15 years or so pursuing a strategy for electronic patient records through integration and evolution. The aim is a seamless user experience with full decision support and data sharing. This is a challenge for integration.
Very interested in direct patient to secondary care interaction via secure web and messaging, and developed a platform at UHS called My Medical Record that is used by a number of NHS organizations. Patients are now benefiting from reduction in unnecessary appointments, and can communicate directly with clinicians. Surely a federated identity for a patient is the future, as opposed to the many individual web sites that are springing up?
Believer in open platforms, vendor neutral data, and that FHIR is the way forward for clinical applications.
Currently  chair of the Digital Health CIO network. Member of the INTEROPen board. Member of NHS electronic referral advisory board. Member of KLAS advisory board.