Implementing Electronic Health Records: An Update

Size: px
Start display at page:

Download "Implementing Electronic Health Records: An Update"

Transcription

1 Implementing Electronic Health Records: An Update Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (10)2007 Author(s): Petigara, Tanaz and Gerard Anderson Health Policy Issues: New Technology, System Organisation/ Integration, Political Context, Funding / Pooling, Quality Improvement, Remuneration / Payment, Responsiveness Current Process Stages Idea Pilot Policy Paper Legislation Implementation Evaluation Change 1. Abstract In April 2004, President Bush announced his intent to provide Americans with electronic health records by The Office of the National Coordinator for Health Information Technology (ONCHIT) was established within the Department of Health and Human Services to develop and implement a strategic plan to guide this effort. This report provides an update on the progress of ONCHIT and HHS in meeting the President's objective. 2. Purpose of health policy or idea In July 2004, the Office of the National Coordinator for Health Information Technology (ONCHIT) and the Secretary of Health and Human Services (HHS) released the Framework for Strategic Action, which outlined 4 goals to advance the President's objective of providing Americans with electronic health records by The Government Accountability Office has been tracking the progress of ONCHIT and HHS. The following is a description of key actions and progress: Goal 1: Accelerate adoption of EHRs 1. The Certification Commission for Healthcare Information (CCHIT) was formed to develop a certification process for interoperable HIT products. CCHIT has certified 22 ambulatory care products. Ensuring the interoperability of HIT products reduces the risk of investment for physicians. 2. HHS issued new regulations which eased restrictions on physicians accepting donation of HIT products. 3. HHS awarded the Gulf Coast Electronic Digital Health Recovery contract to promote the use of EHRs in region affected by recent hurricanes. Providers are encouraged to implement EHRs as they rebuild the medical records of affected patients. 4. HHS awarded a contract to develop a standardized methodology to track the adoption of EHRs. The baseline for current EHR use was esttimated at 10 percent. Future progress will be compared to this baseline. Goal 2: Build an interoperable health information exchange infrastructure 1. The American National Standards Institute (ANSI) was awarded a contract to establish interoperability - 1 -

2 standards for HIT products. The standards recommended by ANSI will be intergrated into products used by federal health care delivery systems. 2. HHS awarded contracts to develop a Nationwide Health Information Network (NHIN). The NHIN will allow providers and consumers to access their health information even if the information is dispersed among disparate sources. Goal 3: Personalize health care by promoting Personal Health Records and consumer choice 1. Prototypes of the NHIN have functional requirements which will support personal health records. 2. Medicare beneficiaries have access to a beneficiary portal which allows them to view their claims, services and procedures, and benefits. Goal 4: Improve public health surveillance systems 1. Interoperability standards developed by ANSI include standards for sharing clinical information with public health agencies within 24 hours. 2. The Gulf Coast project will also facilitate the use of electronic health records by emergency responders. In 2005, the Secretary of HHS commissioned a Federal advisory body, the American Health Information Community (AHIC), to provide recommendations to HHS on achieving the President's goals. In 2008, the AHIC will transition into the private sector. HHS has also taken several steps to address privacy and security issues. For example, HHS has awarded contracts to 33 states and Puerto Rico to perform an assessment of state laws concerning privacy and security, and how they will affect the implementation of an interoperable health information exchange. However, the GAO found that HHS has not yet developed a comprehensive national strategy concerning privacy and security. Main objectives Provide interoperable Electronic Health Records to Americans by 2014; Develop a nation-wide health information exchange infrastructure; Empower consumers to manage their care; Improve public health surveillance systems. Type of incentives Financial and non-financial. Groups affected Providers, consumers, congress, insurers 3. Characteristics of this policy Degree of Innovation traditional innovative Degree of Controversy consensual highly controversial - 2 -

3 Structural or Systemic Impact marginal fundamental Public Visibility very low very high Transferability strongly system-dependent system-neutral EHR adoption in the United States lags behind that of other industrialized countries. Federal leadership is essential to accelerate adoption, but must be accompanied by funding to assist providers. 4. Political and economic background President Bush's goal of providing EHRs to Americans by 2014 is part of a national Technology Agenda to promote innovation and technology. Despite the known benefits of EHRs, their adoption in the United States has been slow compared to other countries due to high implementation costs for physicians, benefits which accrue mainly to payers and purchasers, and lack of interoperability. The strategies developed by ONCHIT/HHS address some of these barriers. Change based on an overall national health policy statement President Bush's Technology Agenda 5. Purpose and process analysis Idea Pilot Policy Paper Legislation Implementation Evaluation Change Origins of health policy idea The health care system in the United States faces several challenges including preventable medical errors, variations in health care quality, and administrative inefficiencies. President Bush's Technology Agenda was motivated in part by the recognition that HIT is an important tool in addressing many of these problems. Benefits to the consumer include reduction in medical errors, decrease in paperwork, higher quality care, and better access to personal health care information. The public health system will benefit from improved disease surveillance, quality measurement, and evaluation of programs and interventions. The goals of the President and HHS build on previous recommendations and projects by the Institute of Medicine, the National Committee on Vital and Health Statistics, and private foundations such as the Markle Foundation and the Robert Wood Johnson Foundation. Initiators of idea/main actors Government: The Bush administration initiated this policy, and continues to support a Federal role to accelerate the adoption of HIT in the United States. HIT receives bipartisan support from Democrat and Republicans in Congress. Providers: Concerned that it will add to costs and physicians will not be given adequate compensation. Hospitals want to control the process to increase market share. Payers: Insurers are supportive of EHRs but do not want to bear the full implementation costs for physicians; benefits come through increased administrative efficiency and care coordination, reductions in duplicate tests - 3 -

4 and medication errors. Patients, Consumers: Consumers are supportive of EHRs, but concerned about privacy and security of their health care information. Approach of idea The approach of the idea is described as: renewed: Public and private organizations have previously recommended implementing electronic health records. Innovation or pilot project Pilot project - In addition to this federal initiative, advances are also occurring at the State level. Massachusetts recently partnered with Blue Cross/Blue Shield in a $50 million effort to implement EHRs in 3 cities. Stakeholder positions Following President Bush's announcement, the Secretary of HHS and the National Coordinator released a report, "The Decade of Health Information Technology: Delivering Consumer-Centric and Information Rich Health Care - A Framework for Strategic Action". Congress and other stakeholders were supportive of this report. Actors and positions Description of actors and their positions Government President of the United States very supportive strongly opposed Congress very supportive strongly opposed Providers Physicians very supportive strongly opposed Hospitals very supportive strongly opposed Payers Insurers very supportive strongly opposed Patients, Consumers Consumers very supportive strongly opposed Influences in policy making and legislation The Wired for Health Care Quality Act 2005 was introduced and passed in the Senate, but could not be reconciled with the House version. The bill was reintroduced in the Senate in June It would codify the position and office of the National Coordinator for Health Information Technology. However, several features of the bill are not supported by the Bush Administration. In a letter to the Subcommitte on Health, Education, Labor, and Pensions (HELP), Secretary Leavitt opposed among others, retaining the AHIC in the public sector, and providing grants and loans to assist providers in adopting HIT. HELP has passed the bill, and it will now be considered by the full Senate. Legislative outcome pending Actors and influence Description of actors and their influence Government President of the United States very strong none - 4 -

5 Congress very strong none Providers Physicians very strong none Hospitals very strong none Payers Insurers very strong none Patients, Consumers Consumers very strong none Positions and Influences at a glance Adoption and implementation N/A Monitoring and evaluation The Wired for Health Care Quality Act 2007 will require that ONCHIT develop performance measures to evalute its progress. Recent GAO reports have found that ONCHIT currently lacks these measures. Review mechanisms n/a - 5 -

6 6. Expected outcome While progress has been made in several key areas, the GAO found that ONCHIT lacked detailed plans and performance measures needed to ensure that the President's goal will be met by It is unclear whether this goal will be achieved, or what can be expected by In addition, analysis of both the 2005 and 2007 bills by the Commonwealth Fund suggests that the funding required to accelarate the widespread adoption of HIT in the United States continues to be insufficient. Quality of Health Care Services marginal fundamental Level of Equity system less equitable system more equitable Cost Efficiency very low very high There is growing evidence that electronic health care records can improve quality, improve efficiency, and control costs. This policy can have a significant impact on the U.S. health care system. 7. References Sources of Information Bates, D. "Physicians And Ambulatory Electronic Health Records". Health Affairs 24 (5) Jha, A., Ferris, T., Donelan, K., DesRoches, C., Shields, A., Rosenbaum, S., and D. Blumenthal. "How Common Are Electronic Health Records in the United States? A Summary of the Evidence". Health Affairs Web Exclusive 496. October U.S. Department of Health and Human Services. Health Information Technology Initiative. Major Accomplishments: No date. United States Government Accountability Office. Health Information Technology: HHS is Continuing Efforts to Define Its National Strategy. September United States Government Accountability Office. Health Information Technology: Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy. January The White House. Promoting Innovation and Competitiveness: President Bush's Technology Agenda innovation.pdf Anderson, GF., Frogner, BK., Johns, RA., and UE. Reinhardt. "Health care spending and use of information technology in OECD countries". Health Affairs 25(3) 2006 May-Jun Davis, K., Collins, S., and J. Kriss. An Analysis of Leading Congressional Health Care Bills: Part II: Quality and Efficiency. The Commonwealth Fund. July Author/s and/or contributors to this survey Petigara, Tanaz and Gerard Anderson - 6 -

7 Suggested citation for this online article Petigara, Tanaz and Gerard Anderson. "Implementing Electronic Health Records: An Update". Health Policy Monitor, October Available at -

Health Information Technology Initiative

Health Information Technology Initiative U.S. Department of Health and Human Services Health Information Technology Initiative Major Accomplishments: 2004-2006 In 2006, HHS achieved several major milestones to meet the President s call for most

More information

Accountable Care Organizations and Health Reform

Accountable Care Organizations and Health Reform Accountable Care Organizations and Health Reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):

More information

Implementing work accident and illness insurance

Implementing work accident and illness insurance Implementing work accident and illness insurance Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (10)2007 Author(s): Agris Koppel, Ain Aaviksoo Health Policy Issues:

More information

Program of All-Inclusive Care for the Elderly

Program of All-Inclusive Care for the Elderly Program of AllInclusive Care for the Elderly Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (13) 2009 Author(s):

More information

Pre-existing condition coverage post-health reform

Pre-existing condition coverage post-health reform Pre-existing condition coverage post-health reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):

More information

The Decade of Health Information Technology Framework for Strategic Action

The Decade of Health Information Technology Framework for Strategic Action The Decade of Health Information Technology Framework for Strategic Action Office of the National Coordinator for Health Information Technology Health Information Technology Today s Presentation: I. Background

More information

Electronic prescriptions and patient records

Electronic prescriptions and patient records Electronic prescriptions and patient records Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (9)2007 Author(s): Lauri Vuorenkoski, STAKES Health

More information

SHARP: An ONC Perspective 2010 Face-to-Face Meeting

SHARP: An ONC Perspective 2010 Face-to-Face Meeting SHARP: An ONC Perspective 2010 Face-to-Face Meeting Wil Yu, Special Assistant, Innovations and Research Wil.Yu@HHS.gov Office of the National Coordinator for Health Information Technology (ONC) President

More information

Update on the Integrated Hospital-Community EMR

Update on the Integrated Hospital-Community EMR Update on the Integrated Hospital-Community EMR Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (12) 2008 Author(s): Nirel, Nurit and Revital Gross Health Policy

More information

Performance Payment for Family Physicians

Performance Payment for Family Physicians Performance Payment for Family Physicians Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (6)2005 Author(s): Ain Aaviksoo Health Policy Issues: Remuneration / Payment

More information

United States HIT Case Study

United States HIT Case Study center for health and aging Health Information Technology and Policy Lab Howard Isenstein, Vice President for Public Affairs and Quality, Federation of American Hospitals Summary U.S. adoption of health

More information

Benchmarking hospital productivity

Benchmarking hospital productivity Benchmarking hospital productivity Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (7)2006 Author(s): Miika Linna Health Policy Issues: System Organisation/

More information

Universal Dental Health Scheme

Universal Dental Health Scheme Universal Dental Health Scheme Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (13) 2009 Author(s): Gallego,

More information

CRS Report for Congress

CRS Report for Congress Order Code RS22310 October 28, 2005 CRS Report for Congress Received through the CRS Web Hurricane Katrina: HIPAA Privacy and Electronic Health Records of Evacuees Summary Gina Marie Stevens Legislative

More information

Mandatory deductible in basic health insurance

Mandatory deductible in basic health insurance Mandatory deductible in basic health insurance Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):

More information

Hospital-community electronic medical record

Hospital-community electronic medical record Hospital-community electronic medical record Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (6)2005 Author(s): Nirel Nurit, Rosen Bruce, Gross Revital Myers-JDC-Brookdale

More information

Office of the National Coordinator for Health Information Technology

Office of the National Coordinator for Health Information Technology Office of the National Coordinator for Health Information Technology Kelly Cronin Director, Office of Programs and Coordination Visit our website at: http://www. www.hhs.gov/healthit/ Office of the National

More information

The recently enacted Health Information Technology for Economic

The recently enacted Health Information Technology for Economic Investments in Health Information Technology Driven by HITECH Act Marcy Wilder, Donna A. Boswell, and BarBara Bennett The authors review provisions of the new stimulus package that authorize billions of

More information

Municipal co-payment for health care services

Municipal co-payment for health care services Municipal co-payment for health care services Country: Denmark Partner Institute: University of Southern Denmark, Odense Survey no: (10)2007 Author(s): Ankjær-Jensen, Anni and Terkel Christiansen Health

More information

HCIT and the Stimulus

HCIT and the Stimulus HCIT and the Stimulus The American Recovery & Reinvestment Act of 2009 Derek Schoonover VP & GM, Medisoft & Lytec McKesson Physician Practice Solutions May 19, 2009 Corporate Public Affairs MBA Intern

More information

Recycling Unused Cancer Drugs

Recycling Unused Cancer Drugs Recycling Unused Cancer Drugs Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (13) 2009 Author(s): Elena

More information

Private Health Insurance: more products

Private Health Insurance: more products Private Health Insurance: more products Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s):

More information

Overview of Strategic Actions to Drive HIT Adoption

Overview of Strategic Actions to Drive HIT Adoption Overview of Strategic Actions to Drive HIT Adoption Kelly Cronin Senior Advisor Office of the National Coordinator for Health Information Technology March 2005 Overview Background Critical barriers and

More information

More changes to private health insurance Australia

More changes to private health insurance Australia More changes to private health insurance Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (12) 2008

More information

Hurricane Katrina: HIPAA Privacy and Electronic Health Records of Evacuees

Hurricane Katrina: HIPAA Privacy and Electronic Health Records of Evacuees Order Code RS22310 Updated January 23, 2007 Summary Hurricane Katrina: HIPAA Privacy and Electronic Health Records of Evacuees Gina Marie Stevens Legislative Attorney American Law Division Shortly after

More information

Risk equalizing schemes - the next chapter

Risk equalizing schemes - the next chapter Risk equalizing schemes - the next chapter Country: Slovenia Partner Institute: Institute of Public Health of the Republic of Slovenia, Ljubljana Survey no: (7)2006 Author(s): Tit Albreht Health Policy

More information

HEALTH INFORMATION AND TECHNOLOGY & TRANSITIONS OF CARE

HEALTH INFORMATION AND TECHNOLOGY & TRANSITIONS OF CARE HEALTH INFORMATION AND TECHNOLOGY & TRANSITIONS OF CARE Robert Hunter, DO, FACOEP, FACOFP AOA Health Policy Fellow OMED 2011 Orlando, FL November 1 st,2011 Acknowledgments Ohio Osteopathic Association

More information

A Model for Mental Health Integration

A Model for Mental Health Integration A Model for Mental Health Integration Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (14) 2009 Author(s):

More information

GAO. HEALTH INFORMATION TECHNOLOGY Efforts Continue but Comprehensive Privacy Approach Needed for National Strategy. Testimony

GAO. HEALTH INFORMATION TECHNOLOGY Efforts Continue but Comprehensive Privacy Approach Needed for National Strategy. Testimony GAO For Release on Delivery Expected at 2:00 p.m. EDT Tuesday, June 19, 2007 United States Government Accountability Office Testimony Before the Subcommittee on Information Policy, Census, and National

More information

American Recovery & Reinvestment Act of 2009 Increasing Access to HIT

American Recovery & Reinvestment Act of 2009 Increasing Access to HIT American Recovery & Reinvestment Act of 2009 Increasing Access to HIT Robert Hunter, DO, FACOEP, FACOFP Health Policy Fellowship Class of 2010 Acknowledgments AOA Bureau of Federal Health Programs Ohio

More information

Access to dental care in Australia

Access to dental care in Australia Access to dental care in Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (5)2005 Author(s): Marion

More information

New health insurance system

New health insurance system New health insurance system Country: Netherlands Partner Institute: Institute of Health Policy & Management, Erasmus University Rotterdam Survey no: (4)2004 Author(s): Jos Holland and André den Exter,

More information

Health & the economic crisis: the Australian case

Health & the economic crisis: the Australian case Health & the economic crisis: the Australian case Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (14) 2009

More information

Public insurance for dental care for chidren

Public insurance for dental care for chidren Public insurance for dental care for chidren Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (16)2010 Author(s): Nir Kaidar, Tuvia Horev and Bruce Rosen Health

More information

Generic substitution of prescription drugs

Generic substitution of prescription drugs Generic substitution of prescription drugs Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (2)2003 Author(s): Ilmo Keskimäki and Lauri Vuorenkoski

More information

Supporting Providers to Implement Electronic Health Records Systems and Achieve Meaningful Use

Supporting Providers to Implement Electronic Health Records Systems and Achieve Meaningful Use Supporting Providers to Implement Electronic Health Records Systems and Achieve Meaningful Use Jane Gelbmann Jane.Gelbmann@hhs.gov Office of Provider Adoption Support (OPAS) Office Of the National Coordinator

More information

Health Information Technology in the United States: Information Base for Progress. Executive Summary

Health Information Technology in the United States: Information Base for Progress. Executive Summary Health Information Technology in the United States: Information Base for Progress 2006 The Executive Summary About the Robert Wood Johnson Foundation The Robert Wood Johnson Foundation focuses on the pressing

More information

2. The stable patient case - in case when the circumstances of their health condition are neither sudden nor urgent (causing emergency).

2. The stable patient case - in case when the circumstances of their health condition are neither sudden nor urgent (causing emergency). Criteria to choose patients from waiting lists Country: Poland Partner Institute: Institute of Public Health, Jagiellonian University Medical College, Krakow Survey no: (6)2005 Author(s): Iwona Kowalska

More information

EMR deadline does not compute: Falling short of 2014 goals

EMR deadline does not compute: Falling short of 2014 goals GOVERNMENT & MEDICINE EMR deadline does not compute: Falling short of 2014 goals Although individual physicians have embraced electronic medical record systems, the nation is far from an interconnected,

More information

TECHNOLOGY. Health Information. The final goal of the legislation is to establish an electronic health record (EHR) for every American by 2014.

TECHNOLOGY. Health Information. The final goal of the legislation is to establish an electronic health record (EHR) for every American by 2014. Health Information TECHNOLOGY By Melissa Rutala, MPH Arizona s : An Opportunity to Make Healthcare Higher in Quality and Lower in Costs through Adoption of Electronic Health Records Congress, the executive

More information

GAO. HEALTH INFORMATION TECHNOLOGY HHS Is Pursuing Efforts to Advance Nationwide Implementation, but Has Not Yet Completed a National Strategy

GAO. HEALTH INFORMATION TECHNOLOGY HHS Is Pursuing Efforts to Advance Nationwide Implementation, but Has Not Yet Completed a National Strategy GAO United States Government Accountability Office Testimony Before the Senate Committee on the Budget For Release on Delivery Expected at 10:00 a.m. EST February 14, 2008 HEALTH INFORMATION TECHNOLOGY

More information

Health. for Life. Health information can improve the. Best Information. Better Health Care

Health. for Life. Health information can improve the. Best Information. Better Health Care Health for Life Better Health Better Health Care National Framework for Change Health Coverage for All Paid for by All Focus on We llness Best Information Health information can improve the quality, efficiency

More information

Software Certification for Electronic Health Records: The Certification Commission for Healthcare Information Technology (CCHIT)

Software Certification for Electronic Health Records: The Certification Commission for Healthcare Information Technology (CCHIT) Software Certification for Electronic Health Records: The Certification Commission for Healthcare Information Technology (CCHIT) James J. Cimino, M.D. Columbia University, New York For the Health Information

More information

The Denia Project: Concession for integrated HC

The Denia Project: Concession for integrated HC The Denia Project: Concession for integrated HC Country: Spain Partner Institute: Centre de Recerca en Economia i Salut (CRES), Universitat Pompeu Fabra, Barcelona Survey no: (6)2005 Author(s): Dr. Fidel

More information

Electronic medical records

Electronic medical records Electronic medical records Country: France Partner Institute: Institut de Recherche et Documentation en Economie de la Santé (IRDES), Paris Survey no: (8)2006 Author(s): Chantal Cases, Philippe Le Fur

More information

SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation

SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation SGR Repeal and Medicare Provider Payment Modernization Act of 2015: Timeline of Implementation 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026+ Base Update Jan Jun: 0 July- Dec: 0.5 0.5% 0.5%

More information

AMC/NOMA Article -- Stimulus Package Promotes Health IT Adoption Amy S. Leopard Walter & Haverfield LLP

AMC/NOMA Article -- Stimulus Package Promotes Health IT Adoption Amy S. Leopard Walter & Haverfield LLP AMC/NOMA Article -- Stimulus Package Promotes Health IT Adoption Amy S. Leopard Walter & Haverfield LLP The Obama Administration clearly expects every American to have an electronic medical record by 2014.

More information

a GAO-07-238 GAO HEALTH INFORMATION TECHNOLOGY Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy

a GAO-07-238 GAO HEALTH INFORMATION TECHNOLOGY Early Efforts Initiated but Comprehensive Privacy Approach Needed for National Strategy GAO United States Government Accountability Office Report to Congressional Requesters January 2007 HEALTH INFORMATION TECHNOLOGY Early Efforts Initiated but Comprehensive Privacy Approach Needed for National

More information

GAO. HEALTH INFORMATION TECHNOLOGY HHS is Continuing Efforts to Define a National Strategy

GAO. HEALTH INFORMATION TECHNOLOGY HHS is Continuing Efforts to Define a National Strategy GAO For Release on Delivery Expected at 3:15 p.m. EST March 15, 2006 United States Government Accountability Office Testimony Before the Subcommittee on Federal Workforce and Agency Organization, Committee

More information

National Web Resources related to the Minnesota Model for Adopting Interoperable Electronic Health Records

National Web Resources related to the Minnesota Model for Adopting Interoperable Electronic Health Records related to the Minnesota Model for Adopting Interoperable Electronic Health Records The resources listed below are organized by the Minnesota Model for Adopting Interoperable Electronic Health Records

More information

Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments

Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving Other Incentive Payments (Pub. L. 111 5, Division B, Title IV, Subtitle

More information

MEANINGFUL USE : WHAT DOES IT MEAN? Marty Witrak Shirley Eichenwald Maki Ryan Sandefer

MEANINGFUL USE : WHAT DOES IT MEAN? Marty Witrak Shirley Eichenwald Maki Ryan Sandefer MEANINGFUL USE : WHAT DOES IT MEAN? Marty Witrak Shirley Eichenwald Maki Ryan Sandefer Outline A little about us Health Reform and HIT ARRA & HITECH a quick overview What is meaningful use? Meaningful

More information

The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012

The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012 The ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012 June 3, 2008 Table of Contents Executive Summary...iii Strategic Plan Overview... 1 Tabular Summary of Plan... 8 Goal 1: Patient-focused

More information

HEALTH INFORMATION TECHNOLOGY, E-PRESCRIBING AND HURRICANE KATRINA: COULD ELECTRONIC HEALTH RECORDS HAVE MADE A DIFFERENCE?

HEALTH INFORMATION TECHNOLOGY, E-PRESCRIBING AND HURRICANE KATRINA: COULD ELECTRONIC HEALTH RECORDS HAVE MADE A DIFFERENCE? Abstract: Robert Bond Malone is currently pursuing a J.D. at The University of Oklahoma College of Law as part of the Class of 2007. Below, Mr. Malone concludes his three-part series on Health Information

More information

Health financing reform idea: health fund

Health financing reform idea: health fund Health financing reform idea: health fund Country: Germany Partner Institute: Bertelsmann Stiftung, Gütersloh Survey no: (7)2006 Author(s): Melanie Zimmermann, reviewers: Reinhard Busse, Sophia Schlette

More information

e-health snapshot E-Health Snapshot Shell August 2009

e-health snapshot E-Health Snapshot Shell August 2009 e-health snapshot E-Health Snapshot Shell Federal Support for Health Information Technology in Medicaid: Key Provisions in the American Recovery and Reinvestment Act August 2009 Summary The American Recovery

More information

The Expert Patient Programme in Catalonia

The Expert Patient Programme in Catalonia The Expert Patient Programme in Catalonia Country: Spain Partner Institute: University of Barcelona Survey no: (16)2010 Author(s): María González Ortega Health Policy Issues: System Organisation/ Integration

More information

SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA)

SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) SUMMARY OF HEALTH IT AND HEALTH DATA PROVISIONS OF H.R. 2, THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) H.R. 2, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015 was introduced

More information

Testimony of Julia Adler-Milstein, Ph.D.

Testimony of Julia Adler-Milstein, Ph.D. Testimony of Julia Adler-Milstein, Ph.D. Assistant Professor of Information, School of Information Assistant Professor of Health Management and Policy, School of Public Health University of Michigan U.S.

More information

Health Information Technology/Informatics (Policy Number)

Health Information Technology/Informatics (Policy Number) The American Society For Clinical Pathology Policy Statement Health Information Technology/Informatics (Policy Number) Policy Statement: ASCP supports the implementation of standardized health information

More information

June 26, 2009. RE: HIT Policy Committee Meaningful Use Comments. Dear Dr. Blumenthal:

June 26, 2009. RE: HIT Policy Committee Meaningful Use Comments. Dear Dr. Blumenthal: June 26, 2009 David Blumenthal, MD, MPP National Coordinator Office of the National Coordinator for Health Information Technology 200 Independence Avenue, SW Suite 729D Washington, DC 20201 RE: HIT Policy

More information

The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS

The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 SYNOPSIS The ONC-Coordinated Federal Health Information Technology Strategic Plan: 2008-2012 Using the Power of Information

More information

HEALTH INFORMATION TECHNOLOGY*

HEALTH INFORMATION TECHNOLOGY* GLOSSARY of COMMON TERMS and ACRONYMS In HEALTH INFORMATION TECHNOLOGY* (April 2011) AHIC American Health Information Community The AHIC was a federal advisory panel created by HHS to make recommendations

More information

Ponce School of Medicine & Health Sciences

Ponce School of Medicine & Health Sciences Ponce School of Medicine & Health Sciences HEALTH INFORMATION TECHNOLOGY: Expanding the Horizons and Globalization Opportunities In Health Care, Education and Research Puerto Rico Health & Insurance Conference

More information

Arizona Health-e Connection Roadmap

Arizona Health-e Connection Roadmap Arizona Health-e Connection Roadmap Briefing Paper December 2005 If we want safer, higher quality care, we will need to have redesigned systems of care, including the use of information technology to support

More information

Industry perspectives on Electronic Medical Record Systems. Andrew G. Ury, M.D. VP and General Manager, Practice Partner McKesson Commissioner, CCHIT

Industry perspectives on Electronic Medical Record Systems. Andrew G. Ury, M.D. VP and General Manager, Practice Partner McKesson Commissioner, CCHIT Industry perspectives on Electronic Medical Record Systems Andrew G. Ury, M.D. VP and General Manager, Practice Partner McKesson Commissioner, CCHIT 1 Introduction Founded Practice Partner in 1983 to develop

More information

Technology Plan. Strategies for Developing a Health Information Exchange Network

Technology Plan. Strategies for Developing a Health Information Exchange Network Vermont Health Information Technology Plan Strategies for Developing a Health Information Exchange Network Submitted by: Board of Directors Vermont Information Technology Leaders, Inc. July 1, 2007 Submitted

More information

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training

More information

Certification and Meaningful Use of Electronic Health Records what. care leaders must know

Certification and Meaningful Use of Electronic Health Records what. care leaders must know Certification and Meaningful Use of Electronic Health Records what hospice and home care leaders must know OBJECTIVES Define meaningful use requirements of electronic health records Explain certification

More information

ELECTRONIC HEALTH RECORDS. HHS Strategy to Address Information Exchange Challenges Lacks Specific Prioritized Actions and Milestones

ELECTRONIC HEALTH RECORDS. HHS Strategy to Address Information Exchange Challenges Lacks Specific Prioritized Actions and Milestones United States Government Accountability Office Report to Congressional Committees March 2014 ELECTRONIC HEALTH RECORDS HHS Strategy to Address Information Exchange Challenges Lacks Specific Prioritized

More information

Healthcare Information Technology (HIT)

Healthcare Information Technology (HIT) Healthcare Information Technology (HIT) Why State Governments Must Help Create a National Health Information Network Ian C. Bonnet Deloitte Consulting LLP October, 2005 State Leadership in developing a

More information

ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO)

ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) Introduction and background: Summarizes the essential benefit package

More information

Anthony Rodgers, Director Arizona Health Care Cost Containment System

Anthony Rodgers, Director Arizona Health Care Cost Containment System Using Health Information Technology for State Medicaid/SCHIP Health System Transformation Anthony Rodgers, Director Arizona Health Care Cost Containment System National Vision of Health Information Exchange

More information

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc.

Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc. Welcomes you to Part II of a four part Webinar series on the healthcare IT marketplace, the reasons why EMR/EHR products have failed, how the Healthcare Stimulus package will effect you, and what you need

More information

GAO. Federal Agencies Experiences Demonstrate Challenges to Successful Implementation HEALTH INFORMATION TECHNOLOGY

GAO. Federal Agencies Experiences Demonstrate Challenges to Successful Implementation HEALTH INFORMATION TECHNOLOGY GAO For Release on Delivery Expected at 10:00 a.m. EST January 15, 2009 United States Government Accountability Office Testimony Before the Committee on Health, Education, Labor, and Pensions U.S. Senate

More information

National HIT Initiatives & Changing Landscape of Medical Technology

National HIT Initiatives & Changing Landscape of Medical Technology . National HIT Initiatives & Changing Landscape of Medical Technology Dominic H. Mack MD,MBA Executive Medical Director GA-HITREC Deputy Director National Center for Primary Care Morehouse School of Medicine

More information

Smoking cessation in Leumit Health Fund

Smoking cessation in Leumit Health Fund Smoking cessation in Leumit Health Fund Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (13) 2009 Author(s): Kitai E., Vardy D., Margalit A., Brami J., Matz E.,

More information

New Momentum for Interoperable Health Information Technology

New Momentum for Interoperable Health Information Technology Health Information Technology August 2004 New Momentum for Interoperable Health Information Technology Recent events demonstrate that momentum is growing in both the public and private sectors toward the

More information

Meaningful Use & Meaningful Results from Electronic Health Records

Meaningful Use & Meaningful Results from Electronic Health Records Meaningful Use & Meaningful Results from Electronic Health Records Judy Hanover, Research Manager November 4, 2009 ARRA Timeline: Key Dates for HIT Adoption Date February 17, 2009 April 3, 2009 June 16,

More information

Health Information Technology: Introduction to One Key Part - the EHR

Health Information Technology: Introduction to One Key Part - the EHR Health Information Technology: Introduction to One Key Part - the EHR Donald P. Connelly, MD, PhD Director, Health Informatics Division University of Minnesota Medical School February 21, 2006 Minnesota

More information

Final Report. Task Force to Study Electronic Health Records

Final Report. Task Force to Study Electronic Health Records Final Report Task Force to Study Electronic Health Records Submitted to: The Honorable Martin O Malley, Governor Members of the General Assembly December 31, 2007 M C H C M ARYLAND HEALTH CARE COMMISSION

More information

875 Greentree Road Pittsburgh, PA 15220 QuestDiagnostics.com

875 Greentree Road Pittsburgh, PA 15220 QuestDiagnostics.com 875 Greentree Road Pittsburgh, PA 15220 QuestDiagnostics.com Quest Diagnostics Statement on the Pennsylvania Health Information Technology Act (Senate Bill 8) to the Senate Communications & Technology

More information

ELECTRONIC HEALTH RECORDS. Nonfederal Efforts to Help Achieve Health Information Interoperability

ELECTRONIC HEALTH RECORDS. Nonfederal Efforts to Help Achieve Health Information Interoperability United States Government Accountability Office Report to Congressional Requesters September 2015 ELECTRONIC HEALTH RECORDS Nonfederal Efforts to Help Achieve Health Information Interoperability GAO-15-817

More information

January 29, 2016. Senator Lamar Alexander Chairman, Senate HELP Committee 455 Dirksen Senate Office Building Washington, DC 20510

January 29, 2016. Senator Lamar Alexander Chairman, Senate HELP Committee 455 Dirksen Senate Office Building Washington, DC 20510 January 29, 2016 Senator Lamar Alexander Chairman, Senate HELP Committee 455 Dirksen Senate Office Building Washington, DC 20510 Senator Patty Murray Ranking Member, Senate HELP Committee 154 Russell Senate

More information

HIT. Lynette Dickson ND Center for Rural Health 701-777-6049 lynette.dickson@med.und.edu

HIT. Lynette Dickson ND Center for Rural Health 701-777-6049 lynette.dickson@med.und.edu HIT Lynette Dickson ND Center for Rural Health 701-777-6049 lynette.dickson@med.und.edu Lisa Feldner ND CIO 701-328-1000 lfeldner@nd.gov ND HIT Website: http://www.healthit.nd.gov/ Health Information Technology

More information

Record Locator Service on Trusted, Secure Nationwide Network Can Improve Care Coordination and Enable Meaningful Interoperability

Record Locator Service on Trusted, Secure Nationwide Network Can Improve Care Coordination and Enable Meaningful Interoperability Record Locator Service on Trusted, Secure Nationwide Network Can Improve Care Coordination and Enable Meaningful Interoperability Summary Despite a recent slowdown in the growth of healthcare spending,

More information

Perspectives on Health Reform January 2009

Perspectives on Health Reform January 2009 Perspectives on Health Reform January 2009 The Federal Role in Promoting Health Information Technology Modern health care systems need health information technology (HIT), including electronic health record

More information

ACHIEVING ELECTRONIC CONNECTIVITY IN HEALTHCARE

ACHIEVING ELECTRONIC CONNECTIVITY IN HEALTHCARE ACHIEVING ELECTRONIC CONNECTIVITY IN HEALTHCARE Summary of Financial Incentives Recommendations Working Group on Financial, Organizational, and Legal Sustainability of Health Information July 2004 Summary

More information

Evolving to an ACO: Better Patient Outcomes and Lower Expenditures

Evolving to an ACO: Better Patient Outcomes and Lower Expenditures Sponsored By: Evolving to an ACO: Better Patient Outcomes and Lower Expenditures Tom Deas, Jr., MD Board Member, North Texas Specialty Physicians (NTSP) Chief Medical Officer, Sandlot, LLC Presenter Thomas

More information

Sale of Medibank Private

Sale of Medibank Private Sale of Medibank Private Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s): Marion Haas Health

More information

Independent treatment centers in the Netherlands

Independent treatment centers in the Netherlands Independent treatment centers in the Netherlands Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):

More information

Meaningful Use and Immunization Information Systems

Meaningful Use and Immunization Information Systems Meaningful Use and Immunization Information Systems Gary Urquhart, MPH Chief, Immunization Information Systems Support Branch Immunization Services Division National Center for Immunization and Respiratory

More information

Physician Motivations for Adoption of Electronic Health Records Dawn Heisey-Grove, MPH; Vaishali Patel, PhD

Physician Motivations for Adoption of Electronic Health Records Dawn Heisey-Grove, MPH; Vaishali Patel, PhD ONC Data Brief No. 21 December 2014 Physician Motivations for Adoption of Electronic Health Records Dawn Heisey-Grove, MPH; Vaishali Patel, PhD In 2009, Congress committed to supporting the adoption and

More information

3/9/2011 ELECTRONIC HEALTH RECORDS: A NATIONAL PRIORITY. Mandate for electronic health records is tied to:

3/9/2011 ELECTRONIC HEALTH RECORDS: A NATIONAL PRIORITY. Mandate for electronic health records is tied to: To lower health care cost, cut medical errors, And improve care, we ll computerize the nation s health records in five years, saving billions of dollars in health care costs and countless lives. ELECTRONIC

More information

Idea Pilot Policy Paper Legislation Implementation Evaluation Change

Idea Pilot Policy Paper Legislation Implementation Evaluation Change Medical Indemnity Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (1)2003 Author(s): Marion Haas Health Policy

More information

Medical Homes- Understanding the Model Bob Perna, MBA, FACMPE WSMA Practice Resource Center

Medical Homes- Understanding the Model Bob Perna, MBA, FACMPE WSMA Practice Resource Center Bob Perna, MBA, FACMPE WSMA Practice Resource Center Bob Perna, MBA, FACMPE Senior Director, WSMA Practice Resource Center E-mail: rjp@wsma.org Phone: 206.441.9762 1.800.552.0612 2 Program Objectives:

More information

How Common Are Electronic Health Records In The United States? A Summary Of The Evidence

How Common Are Electronic Health Records In The United States? A Summary Of The Evidence Information Technology How Common Are Electronic Health Records In The United States? A Summary Of The Evidence About one-fourth of U.S. physician practices are now using an EHR, according to the results

More information