The Broad Impact of EHR Implementation

Abstract

The focus on healthcare information technology (IT) has led to remarkable growth in healthcare IT staffing. The federal government is moving ahead with its plan to advance the use of electronic health records (EHRs) in the U.S. healthcare system. The Centers for Medicare & Medicaid Services (CMS) recently collected public comments related to its proposed rule for Stage 2 of the “meaningful use” program. Under the three-stage program, hospitals and other healthcare facilities that demonstrate a meaningful use of EHRs are eligible for Medicare and Medicaid incentive payments. Stage 2 builds on Stage 1, laying out the requirements for healthcare providers. The push for EHRs got a huge boost with the American Recovery and Reinvestment Act of 2009, which committed billions of dollars to support the adoption and use of EHRs, building on an earlier goal that every American should have an electronic medical record by 2014. Fundamentally, EHRs are digital documentation that includes data from a visit to the doctor’s office or office, including the patient’s histories, exam notes, tests ordered and their results, drugs prescribed, and any other results or updated information. Some systems also check for drug interactions, can access X-rays, and even deliver a reminder for the patient to get a flu shot. In certain quarters, hopes are high about the benefits of EHRs. Some talk of millions of dollars and thousands of hospitalizations saved—seemingly based on extrapolated data. Generally, there is the anticipation, especially by the government, that the use of EHRs will improve the quality, safety, and efficiency of healthcare delivery, as well as reduce medical errors, healthcare costs, and paperwork. On the other side of the coin, there are several who warn that it’s premature to start talking about the benefits of EHRs, saying the transition will not be easy or fast. Take, for example, the benefits expected from data sharing. Peter Gabriel, director of informatics with the Department of Radiation Oncology at the University of Pennsylvania’s School of Medicine, said that it could be 10 or 15 years before data sharing in health IT is widespread, because it’s “a lot harder to achieve than most people appreciate. Simply implementing computer systems won’t dramatically improve quality overnight.” Obviously, health IT growth must also be tempered with risk assessment every step of the way. The development of 80001-1, the standard that deals with the application of risk management for IT networks that incorporate medical devices, indicates that risk analysis is getting woven into many health IT growth game plans. This kind of due diligence will IT WORLD The Broad Impact of EHR Implementation