Imagine taking care of 15 patients a day. And you've never met them before. And coordinating care among three shifts of nurses, labs and specialists. That is the plight of the hospitalist.
HealthIT 1.0 has failed them. Patient histories from multiple sites of care? Disparate PAC systems, care coordination? Medication reconciliation? There are bits and pieces but no system does it all.
Instead the 1.0 vendors try to bolt on new functionality to very old legacy systems. Epic is based on MUMPS that was developed in 1967. And they are the leaders.
The next generation 2.0 vendors will disrupt the establishment by focusing exclusively on the physician / care providers and the patient. And we're seeing examples of this from outfits like Doximity, Practice Fusion, Hello Health and Image32.
It will get better.