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1,785 pts.
 is the shrinking pool of EHR vendors feasible?
As acquisitions and mergers are becoming more common in the EHR arena. If we were to predict that we will end up with 3 to 4 EHR vendors and more adopted standards, is that good for small to mid size physicians? How is that going to impact the overall cost of EHR? will it drive prices higher? Would innovation be limited?
ASKED: August 23, 2010  2:51 AM
UPDATED: September 17, 2010  3:44 am

Answer Wiki:
Small to mid-size practices would be well served if there were a small number of choices that are fast, affordable and convenient to use. The task of choosing would be much simpler. There would be larger masses of users to leverage for training and for ideas for better features. The total cost of ownership would be less than it is today. Hardly any of the currently dominant vendors provide a software product or a service that is suitable for this segment of the market. Even with mergers and acquisitions, these companies are unlikely to create a solution that will be suitable. Instead they will place their investments to strengthen their hold on their most important existing customers: hospitals and large practices. Whatever innovation they do will have relatively little value fot small and mid-size practices. In fact, small and mid-size practices look like a market that is a strong candidate for disruptive innovation. A distruptive innovation would be a new way of getting the EHR job done which involves new technological tools, a new business model, and a new commercial network of companies that combine to create economic value from the innovation. History says that such an innovation is likely to occur. Today there are powerful forces driving toward more affordable and universal health care, and EHR has much to do with the response to these forces. These forces are strong and likely to drive innovation. But history also says that the currently dominant suppliers are very unlikely to produce the innovation. Instead it will come from new companies using technolgies and business models that the dominant players disparage. (One exception may be GE which has a long history of responding successfully to disruptive innovation.)
Last Wiki Answer Submitted:  August 24, 2010  8:09 pm  by  Cio67   385 pts.
All Answer Wiki Contributors:  Cio67   385 pts.
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I wonder if the government will eventually try to regulate the EHR industry and limit the number of vendors or place restrictions so that only a select few will be allowed to develop EHRs that are used in public hospitals. Then again, what happens if they conclude that the VA CPRS system is the one that everyone should be using?

 810 pts.

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