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Monday, December 28, 2009

The Importance of Health Information Technology

Dear Reader,

American healthcare is in crisis. It has been in crisis for decades, but thanks to the Institute of Medicine (IOM)’s Committee on the Quality of Health Care in America we can finally discuss it openly and objectively.

The committee’s reports—To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century—have changed history by ending forever the viability of our industry’s de facto strategy of denying the problem. These landmark reports have also given us a framework for understanding the nature of the problems we face and the broad structure of the solutions we have to create and bring to bear to improve healthcare in America.

In Crossing the Quality Chasm, one of the IOM’s prescriptions for improving American healthcare is the use of information technology (IT): “IT has enormous potential to improve the quality of health care with regard to all six of the aims set forth in Chapter 2.” Indeed, the report’s ninth recommendation reads:

Congress, the executive branch, leaders of health care organizations, public and private purchasers, and health informatics associations and vendors should make a renewed national commitment to building an information infrastructure to support health care delivery, consumer health, quality measurement and improvement, public accountability, clinical and health services research, and clinical education. This commitment should lead to the elimination of most handwritten clinical data by the end of the decade.

This recommendation has launched a national discussion of the importance of health IT and strengthened the arguments of health IT advocates. Where health IT was once a technical topic of limited interest, it is now understood to be an essential component of our national strategy for improving healthcare. For example, the Commonwealth Fund’s 2003 Annual Report, Achieving a High-Performance Health System, uses language very similar to IOM’s in the report’s step four toward building a truly high-performance health system:

Invest in health information technology. Other countries are quickly surpassing the United States in adopting electronic medical records and prescribing systems. Their governments have invested in infrastructure and established the necessary standards, and the United States needs to do the same.

Increasing state and federal interest, funding, and mandates for health IT are symptoms of what has become a national health IT movement, much of which was catalyzed by the IOM’s reports. After all these years, there is a growing national consensus about the potential of IT to improve healthcare and a growing political will to do something about it.

Yours truly,
Rick

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