title: Re-examining health IT policy: what will it take to derive value from our investment?
abstract: Despite substantial investments in health information technology (HIT), the nation's goals of reducing cost and improving outcomes through HIT remain elusive. This period of transition, with new Office of National Coordinator for HIT leadership, upcoming Meaningful Use Stage III definitions, and increasing congressional oversight, is opportune to consider needed course corrections in HIT strategy. This article describes current problems and recommended changes in HIT policy, including approaches to usability, interoperability, and quality measurement. Recommendations refrain from interim measures, such as electronic health record adoption rates, and instead focus on measurable national value to benefit the economy, to reduce healthcare costs, and to improve clinical efficiency and care quality.
authors.affiliation: Department of Anesthesiology, Stanford Hospital & Clinics, Stanford, California, USA.
authors.forename: Loren
authors.initials: L
authors.lastname: Riskin
authors.affiliation: Department of Sociology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Ross
authors.initials: R
authors.lastname: Koppel
authors.affiliation: Department of Surgery, Stanford University, Stanford, California, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Riskin
mesh_terms: D004059:Diffusion of Innovation; D017048:Health Care Costs; D006291:Health Policy / Q000191:economics / Q000331:legislation & jurisprudence; D007449:Investments; D062527:Meaningful Use / Q000191:economics; D008490:Medical Informatics / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D016347:Medical Records Systems, Computerized / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D012984:Software; D018511:Systems Integration; D014481:United States
keywords: Health information technology; Healthcare economics; Healthcare policy; Inraoperability; Meaningful Use; Quality