An important message for healthcare. The future is not running your own data centres. It is meaningful data operated upon by stateless cloud-based logic, created by humans and machines, stitched together declaratively, with analytics pipelines & not just single data repositories.
But not clear to me that policy-makers or industry have the foresight to embrace this new future, the next generation of electronic health systems, in which data drives decisions for direct care, service design, quality improvement, research & design of the systems themselves.
The break from data and its storage or transmission, from the logic that operate upon it, is an enormously powerful strategy requiring a major change in approach, but hugely disruptive creating entirely new marketplaces and ecosystems.
To be fair, the change might seem too risky and unproven to some, and it needs investment by organisations who have 'technology at their core' but in the meantime, health IT lags decades behind other fields and patients and professionals lose out.
The fundamental question is, can the public sector ever be that 'organisation with technology at its core', or can that only happen in the private sector? With public sector traditionally risk-averse, & decision-makers lacking technology know-how, how can the journey even start?
