, that’s the target right, a national system? We only unleash the power of EHR if we are able to make it work out outside of the provider’s four walls. Is it possible that perhaps the logic of how we have been viewing developing a solution for the problem is wrong? I think it is. Since the outset, the problem has been defined as how do we develop a system that will enable us to get everyone’s health records (let’s call an individual record A) to some arbitrary set of healthcare providers, call them P. There are some 350 million A’s and for simplicity let’s agree that there are 100,000 P’s. So now, the system to which everyone is working is the system that will enable all of the A’s to get to any combination of P’s.”
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Paul Roemer, Healthcare IT Strategy, 22 September 2010
