Obtaining Providers’ ‘Buy-In’ And Establishing Effective Means Of Information Exchange Will Be Critical To HITECH’s Success

In enacting the Health Information Technology for Economic and Clinical Health (HITECH) provisions of the American Recovery and Reinvestment Act, Congress set ambitious goals for the nation to integrate information technology into health care delivery. The provisions called for the electronic exchan...

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Bibliographic Details
Published in:Health Affairs 2012-03, Vol.31 (3), p.514-526
Main Authors: Gold, Marsha R., McLaughlin, Catherine G., Devers, Kelly J., Berenson, Robert A., Bovbjerg, Randall R.
Format: Article
Language:English
Subjects:
American Recovery & Reinvestment Act 2009-US
Costs
Decision making
Electronic health records
Health care
Health care delivery
Health care industry
Health insurance exchanges
Incentives
Influence
Information technology
Integration
Medicaid
Medicare
Mental disorders
Mental health
Physicians
Primary care
Provisions
Studies
Success
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Summary:In enacting the Health Information Technology for Economic and Clinical Health (HITECH) provisions of the American Recovery and Reinvestment Act, Congress set ambitious goals for the nation to integrate information technology into health care delivery. The provisions called for the electronic exchange of health information and the adoption and meaningful use of health information technology in health care practices and hospitals. We examined the marketplace and regulatory forces that influence HITECH's success and identify outstanding challenges, some beyond the provisions' control. To reach HITECH's goals, providers and patients must be persuaded of the value of health information exchange and support its implementation. Privacy concerns and remaining technical challenges must also be overcome. Achieving HITECH's goals will require well-aligned incentives, both visionary and practical pursuit of exchange infrastructure, and realistic assumptions about how quickly such wholesale change can be accomplished. The use of metrics to show adoption proceeding at a reasonable pace, increased flow of data across parties, and evidence that care is improving, at least in areas with robust systems, will be essential to persuade stakeholders that the initiative is progressing well and warrants continued investment. [PUBLICATION ABSTRACT]
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2011.0753