NerdMDs StackBytes #7

In this episode of NerdMDs Stack Bytes, Adam Carewe discusses his shift in perspective regarding the importance of integration in health IT. He confesses that his previous belief—that tools must integrate directly with EHR systems like Epic to be valuable—was incorrect. He now argues that with the advent of generative AI, the next wave of successful tools will be intelligent rather than solely integrated. Carewe highlights examples like OpenEvidence, which operates outside traditional EMRs but provides significant value through features like evidence search, differential support, and note generation. He introduces the concept of "intelligent clinical companions" that guide clinicians through conversations, intake, and clinical decision support, suggesting that healthcare leaders should prioritize tools that deliver substantial value even without deep integration, similar to how physicians adopted iPhones despite initial institutional resistance.