I am a huge fan of breaking down what I like to call “cylinders of excellence" instead of “silos”. I think we have to have data sharing, an ability to share data across jurisdictions, even from community into acute care, so we can get to that practical research that's timely and can inform the needs of public health and public health service delivery.
I think the fragmentation of data we have, the lack of interoperability, even sometimes across the street, and being unable to access data for our patients harms patients. Access to data and interoperability will, in fact, save lives.