Comments on: Electronic medical records after Google Health’s failure Thu, 21 Jul 2016 07:57:19 +0000 hourly 1 By: Decisionscience Wed, 27 Jul 2011 21:38:37 +0000 Vineeta,

There are, of course, a bazillion different reasons why a given idea might or might not work in practice, with much of that most immediately having to do with the skill (or not) of the entrepreneur bringing it to market.

In that regard, rather than become fixated on the idea that “the reason’ for failure is due to the fragmented condition of our health care system, one must take the perspective that Google Health failed because it did not take the fragmented condition of the health care system into account – and while there’s only a subtle difference in those words, the difference in meaning is anything but.

Said another way then, the responsibility to develop a business proposition which drives critical stakeholders towards adoption lies with the entrepreneur and not the other way around. Clearly that did not take place for this initiative and as such, the project (in its current form and under this particular sponsorship) died a predictable and poductive death. That isn’t to say that a universal medical ID won’t ever come into existence, it only means that that it’s not going to come about in this particular form at this particular moment.

On what remains in the discussion, I’d challenge the assertion that integrated health systems are necessarily ‘better’ than modular systems. Whereas integrated systems can be configured for optimal overall cost at a given point in time, such efficiencies can be developed in a manner which detract from other stakeholder priorities – and since existing integrated health care systems have not come to dominate the health care industry despite having had a longstanding opportunity to do so, I’d suspect that such may be the case here.

So while it could be that we’re all being held hostage by one or another monopolistic element within the existing system, you and I both know that once an appropriate disruptive innovation becomes deployed AND adopted, elements such as these will fail and fall by the wayside of their own weight – and the next era of healthcare management methodology will take its place.

On that basis – what has transpired is just another of the failures needed to guide providers towards convergence on a method or means that will actually work well enough for a enough people such that it has the opportunity to become improved and eventually assume the dominant role in the way health care is managed and maintained. Until that time, we can (and should) surmise and experiment, but only the market can dictate which approaches will be sufficient to initiate the eventual (and inevitable) departure from the incumbent system.