title: Reflections on the Yearbook from the 1990's to the Present.
abstract: The authors highlight IMIA's progress over the past twenty years as a key bridging organization that translates health informatics theory into practice. In contrast, they describe that electronic health record (EHR) systems built in the 20th Century are not meeting the needs of clinical users. Moreover, these EHRs are not architected to keep pace with the rapid changes in the evolving health ecosystem. They conclude that 21st Century health IT systems need to be architected into an ecosystem-wide suite of interacting complex adaptive systems that support individuals, clinicians, managers and policy-makers with the high value/high usability computing paradigm that dominates the Internet today.
authors.affiliation: Marion J. Ball Ed.D, Senior Advisor, Research Industry Specialist, Healthcare Informatics, IBM Research, Professor Emerita, Johns Hopkins University, 5706 Coley Court, Baltimore, Maryland 21210, USA, Tel: +1 410 433 7110, Fax: +1410 433 6314, Cell: +1443 802 5490, E-mail: marionball@us.ibm.com.
authors.forename: M J
authors.initials: MJ
authors.lastname: Ball
authors.forename: J S
authors.initials: JS
authors.lastname: Silva
mesh_terms: D049673:History, 20th Century; D049674:History, 21st Century; D008490:Medical Informatics / Q000266:history*; D010506:Periodicals as Topic / Q000266:history* / Q000639:trends; D012955:Societies, Medical / Q000266:history*
keywords: EHRs; Health ecosystem; Internet of Things; complex adaptive system; high value / high usability paradigm