

HIMSSCast: Breaking down silos by uniting primary and specialty care
May 16, 2025
Donish Qureshi, Founder and CEO of Zarmina Lee Pediatrics, shares his inspiring journey as a healthcare entrepreneur driven by personal challenges in pediatric care. He discusses the urgent need to streamline care coordination for children with complex health needs. Qureshi highlights the obstacles in sharing patient information among specialists and emphasizes the importance of breaking down silos between primary and specialty care. He envisions a unified healthcare model that leverages technology to provide equitable and effective solutions for young patients across the nation.
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Personal Pediatric Care Challenge
- Donish Qureshi's daughter was diagnosed with an autoimmune disorder, exposing gaps in pediatric care coordination.
- Specialists worked in silos even within the same health system, burdening parents with care coordination.
EHR Access Isn't Enough
- Even if pediatric specialists share EHR access, collaboration remains difficult due to departmental silos.
- Heavy clinical workloads further limit specialists' ability to coordinate care effectively.
Healthcare Silos Are Widespread
- Silos in healthcare collaboration exist broadly beyond pediatrics, worsening between health systems and community physicians.
- Breaking these barriers is key to delivering coordinated outpatient pediatric care nationwide.