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• W2000818625 abstract "Editorials2 August 2005Electronic Health Records and the National Health Information Network: Affordable, Adoptable, and Ready for Prime Time?Peter Basch, MDPeter Basch, MDFrom MedStar Health, Washington, DC 20003.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-3-200508020-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail This issue contains 2 articles on different aspects of the “wiring” of health care in the United States. One article details the costs and difficulties of implementing an electronic health record (EHR) system in an internal medicine practice, and the other estimates the costs of building a national health information network (NHIN). Baron and colleagues (1) recount their small practice's predictable struggles and ultimate success with implementing an EHR. Their narrative is compelling and tells a story that many physicians will find useful and instructive. The authors also offer suggestions that could make this complex process easier for those who ...References1. Baron RJ, Fabens EL, Schiffman M, Wolf E. Electronic health records: just around the corner? Or over the cliff? Ann Intern Med. 2005;143:222-6. LinkGoogle Scholar2. Kaushal R, Blumenthal D, Poon EG, Jha AK, Franz C, Middleton B, et al. The costs of a national health information network. Ann Intern Med. 2005;143:165-73. LinkGoogle Scholar3. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Acad Pr; 2000. Google Scholar4. Achieving Electronic Connectivity in Healthcare: A Preliminary Roadmap from the Nation's Public and Private-Sector Healthcare Leaders. New York: Connecting for Health, Markle Foundation; 2004. Accessed at connectingforhealth.org/resources/aech_exec_summary.pdf on 11 June 2005. Google Scholar5. Institute of Medicine. Key Capabilities of an Electronic Health Record System. Washington, DC: National Acad Pr; October 2003. Google Scholar6. Miller RH, Sim I. Physicians' use of electronic medical records: barriers and solutions. Health Aff (Millwood). 2004;23:116-26. [PMID: 15046136] CrossrefMedlineGoogle Scholar7. Miller RH, Sim I, Newman J. Electronic Medical Records: Lessons from Small Physician Practices. Oakland, CA: California Healthcare Foundation; 2003. Accessed at www.chcf.org on 11 June 2005. Google Scholar8. Johnston D, Pan D, Walker J, Bates DW, Middleton B. The Value of Computerized Provider Order Entry in Ambulatory Settings. Wellesley, MA: Center for Information Technology Leadership; 2003. Google Scholar9. Financial, Legal and Organizational Approaches to Achieving Electronic Connectivity in Healthcare. New York: Connecting for Health, Markle Foundation; 2004. Accessed at www.connectingforhealth.org/assets/reports/flo_sustain_healtcare_rpt.pdf on 11 June 2005. Google Scholar10. Doctors' Office Quality—Information Technology. Accessed at www.doqit.org on 11 June 2005. Google Scholar11. Bridges to Excellence: Rewarding Quality across the Healthcare System. Accessed at bridgestoexcellence.org/bte/bte_overview.htm on 11 June 2005. Google Scholar12. American College of Physicians. Patient-Centered, Physician-Guided Care for the Chronically Ill: The American College of Physicians Prescription for Change. Philadelphia: American Coll of Physicians; 2004. Accessed at www.acponline.org/hpp/patcen_chronill.pdf on 11 June 2005. Google Scholar13. American College of Physicians. Improving the Dysfunctional Payment System and Enhancing the Patient–Physician Relationship. Statement of the American College of Physicians for the Record of the Hearing on Medicare Payments to Physicians Committee on Ways and Means Subcommittee on Health. 10 February 2005. Accessed at www.acponline.org/hpp/improve_dps.pdf on 11 June 2005. Google Scholar14. Bates DW, Boyle DL, Rittenberg E, Kuperman GJ, Ma'Luf N, Menkin V, et al. What proportion of common diagnostic tests appear redundant? Am J Med. 1998;104:361-8. [PMID: 9576410] CrossrefMedlineGoogle Scholar15. Secretary Leavitt's 500-Day Plan. Washington, DC: U.S. Department of Health and Human Services; 2005. Accessed at hhs.gov/500DayPlan/500dayplan.html on 11 June 2005. Google Scholar16. California Healthcare Foundation. ELINCS: Developing a National Lab Data Standard for EHRs. Oakland, CA: California Healthcare Foundation; 2005. Accessed at www.chcf.org/topics/chronicdisease/index.cfm?itemID=108868 on 11 June 2005. Google Scholar17. Basch P. Data Excess and Document Overload: Barriers and Disincentives to an Interconnected/Interoperable Healthcare System. In: The Data Standards Working Group Report and Recommendations. New York: Connecting for Health, Markle Foundation; 2003. Accessed at connectingforhealth.org/resources/dswg_report_6.5.03.pdf on 11 June 2005. Google Scholar Author, Article, and Disclosure InformationAffiliations: From MedStar Health, Washington, DC 20003.Disclosures: None disclosed.Corresponding Author: Peter Basch, MD, MedStar Health, 660 Pennsylvania Avenue, SE, Suite 100, Washington, DC 20003. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Costs of a National Health Information Network Rainu Kaushal , David Blumenthal , Eric G. Poon , Ashish K. Jha , Calvin Franz , Blackford Middleton , John Glaser , Gilad Kuperman , Melissa Christino , Rushika Fernandopulle , Joseph P. Newhouse , David W. Bates , and Electronic Health Records: Just around the Corner? Or over the Cliff? Richard J. Baron , Elizabeth L. Fabens , Melissa Schiffman , and Erica Wolf National Health Information Network Cost and Structure Robert B. Doherty National Health Information Network Cost and Structure Michael M. Rothkopf and Herschel S. Jackson Metrics Cited ByThe E-Viewer StudyThe E-Viewer StudyIntegrating Two Sociotechnical Theories to Develop a Suitable Analytic Framework to Assess the Development of a Hospital Secure Messaging and Communication PlatformUsing Structuration Theory to Assist in Understanding the Implementation and Adoption of Health Information SystemsActor-Network Theory to Assist in Understanding the Implementation and Adoption of Health Information SystemsHow an Actor Network Theory (ANT) Analysis Can Help Us to Understand the Personally Controlled Electronic Health Record (PCEHR) in AustraliaHow an Actor Network Theory (ANT) Analysis Can Help Us to Understand the Personally Controlled Electronic Health Record (PCEHR) in AustraliaWhy Using Actor Network Theory (ANT) Can Help to Understand the Personally Controlled Electronic Health Record (PCEHR) in AustraliaCollaborative Approach for Sustainable Citizen-Centered Health CareUncertainty in Clinical MedicineDevelopment, implementation and benefits of a rheumatology-specific electronic medical record application with automated display of outcome measuresAre Electronic Medical Records Helpful for Care Coordination? Experiences of Physician PracticesImproving adherence to asthma clinical guidelines and discharge documentation from emergency departments: Implementation of a dynamic and integrated electronic decision support systemEvolution of Child Mental Health Services in Primary CareImproving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trialHemodialysis and Peritoneal Dialysis: Patients’ Assessment of Their Satisfaction with Therapy and the Impact of the Therapy on Their LivesEvolution of health information management and information technology in emergency medicineNational Health Information Network Cost and StructureRobert B. Doherty, BANational Health Information Network Cost and StructureMichael M. Rothkopf, MD and Herschel S. Jackson, MD 2 August 2005Volume 143, Issue 3Page: 227-228KeywordsElectronic medical recordsHealth careHealth information technologyMotivationQuality improvementResearch laboratoriesSafetyTelemedicineVeteran careVision ePublished: 2 August 2005 Issue Published: 2 August 2005 CopyrightCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ..." @default.
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