Top-Down Innovation Has Blind Spots
It’s clear that innovation alone is not enough to bridge the healthcare gap.
In most healthcare organizations, executives make strategic decisions, including investments in addressing care gaps. Although well-intentioned, these decisions often include technological innovations that ultimately fail to effectively improve care outcomes or costs. This begs the question: Why?
The mass migration to electronic health records (EHRs) in the 2010s is a cautionary tale of divorcing policy and innovation from clinical reality. EHRs have many benefits. Recent cyberattacks, which forced hospitals to revert to paper charting, underscore their value.
However, because the first EHRs were developed with limited clinician input and real-world testing, they were user experience nightmares. The rush to implement (driven by federal policies like Meaningful Use) created significant stress and administrative burden for physicians and nurses, ultimately decreasing productivity by as much as much as 20%-30%, and therefore increasing the cost of care.
We’re likely still feeling the fallout of the ill-conceived EHR revolution as many fed-up providers retired early or left medicine for nonclinical careers.