The HITECH Era in Retrospect

Halamka, John; Tripathi, Micky

doi:10.1056/nejmp1709851

Cited by 71 publications

(56 citation statements)

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“…Those rules also require that the visit comply with the Health Information Portability and Accountability Act (HIPAA), Accountable Care Organizations (ACOs), quality indicators, and other standards. 13 An adverse effect of another absolute rule merits attention. Compliance with the mandated work-hour limits for trainees across all specialties necessitates relentless monitoring and diligent enforcement by program directors.…”

Section: A World Of Rulesmentioning

confidence: 99%

“…15 Instead of being a mere replacement for paper records, EHRs have evolved into data-collection devices for HIPAA and other government regulations. 13 Consequently, they focus more on processes than on outcomes, adding to the physician's workload while not improving patient care. 13 In that light, 2 recent studies are noteworthy.…”

Section: Electronic Health Record Woesmentioning

confidence: 99%

“…13 Consequently, they focus more on processes than on outcomes, adding to the physician's workload while not improving patient care. 13 In that light, 2 recent studies are noteworthy.…”

Section: Electronic Health Record Woesmentioning

confidence: 99%

“…2,11 There was no associated nationwide directory or regulatory infrastructure. 13 In addition, the EHR has not "kept pace with technology widely used to track, synthesize, and visualize information in many other domains of modern life." 15 Re-engineering current EHRs will be difficult.…”

Section: (?) Curesmentioning

confidence: 99%

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Physician Burnout: Causes, Consequences, and (?) Cures

Fred¹,

Scheid²

2018

Texas Heart Institute Journal

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Section: A World Of Rulesmentioning

confidence: 99%

Section: Electronic Health Record Woesmentioning

confidence: 99%

“…13 Consequently, they focus more on processes than on outcomes, adding to the physician's workload while not improving patient care. 13 In that light, 2 recent studies are noteworthy.…”

Section: Electronic Health Record Woesmentioning

confidence: 99%

Section: (?) Curesmentioning

confidence: 99%

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Physician Burnout: Causes, Consequences, and (?) Cures

Fred¹,

Scheid²

2018

Texas Heart Institute Journal

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“…The earliest EHRs were referred to as computer-based medical record systems6 and were mostly the product of academic and research development groups in the hospitals and clinics where they were developed. Today most, with very few exceptions,7 8 are commercial systems licenced from vendors in a market stratified by their focus on inpatient or outpatient care and dominated by a small number of vendors.…”

Section: Introductionmentioning

confidence: 99%

The electronic health record as a catalyst for quality improvement in patient care

Payne¹

2016

Heart

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Electronic health records (EHRs) are now broadly used, following decades of development and incentive programmes for their use. EHRs have been shown through use of reminders, electronic order sets and other means to improve reliability of performance of many basic tasks in acute, preventive and chronic care. They assist with collecting, summarising and displaying the large volumes of information in patient records and support the implementation of guidelines and care pathways. Broad use of EHRs has brought into focus weaknesses of the current generation of EHRs: their user interface, implementation difficulties, time required to use them and others. Addressing these weaknesses and adopting new technologies, including use of voice, natural language processing and data analytic techniques, is necessary for EHRs to achieve their full potential: to gather information from routine care, to learn from it and to be an integral component of efforts to continuously improve and to transform care.

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Modernizing Public Health Data Systems

Kadakia

Howell

DeSalvo

2021

JAMA

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Barriers to timely data collection and exchange hindered health departments throughout COVID-19, from fax machines creating bottlenecks for disease monitoring to inconsistent reporting of race and ethnicity. Modernizing public health data systems has become a bipartisan postpandemic imperative, with President Trump engaging the US Digital Service to improve data exchange and President Biden issuing an Executive Order on his second day in office to advance public health data and analytics.These initiatives should be informed by the experience of digitizing health care delivery. The Health Information Technology for Economic and Clinical Health (HITECH) Act drove the near-universal adoption of certified electronic health records (EHRs). However, progress was not without pitfalls, from regulatory requirements affecting EHR usability, to new reporting, billing, and patient engagement processes disrupting workflows, to proprietary standards hindering interoperability. 1 This Viewpoint explores lessons from HITECH for public health data modernization for COVID-19 and beyond.

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The HITECH Era in Retrospect

Cited by 71 publications

References 0 publications

Physician Burnout: Causes, Consequences, and (?) Cures

Physician Burnout: Causes, Consequences, and (?) Cures

The electronic health record as a catalyst for quality improvement in patient care

Modernizing Public Health Data Systems

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