The United States of America, as a matter of policy, elected to install Health Information Technology known to be obsolete and then fix it later.   In recent years clinicians and clinical enterprises have experienced the predicted hazards and burdens of this policy decision, which, unfortunately, many of their numbers supported.      Patient care has suffered, as has the country as a whole.    Nonetheless, America has always incubated its next generation in quiet, out of the way places.    Sort through the noise about Big Data and AI and you’ll find a solid few who are creating measurably-better, continuously improving health and well-being.    Joining them are those who aren’t looking for handouts to perpetuate failure but solid business processes to make the new American community, where all thrive striving.

With lessons learned over 15 years of experience in preventing information failure, Trustworthy EHR is again launching its contributions to the improvement of well-being amidst patient care service fitness in the U.S.   Our main area of interest and expertise is evaluating and measurably improving the electronic patient care record’s fitness for use through data quality assurance and attendance to 300+ years cultural knowledge of records trust.

For clinicians, these can be challenging times.  Having failed to deliver improvement in U.S. healthcare, we’ve seen the odd exception as a base on which to build.  Trustworthy’s purpose to capture that intent, and mapping it to the implementation of measurable improvements in the accuracy, reliability, and trustworthiness for the purposes of patient care first.  It is Trustworthy’s assertion that all derivative benefits projected from HIT are enabled and strengthened by an effective patient care record.

We are all in this together both as actors and as intended beneficiaries as we experience changing times managing how our healthcare services industry provides care for our citizens, neighbors, our friends, families, and ourselves.

For a humorous retrospective on one of the original failure drivers, the “Meaningful Use” Program, please see our YouTube video at

In the weeks and months ahead we will point to initiatives and peer-reviewed publications that point to how to navigate these times, aligning your patient care objectives with the often confusing and cross-purposes such as those represented by “Meaningful Use”.

Whatever systems you have in place, especially those in the hands of nurses, doctors, and other providers at the patient’s bedside, make sure they are trustworthy.

RDGelzer, MD, MPH
Trustworthy EHR, LLC
Newbury, NH and Philadelphia, PA

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