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Federal Policies and Initiatives

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Health Informatics in the Cloud

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Abstract

A number of new federal initiatives are designed to promote the adoption of electronic health records and health information exchange, and to create new care models and processes for chronic disease management enabled by these technologies. The health informatics efforts are being managed by the Office of the National Coordinator for Health Information Technology (ONC), a new federal agency created by the Bush administration to implement the goal of universal adoption of electronic health records by 2014. Major commercial health insurers have adopted their own versions of some of these programs, suggesting their impact will be health system wide. Even though I describe these initiatives separately, it is important to consider their potential cumulative effect.

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Notes

  1. 1.

    http://www.nejm.org/doi/full/10.1056/NEJMsa0802005

  2. 2.

    For an excellent discussion of the ACO concept from all the major perspectives, I strongly recommend you read the report by the Taconic Health Information Network and Community (THINC) in the Hudson Valley of NY State. [22]

References

  1. Garets D and Davis M (2006) Electronic Medical Records vs. Electronic Health Records: Yes, There Is a Difference. HIMMS Analytics http://www.himssanalytics.org/docs/WP_EMR_EHR.pdf Accessed 19 July, 2012

  2. Dimick, C Meaningful Use and EHR Certification (2010) http://journal.ahima.org/2010/09/02/meaningful-use-and-ehr-certification/ Accessed 19 July, 2012

  3. http://oncchpl.force.com/ehrcert?q=CHPL Accessed 19 July, 2012

  4. DesRoches CM, et al (2008) Electronic Health Records in Ambulatory Care— A National Survey of Physicians. N Engl J Med 359:50–60

    Article  Google Scholar 

  5. http://www.healthit.gov/providers-professionals/how-attain-meaningful-use Accessed 23 September, 2012

  6. http://www.advisory.com/Research/IT-Strategy-Council/Resources/Posters/2012/Meaningful-use-the-whiteboard-story Accessed 23 September, 2012

  7. http://ehrincentives.cms.gov/hitech/login.action

  8. Kibbe DC (2010) A Physician’s Guide to the Medicare and Medicaid EHR Incentive Programs: The Basics. Fam Pract Manag. 17(5):17–21

    Google Scholar 

  9. Firemen B, Bartlett J and Selby J (2004) Can Disease Management Reduce Healthcare Costs By Improving Quality? Health Affairs, 23(6): 63–75

    Article  Google Scholar 

  10. http://www.improvingchroniccare.org/ Accessed 19 July, 2012

  11. http://www.transformed.com/ Accessed 19 July, 2012

  12. Bodenheimer T et al, (2002) Improving Primary Care for Patients With Chronic Illness: The Chronic Care Model, Part 2. JAMA 288(15):1909–1914

    Article  Google Scholar 

  13. http://content.healthaffairs.org/content/26/1/w44.full.html

  14. ACOs (2011) http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=61 Accessed 23 September, 2012

  15. Commonwealth Fund International Health Policy Survey of Sicker Adults (2008) http://www.commonwealthfund.org/Surveys/2008/2008-Commonwealth-Fund-International-Health-Policy-Survey-of-Sicker-Adults.aspx Accessed 19 July, 2012

  16. Iglehart JK (2011) Assessing an ACO Prototype — Medicare’s Physician Group Practice Demonstration. N Engl J Med; 364:198–200

    Article  Google Scholar 

  17. Trisolini M et al (2008) The Medicare Physician Group Practice Demonstration: Lessons Learned on Improving Quality and Efficiency in Healthcare http://www.commonwealthfund.org/∼1/media/Files/Publications/Fund%20;Report/2008/Feb/The%20;Medicare%20;Physician%20;Group%20;Practice%20;Demonstration%20;%20;Lessons%20;Learned%20;on%20;Improving%20;Quality%20;and%20;Effici/1094_Trisolini_Medicare_phys_group_practice_demo_lessons_learned%20;pdf.pdf Accessed 19 July, 2012

  18. Newcomer LN (2012) Changing Physician Incentives For Cancer Care To Reward Better Patient Outcomes Instead Of Use Of More Costly Drugs. Health Aff 31(4):780–785

    Article  Google Scholar 

  19. http://www.anthem.com/ca/health-insurance/about-us/pressreleasedetails/CA/2011/694 Accessed 23 September, 2012

  20. Chase D (2012) Aetna’s Remarkable Reinvention Underway http://www.forbes.com/sites/davechase/2012/03/17/aetnas-remarkable-reinvention-underway Accessed 19 July, 2012

  21. Stevens S (2010) How Health Plans Can Accelerate Healthcare Innovation http://blogs.hbr.org/cs/2010/05/how_health_plans_can_accelerate.html Accessed 19 July, 2012

  22. THINC (2011) Building ACOs and Outcome Based Contracting in the Commercial Market: Provider and Payor Perspectives http://www.ebglaw.com/files/47636_Hastings-Lutes-Friedberg-THINC-ACO-Report.pdf Accessed 19 July, 2012

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Braunstein, M.L., Braunstein, M.L. (2013). Federal Policies and Initiatives. In: Health Informatics in the Cloud. SpringerBriefs in Computer Science. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5629-2_2

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  • DOI: https://doi.org/10.1007/978-1-4614-5629-2_2

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