Digital health’s last mile problem

The digital health landscape suffers from a highly fragmented ecosystem of point solutions and a surfeit of big technology firms with no real solutions to deploy with speed and scale. However, there are a few ways to address the challenges.

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In my book, The Big Unlock, I describe the four major categories of technology providers as Custodians, Enablers, Arbitrageurs and Innovators. Each of these categories of providers has staked a claim to reimagining the digital future of healthcare.

First, the Custodians: These are the big electronic health record (EHR) vendors like Epic and Cerner who have the data and the workflow. As systems of record, they enjoy the long-term strategic commitment of the health systems they serve and are the first port-of-call whenever a health system decides to enable new functionality for enhancing the patient and caregiver experience. 

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