On fixing fragmented care.
Essays, field notes, and arguments from the team building the intelligence layer for healthcare data. Discover deep dives into interoperability, patient ownership, and the future of connected care.

Kill the Clipboard, one year in.
A year after 60 companies pledged to kill the clipboard, the pipes are measurably better and the scoreboard is empty. What CMS published, what it has not — including how sixty percent was calculated — and why the harder problem starts after the record arrives.

Fifteen hours in a city full of hospitals.
A fever in Mexico City, a hospital chosen off a bad list, and a full medical history sitting in seven cities that couldn't reach the room. Why a record that exists still isn't real until it arrives.

When the chart doesn't follow the patient.
Every fall, the snowbirds head south on I-75 and their medical records stay behind. A story about Carol, two good doctors, and the layer that was never built.
