[pajuc]

Great article, very true.

"For some reason, corporate legibility tools often have poor UX for those who interact with them who are not administrators."

That's because administrators decide which of these tools to use and buy. Tools then focus on pleasing them first. This reminds me of a similar situation with doctors. Some years back there was a great article in the New Yorker called Why Doctors Hate Their Computer. There is a similar dynamic where doctors waste hours on documentation that is then read by hospital administrators who then base their decisions on that. To the administrators this is great, they can see patterns and react to them. To the doctors, not so much.

[Floegipoky]

In my experience (not the views of my employer) the most important stakeholder for an EHR is the ONC (federal government). Design-by-committee requirements with the happy coincidence of making it almost impossible to innovate or disrupt the industry. They change all the time, requiring a ton of dev effort just to stay in business, which favors giant companies who can afford that "rent". Next is health system administrators (whoever decides whether or not to buy, directly affecting revenue growth). Next is insurance companies. For the amount of revenue they pull in, a shocking amount of practices/hospitals/etc are so financially insecure that if the payers drag their feet for even a short period it can put them out of business. Actual healthcare providers and patients are too low on the list and it sucks.