Just so. If there was a standard for medical records storage, as there is for electronic billing for medical services, it would provide a much greater incentive to join the pool. As it is, installing a medical records system from the Mrs. Grace L. Ferguson Medical Records and Storm Door Company (credit:
Bob Newhart) might get your medical practice an electronic records system, but interchange with the hospital you admit your patients to? So sorry, just fax us the hard copy and we'll re-enter the data here.
I once asked the CIO of a major medical facility (top 10 in the nation in many treatment areas) why credit cards from ANY issuer will work in EVERY little swiper in the world (some but not egregious exaggeration) but medical records from his facility had to be printed and transferred via sneaker-net whenever a patient moved across town to a different hospital. His answer: The Fed insisted on standards for credit cards, and healthcare doesn't have a Fed. Realmolo has it right - but the benefits
to patient care of a standard system are not adding to anyone's profit, so are ignored. And the patchwork we have today offers scant prospects for improvement to a small, or medium practice. Hence old systems abound, and paper systems still flourish, as they're "good enough".