>Every healthcare provider organization likes to believe that they're a special snowflake with unique requirements
Very, very true in my experience. But it isn't as crazy as it sounds on the surface. Very little of what hospitals do is truly evidence based. So we can say, well Duke does this or Cleveland Clinic does that, but maybe your hospital doesn't have the resources of a top 10 hospital and you can't make their protocols work. Or your patient population is different.
For me, the root problem goes back to difficulty in automating data analysis that truly "understands" outcomes. Even with full EMR data good luck assessing the outcome of a given therapy in a scientific, controlled way.
Very, very true in my experience. But it isn't as crazy as it sounds on the surface. Very little of what hospitals do is truly evidence based. So we can say, well Duke does this or Cleveland Clinic does that, but maybe your hospital doesn't have the resources of a top 10 hospital and you can't make their protocols work. Or your patient population is different.
For me, the root problem goes back to difficulty in automating data analysis that truly "understands" outcomes. Even with full EMR data good luck assessing the outcome of a given therapy in a scientific, controlled way.