Friday, June 24, 2011

It Looks Like the US Efforts in Health IT Is Starting to Really Make a Difference. I Fear It Will Not Be the Same Here Sadly.

The following blog article appeared a few days ago:

6.13.11 | Dr. John D. Halamka

HITECH Act moves healthcare IT industry forward

As I travel the world speaking about the Health Information Technology for Economic and Clinical Health (HITECH) Act, I’m often asked to present objective evidence that it is making a difference.

Here’s the progress thus far:

1. The HITECH program has elevated our national consciousness about Electronic Health Records (EHR) and moved the market considerably forward. Every hospital CEO knows the term Meaningful Use and believes it is an important 2011 goal. On my plane back from Scotland two weeks ago, the person sitting next to me (a scanning software engineer), asked about the impact on Meaningful Use on the scanning software market. With every strategic affiliation BIDMC proposes, the first question asked is how Health Information Exchange (HIE) will support care coordination and the analytics which support the evolving payment models of healthcare reform. It’s clear that EHR and HIE have become commonplace topics of conversation.

2. State HIE plans require a focus on e-prescribing, electronic lab result messaging, and clinical summary exchange. States will have to report metrics. With publicly reported metrics, you can be sure states will be motivated to accelerate adoption.

3. Every recipient of federal HIE funds had to create a strategic and operational plan, which is a great step forward. Those plans are publicly available. As Beacon community and HIE success stories become widely known, it’s likely these HIE plans will be revised so that a network of networks connecting state HIEs together will evolve.

4. Kaiser recently podcast an interview with Farzad Mostashari, National Coordinator, highlighting the progress thus far.

Lots more here:

There are some really good ‘straws in the wind’ on all this. The article is well worth reading to see all the ‘green shoots’ that are now appearing.




Anonymous said...

The big difference between the US is that in the US, they are encouraging and funding innovation from providers and local software companies, whereas in Australia, the opposite has occurred and providers and local software companies are being shafted.

This whole PCEHR program is a disgrace.

Anonymous said...

Also notice how researchers, industry and clinical informatician leaders are an important part of the Federal program leadership and in the mix of all strategy groups - not a PWC/CSC/Deloittes/BCG etc to be seen calling the shots in front of or behind the scenes. No NEHTA black hole to gobble up all the oxygen. The ONC is small and effective. The money goes out to innovators and builders. In the US, government trusts its national informatics leaders.