The Evolution of Healthcare Registries from Traditional to Next-Generation

Increased Complexity Demands Novel Capabilities

By: Leon Rozenblit, JD, PhD and Steven Labkoff, MD, FACP, FACMI, FAMIA

Visualizing The Evolution of Healthcare Registries

Healthcare registries have grown in complexity in response to three drivers: the need for agility, longitudinally, and multi-modality. The cumulative impact of these drivers has been multiplicative, necessitating a new approach that we, borrowing from emerging industry practice, call "next-generation registries."

Figure 1. Approximate Relative Positioning of Traditional Registry Applications and Next-Generation Registries Along the Three Dimensions of Registry Complexity: Longitudinality, Multi-Modality, and Agility.

Capabilities Required to Create Next-Generation Registries

Planning, delivering, managing, and sustaining next-generation registries requires an extensive suite of capabilities at the program, technology platform, and research initiative layers.

Figure 2. Capabilities Need to Plan, Execute, and Sustain Next-Generation Registries. Double-line links between pairs of items show close direct dependencies.