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Health Information Technology

Project Mission:

The mission of the Health Information Technology project is to drive adoption of health information technology to help create a Nationwide Health Information Network, a secure, interoperable system where all stakeholders electronically exchange individual health and healthcare information.

David Merritt
Project Director

Project Goals

  • Drive adoption of electronic health records and other information technologies
  • Reach consensus and convergence on open data standards for interoperability
  • Facilitate research of de-identified healthcare data for new treatments, health management, and trends
  • Engage consumers on using personal health records in their health and healthcare management

Project Priorities

  1. Transform the provider reimbursement system to reward quality outcomes. By focusing on outcomes we will incentivize providers to purchase the tools that will help them achieve better outcomes, and health information technology is one of the best tools available.
  2. Create a clear, concise, and useable legislative exemption and safe harbor to Stark and Anti-kickback statutes. This will allow hospitals, health systems, and other entities can choose to provide community physicians with health information technology, particularly electronic health records.
  3. Develop, deploy, and implement electronic health records and other health information technologies in hospitals, physician offices, long-term care facilities, and others settings. For more information on this topic, please click here. Vendors should also continue to develop innovative products and enhancements to existing EHR products to improve functionality and research capabilities.
  4. Develop open data standards for interoperability.
  5. Support local and regional connectivity efforts.
  6. Modernize the Congressional Budget Office to ensure accurate scoring and encourage transformational legislation. The current scoring model at CBO is a significant barrier to meaningful legislation, such as health information technology and expanding coverage to the uninsured, because current models explain how much a bill would cost the federal government but do not explain how it may be an investment by the federal government.
  7. Build a nationwide health information network akin to President Eisenhower’s bold initiative in the 1950s to create the national interstate highway system. For more information on this topic, please click here.
  8. Reform state statutes and regulations to expedite health IT adoption, including licensure, e-prescribing, security, and privacy provisions.
  9. Transform Medicare into a driver of innovation through the introduction of Medicare Personal Health Records and fundamentally reforming the current provider reimbursement model. Pass a federal law giving individuals ownership of their health records.
  10. Pass a law to preserve the confidentiality and security of electronic health records by making the unauthorized access of medical records a felony with sever penalties, including slander if published or posted online.
  11. Engage employers to offer personal health records to their employees by combining consumer portals with incentive programs for wellness and health.

COMMENTS (2)

Virtually all discussion of 'digital' or 'electronic' healthcare records is invariably linked to 'interoperability'; it is used in the Project Mission, Goals, and Priorities, and in the Torres post of 1/17. How 'interoperable/interoperability' is defined is critical to useful dialogue. Project Priority #4 offers but does not provide a link to '...more on this topic.' Would it be possible to have a bit 'more'?
Maxwell A. Helfgott, M.D.
True Electronic Research Library
Washington National Eye Center
Washington, DC

Posted by: Maxwell A. Helfgott | Feb 24, 2008 12:30:37 PM


This morning (1/17) I had conversation with an Allscripts, RSM. The discussion points are:
1. The conversion to digital records is not only a cost issue, but a behavior change for providers and staff.
2. The incentive for a provider to go digital must come from the payer. Any cost savings caused by utilizing EHR must be passed on to the provider in some kind of incentive structure.
3. The lack of interoperable database capability limits the EHR investment to internal use only. Open source envirnoment is a must.
4. EHR is only the tip of the iceberg, in that ancillary IT products must work seamless with all databases including IP Telephony.
5. IP telephony advancement provides for substantial cost savings, but when tied to the all other medical practice systems, it becomes even more of a powerful tool.

Ray Torres
ray@torres-associates.com

Posted by: Ray Torres | Jan 17, 2008 2:18:55 PM


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Center Founder Newt Gingrich asks where is the money for Health Information Technology?

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Click here to read Sen. Shelton Whitehouse's (D-RI) Statement on HIT Adoption>>


e-Prescribing Work Group

CHT convened a member-only work group to discuss the upcoming paper on electronic prescribing.  Listen to teleconference >>

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Center Founder Newt Gingrich, Center Project Director David Merritt and Senator Bill Frist

On April 2, 2008, David Merritt, Center Project Director for Health IT Initiatives, spoke to a Princeton undergraduate course on the growing need for health information technology in our current system. The course, which focuses on U.S. health policy and politics, is regularly taught by Princeton alumni and former U.S. Senate Majority Leader, Bill Frist.

Senator Frist, a physician from Tennessee, read Merritt’s award winning publication Paper Kills: Transforming Health and Healthcare with Information Technology and asked that it be used as a formal textbook for his global economics course.

Serving as guest lecturer, Merritt focused on consumer and physician technology and provided the students with an overview of the benefits, barriers and solutions to achieving a fully-connected healthcare system.

After the event, Senator Frist, David Merritt, and Center for Health Transformation Founder former Speaker of the House Newt Gingrich met to discuss healthcare issues in the upcoming election and beyond.