A recent article in HealthAffairs describes a significant decline in the number of both operational HIEs and HIEs in the planning stage from several years earlier. The authors note continuing barriers to broad-based HIE and a shift to vendor-driven exchange which diminishes the effectiveness of community-based networks. In effect, this translates to a shift away from geographic-based/dominated HIEs to product-dominated HIEs. We have already noted (see The Interoperability of Things) the lack of a national strategy on HIE, and ONC’s Nationwide Interoperability Roadmap barely mentions the concept.
Blackpool Teaching Hospitals NHS Foundation Trust has selected an open source electronic patient record (EPR) called openMAXIMS from healthcare software provider IMS MAXIMS, to improve the recording and sharing of patient data across its hospital and community sites. The open source approach is expected to save the trust several million pounds in licence fees and future development costs, while also providing more control on how the software is developed in line with the hospital’s needs. Implementation started in December 2015 and once rolled out, Blackpool will become the third NHS trust to deploy the IMS MAXIMS open source EPR.