What It Will Take To Achieve The As-Yet-Unfulfilled Promises Of Health Information Technology
ABSTRACT A team of RAND Corporation researchers projected in 2005 that rapid adoption of health information technology (IT) could save the United States more than $81 billion annually. Seven years later the empirical data on the technology's impact on health care efficiency and safety are mixed, and annual health care expenditures in the United States have grown by $800 billion. In our view, the disappointing performance of health IT to date can be largely attributed to several factors: sluggish adoption of health IT systems, coupled with the choice of systems that are neither interoperable nor easy to use; and the failure of health care providers and institutions to reengineer care processes to reap the full benefits of health IT. We believe that the original promise of health IT can be met if the systems are redesigned to address these flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data. Providers must do their part by reengineering care processes to take full advantage of efficiencies offered by health IT, in the context of redesigned payment models that favor value over volume.
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ABSTRACT: The United States of America is known for the rising costs of its healthcare and declining quality of care. While the push towards the integration of the healthcare information infrastructure is seen to be an important step towards addressing problem of the rising costs of healthcare and falling quality of care, the integration of EHR (Electronic Health Records), the central component of this infrastructure, remains a challenge. It appears that physicians are at the center of this bottleneck. The literature suggests that the reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians’ limited interaction and adaptation of EHR. In this paper, we argue that in order to be able to use the technology to provide better healthcare, physicians need to be able to activate their knowledge through it. We investigate process of adaptations that physicians go through when trying to use electronic health records. Our findings indicate that physician’s knowledge identities need to align with the functionalities made available through the technology. We draw upon the framework of knowledge activation in order to understand how physicians use their knowledge to provide better healthcare. Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research shows how physician’s adaptations of EHR activate their knowledge for the purpose of improving healthcare provision. The key contribution of this research is in discovering the ways in which physicians’ adaptation of technology can enable knowledge activation.05/2014; 4(1):59-73. DOI:10.1007/s12553-013-0072-5
- 07/2014; 3(1):44-49. DOI:10.1177/2327857914031006
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ABSTRACT: Spurred by government incentives, the use of electronic health records (EHRs) in the United States has increased; however, whether these EHRs have the functionality necessary to meet meaningful use (MU) criteria remains unknown. Our objective was to characterize family physician access to MU functionality when using a MU-certified EHR.12/2014; 11. DOI:10.1016/j.hjdsi.2014.11.002