Summary
The authors highlight IMIA’s progress over the past twenty years as a key bridging
organization that translates health informatics theory into practice. In contrast,
they describe that electronic health record (EHR) systems built in the 20th Century
are not meeting the needs of clinical users. Moreover, these EHRs are not architected
to keep pace with the rapid changes in the evolving health ecosystem. They conclude
that 21st Century health IT systems need to be architected into an ecosystem-wide
suite of interacting complex adaptive systems that support individuals, clinicians,
managers and policy-makers with the high value/high usability computing paradigm that
dominates the Internet today.
Keywords
Health ecosystem - EHRs - complex adaptive system - high value / high usability paradigm
- Internet of Things
