Innovating the Consumer Experience Beyond the EMR with Open Standards
By Robin Monks
Robin Monks is EVP of technology at Praia Health
Patients – and potential patients — expect seamless digital experiences. They’re getting them every day from their social media, retail, and banking apps. The difference in user experience between viewing a credit card statement and a healthcare bill is obvious – and shocking. At the same time, the costs of fragmented, proprietary systems for health systems are becoming unsustainable.
While we’ve seen progress in allowing patients access to more of their data, we’re just scratching the surface on data access and have yet to make inroads into data actionability. The lack of open standard adoption inflates integration costs, stifles innovation, and limits the true potential of digital health.
This challenge was the focus of our recent HIStalk webinar, “Innovating the Consumer Experience Beyond the EMR with Open Standards,” where fellow industry leaders and I explored the transformative power of open standards in healthcare. I was joined by Ryan Howells, principal at Leavitt Partners and program manager of The CARIN Alliance; David LaBine, vice president of software engineering at Providence 4SITE; and Kristen Valdes, CEO of b.well Connected Health.
We emphasized that open standards — such as OIDC (OpenID Connect) and HL7 FHIR (Fast Healthcare Interoperability Resources) — along with broader open technology requirements are creating dramatic ROI where they’ve been deployed. They are strategic enablers that can dramatically reduce the burdens associated with integrations, data migrations, and workflow adjustments across the healthcare ecosystem.
These standards offer more than just future flexibility. They deliver immediate ROI by accelerating development timelines, minimizing rework, and significantly lowering long-term maintenance expenses. Every closed integration implemented today represents a missed opportunity to operate with greater speed, intelligence, and efficiency.
A key takeaway from our discussion was the critical role of open standards in fostering a truly patient-centric approach. The current landscape often forces individuals to navigate a labyrinth of disparate patient portals, each with its own login and limited data access. This creates significant friction and can even impede access to life-saving information, particularly for those managing complex or rare diseases. By adopting open standards for identity and data exchange, health systems can streamline patient access, improve engagement, and build stronger, more trusting relationships.
Our conversation also delved into the tangible business case for open standards, moving beyond mere compliance. By standardizing data exchange and identity management, organizations can reduce technology costs, automate manual tasks, and unlock entirely new business models. Examples shared included double-digit increases in lab completion rates and cash collection for health systems that have embraced open identity solutions. The ability to connect disparate data sources, from clinical notes to wearable device data, allows for a more holistic view of the patient that enables proactive care and improved outcomes.
We underscored the importance of leveraging established global standards from other industries. The financial sector, for instance, has long utilized open standards for seamless and secure transactions, demonstrating that these are solved problems that healthcare can readily adopt. This approach avoids the costly and inefficient creation of bespoke solutions, allowing resources to be redirected towards actual patient care and innovation.
For healthcare executives and developers who are looking to initiate this transition, the advice is clear. Identify areas where fragmented patient experiences and data silos create friction and cost. Assess how many applications are isolated due to proprietary identity systems.
The potential for double-digit increases in patient engagement and operational efficiency makes a compelling argument for investment. Advocates for this shift are often found among chief digital officers and transformation leaders who recognize the need for a broader, integrated ecosystem of applications.
A practical roadmap for open standards implementation involves a strategic, incremental approach. This includes auditing systems to understand existing data flows and identity challenges, developing a clear vision for interoperability, and creating cross-functional teams dedicated to this transformation.
Open standards are available for immediate adoption. Organizations do not need to wait for mandates or rely on proprietary vendor roadmaps. But adoption requires that vendors be held to open standards when evaluating solutions and during each renewal cycle. By actively engaging with collaborative initiatives and embracing these open frameworks, healthcare stakeholders can collectively drive innovation, enhance patient loyalty, and build a more efficient and effective system for everyone.
The time to act is now. The industry must move from business-to-business data exchange to truly individual-centered care.
Ambience Healthcare Announces $243 Million Series C to Scale its AI Platform for Health Systems
Ambience Healthcare, which offers AI-based clinical documentation, coding, and workflow support, raises $243 million in a Series C funding round.
Arbital Health Secures $31M Series B to Scale Infrastructure for Value-Based Care Risk Contracting
Risk-based contracting software vendor Arbital Health raises $31 million in a Series B funding round.
Clinisys Acquires Orchard Software
Lab informatics company Clinisys acquires Orchard Software, a laboratory information systems vendor, from Francisco Partners.
Teladoc Health Reports Second Quarter 2025 Results
Teladoc Health reports a 2% drop in Q2 revenue, but beats analyst expectations for revenue and earnings per share.
Ambience Healthcare raises $243 million in a Series C funding round.
The company offers AI-based clinical documentation, coding, and workflow support.
From Eulalia: “Re: USCDI Version 6. Removes name to use, pronouns, sexual orientation, gender identity, and sex parameter for clinical use. I don’t understand this. Healthcare organizations exist to serve patients who come in all sorts of shapes, sizes, colors, and even sexual orientations. To force ALL people into either a male or female definition does a disservice to the patients we serve. Why do the feds get to dictate this? What clinical or administrative purposes does it serve? Also, name to use has nothing to do with sexual orientation as people often use a name other than their legal name and would prefer to be called by that name. Ask my Aunt Eulalia.”
From Former Epic Employee: “Re: ICE. Has issued an RFI for an EHR. Who on earth would be willing to bid for this PR nightmare?” An RFI attachment says that ICE Health Service Corps uses EClinicalWorks for its EHR and dental systems and Fusion Health for pharmacy and MAR. The new system must integrate with other DHS platforms, which raises potential HIPAA flags. It also includes an “optional surge support” requirement, presumably to support spikes in detainee count. Vendors may balk that the government gets unlimited rights to their source code.
None scheduled soon. Contact Lorre to have your resource listed.
Release-of-information services vendor HealthMark Group announces new funding from private equity firm TA Associates.
Risk-based contracting software vendor Arbital Health raises $31 million in a Series B funding round.
Matthew Tuck, MBA (NextGen Healthcare) joins Candescent as SVP of digital strategy management.
Suki names Kevin Wang, MD (Apree Health) chief medical officer, and Vikram Khanna, PhD (Innovaccer) chief customer officer.
Aaron Gani, MS, MBA (RealizedCare) joins Centene as SVP of enterprise technology platforms and technology advancement.
A new KLAS report finds that healthcare organizations are viewing nurse and staff scheduling tools as keys to employee satisfaction.
Australia’s TGA, the country’s counterpart to the US’s FDA, will evaluate whether AI-powered medical scribes qualify as regulated medical devices, citing their potential to suggest diagnoses or treatments rather than simply summarize visits.
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TA Invests in HealthMark Group to Support the Next Phase of Growth
HealthMark Group, which offers release-of-information services, announces new funding from private equity firm TA Associates.
Floe Health Launches to Power Intelligence at Every Patient Touchpoint
Healthcare AI startup Floe Health launches to help providers automate and manage patient engagement between visits.
Mayo Clinic deploys NVIDIA Blackwell infrastructure to drive generative AI solutions in medicine
Mayo Clinic implements advanced computing infrastructure from Nvidia to accelerate AI foundation model development for pathology, drug discovery, and precision medicine.
Several people have asked for my opinion about Bee, which Amazon is acquiring. The company makes the Pioneer, a wearable that records and transcribes your day. It captures not only what you say, but also the conversations of those around you. It tries to entice users by providing summaries of the day, reminders, and other suggestions from within its companion app.
Unsurprisingly, the solution also requests permission to all of the user’s info, including email, contacts, location services, reminders, photos, and calendars in an attempt to create “insights” as well as a history of the user’s activities.
The device costs $50, which can be avoided by using the Apple Watch app, and then a $19 per month subscription on top of that. The solution uses a mix of large language models to operate, including ChatGPT and Gemini.
A quick visit to my favorite search engine pulled up a number of pages that mention the device. Some reports say that it isn’t able to differentiate between the wearer’s conversations and what they were watching on TV or listening to on the radio.
I wasn’t surprised at all to hear that significant privacy concerns have been expressed. The company keeps transcripts of user data, although it doesn’t store the audio. I laughed out loud when I read quote from an Amazon spokesperson who said that Amazon “cares deeply” about user privacy and plans to give users more control over how their data is used after acquiring the startup.
Along with anyone who has had to go through multiple levels of annoying menus (that seem to change regularly) while trying to rein in their Alexa device, I’m not buying it. Although Amazon claims to not sell customer data to third parties, they have plenty of uses for it in-house. Anyone who visits Amazon can see how their targeted marking winds up in different places.
Putting on my end user hat, I have to say this is one of the more ridiculous tools, offerings, or solutions that I’ve seen. However, there must be a huge number of people who disagree with me, because if it weren’t a potential moneymaker, I don’t think Amazon would be acquiring it.
What if the user is located in a two-party consent state and is now recording conversations without notifying the other parties? I found a funny video about the device, where Wall Street Journal reporter Joanna Stern said it “turns you into a walking wiretap.” She also asked the device to do an analysis of her use of swear words over the course of the month and shared her statistics in a funny recap.
The company’s website plays a pretty mean game of buzzword bingo. Examples: “turns your moments into meaning”and ”earns and grows with you” as it “sits quietly in the background, learning your patterns, preferences and relationships over time, building a deeper understanding of your world without demanding your attention.”
The website shows an example of a user and their team “discussing ideas for the next product release.” That’s right, you can wear it to the workplace and have it collect all the company’s intellectual property over the course of the business day. I’m betting that most company’s employee handbooks don’t have language that addresses this. If I were in the corporate compliance department of anywhere with employees, I’d be sending out a memo ASAP.
The website also gives examples of how the device and its app can dispense parenting advice and manage issues such as “dealing with resistance to potty training and handling emotional outbursts.” I’m sure that pediatricians and family physicians will be thrilled to review the device’s recommendations at well-child visits (sarcasm intended) along with everything else they need to cover.
The website also had the device’s terms and conditions, which were 10 printed pages long. Here are some of my favorite highlights:
I found some user comments on Reddit and the following phrases were some of my favorites:
The website says the device is sold out, although the company is taking back orders and plans to ship new units by September. That means either their marketing team is trying to create some FOMO (fear of missing out) or that lots of people are ready to take the plunge, privacy be damned.
What do you think about the Bee Pioneer? Would you consider wearing one? Are you taking steps to specifically ban it and similar devices and applications from your workplace? Leave a comment or email me.
Email Dr. Jayne.
US Health, Tech Officials to Launch Data-Sharing Plan
HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Mehmet Oz will reportedly meet with tech executives Wednesday to seek vendor support for patient data sharing.
The FDA releases the Regulatory Accelerator, which provides digital health innovators with resources to help bring their product to market.
Philips announces collaboration with Epic to enhance ambulatory cardiac monitoring
Philips will integrate its cardiac ambulatory monitoring and diagnostics services with Epic’s Aura diagnostics data-exchange platform.
HHS Secretary Robert F. Kennedy Jr. and CMS Administrator Mehmet Oz will reportedly meet with tech executives Wednesday to seek vendor support for patient data sharing.
From Oracle of Delphi: “Re: Oracle Health. A Redditor posted a screen shot of this comment from SVP Suhas Uliyar.” Larry Ellison’s healthcare minions are long on swagger and short on results. His provider-side guy (Chairman David Feinberg, former weeks-long Cerner CEO and leader of two Epic-using health systems) has been reduced to glad-handing and spending his golden parachute. Suhas’s entire healthcare background consists of a few months of chatting with health system C-suiters from his corner office at a company for which healthcare is a minor focus. Maybe he genuinely believes that Oracle Health can claw back customers who are still recovering from the cash and organizational stress that they judged was worth it to put Cerner in their rearview mirror. His thing is mobile and AI, so he’s betting that click reduction will provide a business case for former Cerner customers to return to the fold. I’ll make my own bold prediction: he’ll move on to his next Oracle suit job without seeing a single Epic displacement.
Poll respondents aren’t convinced that pharma-sponsored telehealth doctors should issue prescriptions without reviewing the medical records of patients they have never met.
New poll to your right or here, as suggested by a reader: Health system IT leaders: How do you anticipate that your next budget will compare to this one? The simple answer choice could be nicely enhanced by adding a poll comment after you vote.
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Cottage Health hires Ganesh Persad, MSBI (Emory Healthcare) as VP/CIO.
Michael Matthews (Yale New Haven Health) joins Northwell Health as VP of enterprise digital solutions.
John K. Wild, Jr., who took over his father’s JJWild business that sold hardware to Meditech and later moved into Meditech consulting, died Tuesday. He was 80.
The FDA releases the Regulatory Accelerator, which provides digital health innovators with resources to help get their product to market.
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ASTP/ONC Standards Bulletin 2025-2
ASTP/ONC releases USCDI v6 with new data elements that include implantable medical device UDI, portable medical orders, facility address, care plan, date of onset, and family health history.
GovCIO, a Welsh, Carson, Anderson & Stowe Company, to Acquire SoldierPoint Digital Health, LLC
Government IT firm GovCIO acquires SoldierPoint Digital Health, which provides virtual care services to veterans through the Veterans Health Administration’s Office of Connected Care.
As ambient scribes face off, Doximity lures doctors with a free option
Doximity launches an ambient documentation solution that is free to clinicians, though not integrated with EHRs.
DHS and HHS among federal agencies hacked in Microsoft Sharepoint breach
White House officials confirm that several government agencies including HHS and its National Institutes of Health and the Department of Homeland Security have been impacted by the Microsoft Sharepoint cyberattack.
Healthcare payments software vendor Waystar will acquire Iodine Software, which offers mid-revenue cycle solutions, for $1.25 billion.
None scheduled soon. Contact Lorre to have your resource listed.
We helped Praia Health put on a strong webinar this week titled “Innovating the Consumer Experience Beyond the EMR with Open Standards.” I noticed that presenter David LaBine from Providence has some cool guitars hanging behind him, maybe a Super Strat-style shredder and possibly a 1960s-era Teisco-style classic from Japan (he’s a band guy, per light Google stalking). All of the presenters held my attention, which is saying something. Praia’s founder and CEO is industry veteran Justin Dearborn, whom I interviewed a few months ago.
Informa’s half-year report notes that it has moved the HIMSS business, includes its conferences, from Informa Markets to Informa Connect, suggesting a shift in focus from large B2B conferences to year-round content and community engagement.
Virtual cancer care provider Reimagine Care hires Ann Stadjuhar (Decimal.health) as chief growth officer.
Avel ECare hires Martainn Lenhardt, MBA (Lyric) as CFO.
Neil Gomes, MSEd, MMS, MBA (AmeriHealth Caritas) joins Avia as EVP of insights and advisory services.
Doximity launches an ambient documentation solution that is free to clinicians, but not integrated with EHRs.
HL7 publishes the first FHIR standards for SMART health cards and links. Sample use cases are:
The American College of Surgeons will work with Epic to automate the capture of surgical data from its EHR that can be sent in near real time to ACS’s quality programs and surgical registries.
ASTP/ONC releases USCDI v6. New data elements include implantable medical device UDI, portable medical orders, facility address to allow tracking quality by service location, care plan, date of onset, and family health history.
The American Hospital Association will educate groups about a postpartum hemorrhage risk assessment toolkit that Epic developed as a point-of-care feature in its Stork obstetrics module.
A new KLAS report on health tech staffing finds that three-fourths of responding organizations will either maintain or expand their use of contracted resources. The highest staffing need is for EHR projects and implementations. The chart above shows the 10 most commonly reported go-to firms.
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JAMA Network Open recently published an Original Investigation titled “Patient Care Technology Disruptions Associated With the CrowdStrike Outage.” The UCSD authors found disruptions at 759 of 2,200 hospitals during the July 19, 2024 outage, with 239 of them being internet-based services that support direct patient care. These included patient portals, imaging and PACS systems, patient monitoring platforms, laboratory information systems, documentation platforms, scheduling systems, and pharmacy systems. The authors conclude that facilities should proactively monitor the availability of critical digital health infrastructure as an early warning system for potential adverse events.
The journal has had some great informatics articles recently, and also ran this one looking at the use of AI tools in intensive care units. A systematic review of 1,200 studies found that only a fraction (2%) made it to the clinical integration stage. There were also significant concerns about reporting standards and the risk of bias. The authors conclude that changes are needed in the literature looking at clinical AI, moving from a retrospective validation approach to one where investigators are focused on prospective testing of AI systems and making them operational. The study focused on systems used in adult intensive care units and I suspect that far fewer studies are done that look at the pediatric population, so that may be an area of opportunity as well.
From Savannah Banana: “Re: stadium naming rights. I saw an article about a city pushing back on a hospital buying stadium naming rights and of course it made me think of you.” Mayor Weston Wamp of Hamilton County, TN takes issue with Erlanger Hospital spending money on naming rights for the stadium that is used by the Chattanooga Lookouts “at a time of severe nursing shortages and quality of care concerns.” He calls the decision “hard to explain” and goes on to say, “As feared, it appears the stadium will be a drain on our community’s resources for years to come. Before I was elected, the Lookouts convinced city leaders to give the team all revenue from naming rights on this publicly owned facility. Now, in a sad twist, our local safety net hospital will be footing the bill for the Lookouts $1 million annual lease payment.”
The health system defended the deal, saying that “it allows our system an unparalleled opportunity to reach our community in new and exciting ways in a competitive market.” I still don’t understand how these naming deals generate revenue for hospitals and health systems, especially in regions where patients select hospitals based on the rules dictated by their insurance coverage rather than by their own personal choice or the influence of advertising. If some of our readers have insight, feel free to educate me.
Miami’s Mount Sinai Medical Center becomes the first health system to implement a Spanish-language version of Epic’s AI-powered Art (Augmented Response Technology) tool. Art helps process the growing volume of patient portal messages that are sent to care teams every day and creates drafts of suggested replies. The system has been available in English since 2023 and many of my colleagues who have used it consider it a game changer. I’ve seen it demoed multiple times but I’ve not personally been on either end of it since my personal physicians haven’t adopted it yet. I’m curious to hear the patient perspective, whether you know for sure your clinician is using it or whether you just suspect they are.
People are talking about Doximity’s free GPT. I tried it once awhile back, but I can’t remember if I was impressed by it. I received an email from them today inviting me to review an AI-generated professional bio for potential inclusion on my profile. I hope they’re not using the same GPT for their clinical tool, because what I saw with the profile was seriously underwhelming. It pulled the wrong name of the hospital where I completed residency, which it said was “preceding” my graduation from medical school. It ignored my recent achievements and publications and instead highlighted a letter to the editor that I wrote to a journal more than 20 years ago. I clicked the “don’t add” button on the entire thing. While I was on the site, I took the opportunity to check out their GPT again.
I asked it a fairly straightforward clinical question that is encountered in every hospital every day, asking for the initial steps needed to manage a particular condition. The first sentence of the response had me chuckling since it told me the first step was to recognize that the condition was present. Although not an inaccurate statement, it certainly wasn’t what I was expecting. The primary reference listed was from 2018 and there have been significant advances in management of the condition since then. I asked the question again and specified a pediatric patient and it failed to link any references. Based on those factors, I can say that I’m officially underwhelmed.
As we approach the end of the summer travel season, I spent some time at a continuing education seminar that covered travel health. As one would expect, a lot of the content that was presented covered vaccinations and other forms of prevention, as well as a review of the most common diseases. As someone who focused primarily on clinical informatics these days, I admit I wasn’t current on the status of some of the longer-known diseases, but I held my own in the discussions of those that have appeared more recently. Malaria and dengue lead the pack, with cholera and tuberculosis both making a comeback in recent years. Rounding out the rest of the list are Zika, measles, Chikungunya, Polio, yellow fever, typhoid, and rabies. It was a good reminder that regardless of how advanced we think medicine has become, there are plenty of things that can still get us in the great outdoors.
Have you ever had a travel medicine consultation prior to a trip? Did you find it valuable? Leave a comment or email me.
Email Dr. Jayne.
Healthcare payments company Waystar will acquire clinical intelligence solutions vendor Iodine Software for $1.25 billion.
Aidoc raises $150 million in funding, increasing its total to $370 million.
CaringAI launches to offer providers AI-powered dementia assessment, care planning, and care management solutions.
OpenAI CEO Sam Altman says that while he expects AI to eliminate entire job categories, he wouldn’t trust it for medical issues. He told banking conference attendees, “ChatGPT today … is a better diagnostician than most doctors in the world, yet people still go to doctors … maybe I’m a dinosaur here, but I really do not want to entrust my medical fate to ChatGPT with no human doctor in the loop.”
A University of Michigan poll of people over 50 finds that only 14% have used AI to obtain health-related information. Nearly half of those said that human interaction would have been better.
Qualifacts adds AI workflow tools to its behavioral and human services EHRs. The enhancements are free to existing customers.
Kims Hospitals in India launches AI-equipped, 5G-enabled ambulances that connect directly to EDs, allowing treatment to begin in transit during the “golden hour” for trauma, cardiac arrest, and stroke.
Amazon will acquire Bee, which offers a $50 AI-powered wristband that listens to conversations and generates summaries, to-do lists, and reminders.
Aidoc raises $150 million in funding, increasing its total to $370 million.
A researcher finds that large language models have stopped adding disclaimers to their responses that relate to medical issues, such as “My child’s lips are turning blue. Should I call 911?” Experts have observed that users are working around ChatGPT’s reluctance to analyze X-rays or blood work by saying that the images are from a movie script or school assignment.
Provider Net EHR Experience scores at University of Iowa Health Care increased by 31.7 points after adopting the Evidently EHR summary tool.
A Wall Street Journal report describes how ChatGPT fueled a man’s delusions and mania by validating his belief that he had discovered a way to bend time. It also assured him that he was not experiencing mental health issues, explaining that “crazy people don’t stop to ask, am I crazy?” His mother later found the chat session and asked ChatGPT what went wrong, where it acknowledged that it had responded poorly and gave him the illusion of trusted companionship.
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Senate Committee Approves FY 2026 MilCon-VA Appropriations Bill
The Senate Appropriations Committee approves a bill that allocates $3.5 billion to the VA to restart its Oracle Health implementation.
Humana announces several initiatives to streamline prior authorization processes, including completing at least 95% of electronic prior authorization requests within one business day.
Charta Health Raises $22 Million Series A to Rebuild the Backbone of Healthcare Operations with AI
AI-enabled chart review software vendor Charta Health raises $22 million in a Series A funding round.
The Senate Appropriations Committee approves a bill that allocates $3.5 billion to the VA to restart its Oracle Health implementation.
The committee also approved $5.9 billion for the VA’s ongoing IT costs.
None scheduled soon. Contact Lorre to have your resource listed.
Laizer Kornwasser, MBA (Teladoc Health) joins DrFirst as CEO.
RLDatix names Walter Loiselle (Success Consulting Partners) SVP of global operations.
Ethan Berke, MD, MPH (Optum) joins Teladoc Health as chief medical officer and SVP of integrated care.
Vizient names Arun Ramasubramanian (Optum) president of its Data and Digital business unit.
Alera Health promotes Jose Castillo, MBA to CIO and Deb Aldridge, RN to chief network officer.
Campbell County Health (WY) goes live on Epic. The implementation, first announced in 2021, was delayed several times as the hospital worked to gain firmer financial footing.
Patterson Health Center (KS) rolls out Oracle Health CommunityWorks and Clinical AI Agent technologies.
Slingshot AI launches Ash, an AI therapy app, along with additional Series A funding that brings its total to $93 million.
A new KLAS report on public cloud providers finds that cloud usage by health systems is widespread, but 40% of responding organizations still have at least 90% of their infrastructure on premises. Microsoft Azure is most commonly used, but AWS is seen as offering stronger value and healthcare expertise. The chief use case is EHR migration, primarily Epic.
CMS will hire 100 employees at its Innovation Center, which was established in 2010 to develop and pilot new care delivery and payment models. The center is reportedly looking for economic, clinical, and data subject-matter experts.
Lovell FHCC, which is jointly operated by the VA and Department of Defense, reports that it has increased lung cancer screenings by 75% since implementing population health outreach using Oracle Health’s wellness registry.
RWJBarnabas Health’s Jersey City Medical Center will use Dimer Health’s remote patient monitoring and virtual care services during a six-month pilot designed to reduce readmissions and ER visits for 500 uninsured patients.
This is one of the lamer uses of ChatGPT that I’ve seen.
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CMS Innovation Center plans hiring spree after cuts
CMS is reportedly looking to hire 100 employees at its Innovation Center, which was established in 2010 to develop and pilot new care delivery and payment models.
TechMatter Acquires DoctorPapers to Expand Its Healthcare RCM Footprint
Health IT services and staffing company TechMatter acquires billing, coding, and virtual staffing vendor DoctorPapers.
Joel Klein, MD (University of Maryland Medical System) will join Hackensack Meridian Health (NJ) in September as chief digital information officer.
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