When I started my Health IT career in 1998, most healthcare organizations selected vendor applications based on which one provided the best workflow solution for their staff at the best price and value. This “best of breed” approach gave very little consideration to EMR integration or the challenge of sharing information between the vendor solution and the core EMR. Then, in a rapid shift, the healthcare industry swung the pendulum to selecting a “vendor of choice” for not only the core EMR but for all related applications. But in this current environment, we find ourselves with the inability to easily integrate 3rd party vendor solutions with the EMR and therefore data is trapped and innovation is stifled.