title: Achievable steps toward building a National Health Information infrastructure in the United States.
abstract: Consensus is growing that a health care information and communication infrastructure is one key to fixing the crisis in the United States in health care quality, cost, and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have the intended beneficial national impacts and which are better left to smaller projects within the boundaries of health care organizations. This report provides a primer for use by informatics professionals as they explain aspects of that dividing line to policy makers and to health care leaders and front-line providers. It then identifies short-term, intermediate, and long-term steps that might be taken by the NHII initiative.
authors.affiliation: Informatics Center, 3401 West End Ave, Suite 290, Nashville, TN 37203-6866, USA. bill.stead@vanderbilt.edu
authors.forename: William W
authors.initials: WW
authors.lastname: Stead
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Kelly
authors.forename: Robert M
authors.initials: RM
authors.lastname: Kolodner
mesh_terms: D003201:Computers; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000639:trends; D006285:Health Planning / Q000191:economics / Q000458:organization & administration*; D006291:Health Policy / Q000639:trends; D007255:Information Services; D008490:Medical Informatics / Q000458:organization & administration* / Q000639:trends; D008491:Medical Informatics Applications; D016347:Medical Records Systems, Computerized; D011050:Policy Making; D012984:Software; D014481:United States