I realize it's been quite a while since I taught - or was in school myself - but I'm distressed…
Morning Headlines 5/4/17
US Hospital EMR Market Share 2017
KLAS publishes its 2017 report on EMR market share finding, not surprisingly, that Epic and Cerner lead, with a fairly even split of 25.8 percent and 24.6 percent respectively, followed by Meditech with 16.6 percent.
Statement of the Honorable David J. Shulkin, Secretary of Veterans Affairs
VA Secretary David Shulkin testifies before members of the House Appropriations Committee noting that the agency will make a decision on whether to implement a commercial EHR or continue with VistA by July 2017.
Growing Insurance Coverage Did Not Reduce Access To Care For The Continuously Insured
A Health Affairs study concludes that the increased insurance coverage brought about by ACA did not impact access to care for those that were already insured.
Genomic Testing and Precision Medicine in Cancer Care
A Medscape survey of 132 medical oncologists and hematologists finds that most patients do not benefit from genetic testing because results rarely point to evidence-based, clinically actionable changes to a treatment plan. Despite this, 61 percent of respondents still believe the tests are useful.
Welcome to the midocal-industrial complex. We now have the Lockheed Boeing and McDonnell Douglass of healthcare. Enormous, bureaucratic, slow, government subsidized medical industries. Innovation is dead. Watch all medical care cost skyrocket, all the while, usability, efficiency, safety, security, will continue to decrease with burden increasing.
I don’t think this is a very accurate comparison, that markets are too different. The barriers to entry in aerospace and defense are huge in comparison to EHR’s and software in general. A vendor that makes a great specialty product could eventually expand outward to other areas and disrupt the market. Personally, I think it will happen in the next 10-15 years given physicians distaste for EHRs, high costs, low usability and the impact they have on patient care.
I think its also an inaccurate comparison because trying to say that there’s no innovation in aerospace is kind of ridiculous. Stealth, improved efficiency in Boeing’s designs of late, just to name a couple. I’m no expert in aerospace, but the mere fact that these massive companies are heavily dependent on the government doesn’t mean there’s been no innovation, just that the innovation has had a really steep price attached to it.