Barriers to Achieving Economies of Scale in Analysis of EHR Data. A Cautionary Tale.


Journal Article

Signed in 2009, the Health Information Technology for Economic and Clinical Health Act infused $28 billion of federal funds to accelerate adoption of electronic health records (EHRs). Yet, EHRs have produced mixed results and have even raised concern that the current technology ecosystem stifles innovation. We describe the development process and report initial outcomes of a chronic kidney disease analytics application that identifies high-risk patients for nephrology referral. The cost to validate and integrate the analytics application into clinical workflow was $217,138. Despite the success of the program, redundant development and validation efforts will require $38.8 million to scale the application across all multihospital systems in the nation. We address the shortcomings of current technology investments and distill insights from the technology industry. To yield a return on technology investments, we propose policy changes that address the underlying issues now being imposed on the system by an ineffective technology business model.

Full Text

Cited Authors

  • Sendak, MP; Balu, S; Schulman, KA

Published Date

  • August 9, 2017

Published In

Volume / Issue

  • 8 / 3

Start / End Page

  • 826 - 831

PubMed ID

  • 28837212

Pubmed Central ID

  • 28837212

Electronic International Standard Serial Number (EISSN)

  • 1869-0327

International Standard Serial Number (ISSN)

  • 1869-0327

Digital Object Identifier (DOI)

  • 10.4338/ACI-2017-03-CR-0046


  • eng