This next generation of EHR capabilities bring platform features such as: vendors with a mindset of orchestrating vs. Andreesen Horowitz venture capitalist Julie Yoo listed six вЂњtectonic shifts bringing about major changes in care delivery,вЂќ including вЂњa push toward greater interoperability of dataвЂќ.ДЇor over a decade weвЂ™ve been reading about the need for EHR 2.0. COVID-19 has highlighted many of the weaknesses in EHRs as being вЂњlarge, slow monoliths that donвЂ™t quickly adapt to new, emergent demands on their design and workflow.вЂќД¬OVID-19 also is accelerating many trends that already have slowly been transforming the healthcare industry. TodayвЂ™s EHRs are criticized on a number of fronts: errors and safety issues, cost, lack of competition, lack of interoperability, and lack of usability for clinicians. Among large hospitals (with 500+ beds), they collectively control 85% of the market, with Epic owning 58% market share and Cerner 27%. The EHR market for large health systems is even more highly concentrated. hospital EHR market has been highly concentrated in 2020 two firms were dominant, with Epic controlling 29% and Cerner 26% of overall market share.

The Current Market for Health System EHRs: Ossified Disrupting and Platformizing the EHR Market.

The Current EHR Market for Health Systems: Ossified.

The remaining sections of this essay will address: This market has been dominated by a few vendors for decades, but EHR Envelopment projects have the potential to disrupt EHR market dynamics. Through the lens of platform strategy, we focus on the impact that EHR Envelopment initiatives could have on the market for electronic health records for large integrated delivery systems.

through 1) new user interfaces (UIs) that sit above the current EHR, and/or 2) a focus on new value created by integrating, analyzing, and presenting disparate sources of data. New EHR capabilities threaten to dislodge existing EHRs, e.g. By вЂњ envelopment,вЂќ we mean the entry by one platform provider into another providerвЂ™s market by adding functionality and exploiting overlapping user bases. We coin a new term вЂ“ вЂњEHR EnvelopmentвЂќ to describe novel EHR platform capabilities under development by third parties. We view Care Studio as having the potential to bring platform functionality to a sector of the healthcare industry known for resistance to change and innovation. We highlight early efforts by Google Health Care Studio, an initiative that has been underway for several years but was only formally named in February 2021. Who will answer this call? While existing EHR vendors have made modest efforts, the door is open for big tech companies and start-ups to develop functionality to envelop and disintermediate current EHRs. The COVID-19 pandemic has accelerated calls for the development of EHR 2.0 (electronic health record 2.0) вЂ“ the next generation of EHRs with extended platform features and capabilities.

Personal health records for mac