Adi Smith wrote:
> Tim Churches wrote:
>  
>> I'll happily bet that within 2 years Google will unilaterally come up
>> with a Web-based EHR
>> They'll fund all this out of their own deep pockets.
> 
> Why build when they can acquire? They already have a working
> relationship with one vendor and a rich history of growth by
> acquisition:
> 
> http://www.healthcarefinancenews.com/story.cms?id=6223
> 
> I suspect Google is just biding their time to see if the adsense
> supported EMRs business model yields a profit.

I doubt that Google is interested in providing EHR/EMR systems targeted
at doctors. Google is interested in consumers, the 1.1 billion people
worldwide (a sixth of the world's population, and rising) with Internet
connections. They'll provide an API so that physician-oriented
information systems can exchange data with Google Health, but their aim
won't be to replace clinical information systems - such systems are far
too specialised and niche and Google isn't interested in specialised
niches, I think.

On a related subject, Google recently released, as open-source, a first
version of their "Google Gears" framework, which makes it easier to
develop Web-based applications which work online *and* offline, quite
transparently. The applications don't have to use any Google
infrastructure, though - they have just provided a software toolkit for
application construction. Not hard to imagine a Web-based
consumer-oriented EHR which stores copies of a user's data locally for
use offline, and which automatically synchronises in both directions
when back online. All running from an encrypted USB memory stick costing
perhaps $50. Such an application is just waiting to be built. The
primary data store is online, on a Web-connected server. If a GP or lab
needs to update the EHR, those updates are done via the Web to the
online version. If the consumer wants to view or update their records,
they can do so online or offline, with both the online and offline
copies of their data automatically updated. If they lose their memory
stick, just get another one and resynchronise with the primary online
data store. No need for expensive specialised smart cards, no need for
smart card readers, no need for the consumer to plug their memory stick
into their health providers' computers in order for them to be updated.

So how about CARDIAB data managed online and offline via a Google Gears
application? Anyone interested in applying for a collaborative ARC grant
to undertake such a project should contact me to discuss.

Tim C
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