Work in healthcare long enough and you start see certain issues as perennial favorites. There are two factors that contribute to the “popularity” of these kinds of “favorites.” First, they are important clinically or financially, or both. Second, they include stubborn problems that are resistant to change. Ask a seasoned healthcare veteran and they can probably reel off a series of them.

When the U.S. Department of Veterans Affairs (VA) announced it was going to migrate to Cerner’s EMR, the same system being adopted by the Department of Defense (DoD), many assumed that this will result in seamless exchange of data that will improve care while reducing cost and hassle. Perhaps, but notice that Secretary Shulkin was careful to insert the word “ultimately” into the statement above. This is an acknowledgement that simply deploying the same EMR won’t fix the problems. In my opinion, if the VA and DoD don’t simultaneously pursue robust interoperability based on APIs, “ultimately” could easily become “never.” This is true for virtually all private health systems as well.

We hold these truths to be self-evident, that our healthcare system needs innovation for better quality, safety, cost-effectiveness and satisfaction, that information technologies are an essential part of innovation, that among these technologies are mobile, personalized, reliable, secure, and user-friendly applications that easily exchange data – That to secure this innovation, Sansoro Health instituted Emissary, deriving its just powers from APIs that plug-and play to provide real-time bilateral data exchange between innovative applications and EMRs, – That whenever any Form of App becomes destructive of these ends, it is the Right of the People to alter it, and to institute new Apps that improve their Health.

The way we pay for healthcare services is transitioning from the old Fee-for-Service model, to a new model often referred to as Value-Based Care. Under the traditional model, healthcare providers were paid for “doing stuff” with little regard for the actual result. I do not mean to imply that providers didn’t care about results but rather, at least when it came to compensation, outcomes weren’t much of a factor. Augment this with a lack of transparency in pricing and you have a good recipe for rapidly rising healthcare costs. And that’s just what we got.