“Healthy Skepticism”

Healthy Skepticism – My Critique of HealthKit as Both iOS Dev and Registered Nurse:

…interoperability is technically challenging no matter who attempts it. Apple clearly has the capacity to tackle the technical issues if it really wanted to. The central problem for interoperability is one of motivation. Who has the power to compel all the hospitals and EHR vendors in the US to open up read/write access to their medical records?

In my estimation, there are only two entities capable of doing so. The first and obvious one is the government. If Meaningful Use ever mandates one-hundred-percent interoperability, then the industry would have no choice but to comply.

The second entity would be a for-profit company that offers healthcare providers a mutually-benefical partnership. This company would compel hospitals to allow them access, but with a carrot instead of a stick. If there was a way that hospitals could benefit from partnering with an open EHR framework, then they might happily allow their siloed data to flow freely between competing institutions.

All the smartest engineers are figuring out how to get you to click on like buttons and advertising, but sounds like they could be heavily used elsewhere for the good of society.