Progress along developmental tracks for electronic health records implementation in the United States

被引：7
作者：
Hollar D.W. [1 ]
机构：
[1] School of Medicine, The University of North Carolina, Chapel Hill, NC
来源：
Health Research Policy and Systems | / 7卷 / 1期
关键词：
Electronic Health Record; Congenital Hypothyroidism; Child With Special Health Care Need; Protected Health Information; Regenstrief Institute;
D O I：
10.1186/1478-4505-7-3
中图分类号：
学科分类号：
摘要：
The development and implementation of electronic health records (EHR) have occurred slowly in the United States. To date, these approaches have, for the most part, followed four developmental tracks: (a) Enhancement of immunization registries and linkage with other health records to produce Child Health Profiles (CHP), (b) Regional Health Information Organization (RHIO) demonstration projects to link together patient medical records, (c) Insurance company projects linked to ICD-9 codes and patient records for cost-benefit assessments, and (d) Consortia of EHR developers collaborating to model systems requirements and standards for data linkage. Until recently, these separate efforts have been conducted in the very silos that they had intended to eliminate, and there is still considerable debate concerning health professionals access to as well as commitment to using EHR if these systems are provided. This paper will describe these four developmental tracks, patient rights and the legal environment for EHR, international comparisons, and future projections for EHR expansion across health networks in the United States. © 2009 Hollar; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 83 条
  • [41] Slagle T.A., Perinatal information systems for quality improvement: Visions for today, Pediatrics, 103, pp. 266-277, (1999)
  • [42] Handler A., Grason H., Ruderman M., Issel M., Turnock B., Assessing capacity and measuring performance in maternal and child health, Mat Child Health J, 6, pp. 115-126, (2002)
  • [43] Beal A.C., Co J.P.T., Dougherty D., Jorsling T., Kam J., Perrin J., Palmer R.H., Quality measures for children's health care, Pediatrics, 113, pp. 199-209, (2004)
  • [44] Johnson K.B., Barriers that impede the adoption of pediatric information technology, Arch Pediatr Adolesc Med, 155, pp. 1374-1379, (2001)
  • [45] Biondich P.G., Grannis S.J., The Indiana Network for Patient Care: An integrated clinical information system informed by over thirty years of experience, J Public Health Manag Pract, SUPPL., (2004)
  • [46] McDonald C.J., Overhage J.M., Barnes M., Schadow G., Blevins L., Dexter P.R., Mamlin B., The Indiana Network for Patient Care: A working local health information infrastructure, Health Affairs, 24, 5, pp. 1214-1220, (2005)
  • [47] Goetz M.D., Frisse M.E., Technical Discussion: State and Regional Demonstrations in Health Information Technology, (2004)
  • [48] Annie E., Casey Foundation Kids Count Data Book, (2004)
  • [49] Sankaran V., The Consolidated Health Informatics Initiative and the Functioning and Disability Domains, Proceedings of the Interagency Committee on Disability Research State of the Art Conference: New Federal Applications of the ICF: 10-11 July 2007
  • [50] Consolidated Health Informatics
123456789