Zus as platform for EHRs

Diving deeper into

Brendan Keeler, Senior PM at Zus Health, on building infrastructure for digital health

Interview
we're actually the platform, and we want EHRs to come and build on Zus
Analyzed 3 sources

This signals that Zus is trying to move up a layer from selling tools to digital clinics, to becoming the underlying operating system that other healthcare software sits on top of. The logic is simple. If Zus can own the shared patient record, care team workflows, and API layer, then niche EHRs can use Zus as plumbing instead of rebuilding data ingestion, collaboration, and interoperability from scratch.

  • Zus started with virtual first providers because incumbent EHRs were built around visits, claims, and hospital workflows, not ongoing digital care. Its core product combined a patient 360 record with care plan and task workflows, exposed through both UI and APIs.
  • The strategic bet is that better collaboration becomes a wedge into traditional care. If a patient can move between multiple Zus powered providers and have one continuous care experience, that creates pressure on legacy practices to join the same network rather than stay stuck in siloed systems.
  • The closest comparison is not a classic EHR vendor but newer healthcare platforms like Commure, which expanded from integration software toward a broader hospital stack. The difference is that Zus is approaching the market from digital health builders first, while Commure assembled an all in one suite for health systems through acquisitions.

If this works, healthcare software starts to split into infrastructure and interface layers. Zus would own the shared data model and workflow backbone, while specialized EHRs and apps own the front end for dermatology, direct primary care, mental health, and other niches. That would give new entrants a faster path to market and make incumbent EHRs look more like distribution partners than system owners.