Redefining the Roles of Health Information Management Professionals in Health Information Technology

The high cost of healthcare continues to rise and many in the United States are optimistic for health information technology to reduce and improve our current situation. Health IT encompasses a broad array of new technologies designed to manage and share health-related information. When properly implemented, these systems can help coordinate patient care, reduce medical errors, and improve administrative efficiency. Therefore, implementing a Regional Health Information Organization (RHIO) will help the National Health Information Network (NHIN) achieve their goals in improving quality of care for the citizens of the United States. Thus, in order for the health IT to deliver on its promise, several obstacles must be overcome.

The Affordable Care Act of 2010 marks a new era in American health care. Yet in many ways, this era began more than a year earlier, with the passage of the American Recovery and Reinvestment Act (ARRA) of 2009 and its Health Information Technology for Economic and Clinical Health (HITECH) provisions. Although HITECH may be viewed narrowly as legislation to

Background: The Federal Agency for Healthcare Research and Quality (AHRQ) identified five goals for adopting health information technology (HIT) into the current health care systems that would significantly improve healthcare in America. (Abdelhak, Grostick, & Hanken, 2012, p. 82) These goals will help improve the quality of care within the federal health system by reducing medical errors, cost, and duplication of workload.

“Go Paperless and Get Paid” is how the Office of the National Coordinator for Health Information Technology (ONC) presents the incentives for electronic health records. The United States Department of Health and Human Services (U.S. Department of HHS) distributed more than $160 billion dollars to “improve and preserve health care, health information technology, community health, and prevention initiatives” (United States Department of Health and Human Services [HHS], 2014e). Likewise, the ONC offers “Health IT Adoption Programs” through the Health Information Technology for Economic and Clinical Health (HITECH) Act, seeking to advance the American health care delivery system and to improve patient care through an unique investment towards health information technology (HHS, 2014d). Additionally, the American Recovery and Reinvestment Act of 2009 allows the Centers for Medicare & Medicaid Services (CMS) to reward eligible hospitals and professionals with monetary incentives as they implement, adopt, or upgrade and demonstrate meaningful use of certified electronic health record (EHR) technology (HHS, 2014b). The Electronic Health Records Improvement Act (H.R. 1331) introduced by the United States House of Representative Diane Black is a bill to further improve the nation’s health care adoption of health information technology.

The Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009 (ARRA), is legislation aimed at the adoption and “meaningful use” of health information technology. CMS was authorized to establish incentive programs for eligible Medicare and Medicaid providers who adopt, implement, upgrade, or “meaningfully use” certified electronic health records (EHR). The term “meaningful use” is an acknowledgement that improved health care is not the product of technology but a method to exchange and use health information to support clinical decisions at the point of care.

The ARRA includes the Health Information Technology for Economic and Clinical Health (HITECH) Act, which pursues to improve American Healthcare and patient care through an extraordinary investment in Healthcare IT (HIT). The requirements of the HITECH Act are precisely designed to work jointly to provide the necessary assistance and technical operation to providers, enable grammatical relation and organization within and among states, establish connectivity in case of emergencies, and see to it the workforce is properly trained and equipped to be meaningful users of certified Electronic Health Records (EHRs). These computer software products are designed collaboratively to intensify the footing for every American to profit from an electronic health record (EHR) as part of a modernized, interrelated, and vastly improved grouping of care delivery.

The healthcare industry is in the midst of a major change from paper based medical record keeping to electronic medical record keeping. As part of the American Recovery and Investment Act of 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was passed (Office of the National Coordinator for Health Information Technology, 2014). HITECH is the U.S. Government’s first major contribution to the change from paper to electronic health information technology by setting meaningful use incentive program for Medicare and Medicaid providers that met certain requirements. Healthcare professionals that meet the meaningful use criteria will be awarded financially, and those that don’t meet the 2015 guideline will be penalized. We live in an electronic world of instant access to information and by adopting health information technology we give providers better and easier access to more information which in turn allows them to make a more informed diagnosis and treatment plan for the patient. The electronic health record (EHR) is part of the new information technology. According to the Office of the National Coordinator for Health Information Technology (2014.), EHR’s provide many benefits such as improvement in the quality of patient care; improvement in the coordination of patient care; more accurate diagnosis and better outcomes; a higher level of patient participation in their own care; and cost savings for the practice

Article was written by people with extensive experience in health care, pediatrics, and public health. Jessica Anker, Lisa Kern, Erica Abramson, and Rainu Kaushal, all of them are members of Weil corner Medical College and Health Information Technology Evaluation Collaborative. The intended audience is members of health care system, health care providers, and professionals that are involved in patient care. This article discusses how health information technology (HIT) together with organizational structure and clinician involvement can improve care and safety of our patients. I think that this article is important for nursing practice, because it shows that HIT alone cannot improve quality care, but together with work of clinicians and communication

The Health Information Technology for Economic and Clinical Health Act (HITECH) was put into place following the passage of the American Recovery and Reinvestment Act in 2009 and was designed to foster the acceptance and purposeful use of health information technology. With the creation and implementation of a national health care infrastructure related to the electronic health care record system among providers, a revision of the current law was necessary and inevitable. “Although HITECH may be viewed narrowly as legislation to stimulate the adoption of health information technology, it is better understood as an essential foundation for our broader efforts to restructure health care

With HITECH, the Obama administration has given $34 billion dollars to fund the implementation of EHRs through an incentive based program. To qualify for this program, organizations must buy a government certified HER system and demonstrate “meaningful use” of the certified EHR technology. HITECH has created an essential foundation for restructuring health care delivery and for achieving the key goals of improving health care quality; reducing costs; and increasing access through better methods of storing, analyzing, and sharing health information. The HITECH Act supports the 5 pillars of health outcomes policy priorities as described under “meaningful use”. The act is also measured by a set of objectives: breadth of use (spread of HER use among medical staff); extent of use; and quality improvement (Meaningful use of EHRs, 2013). Originally the achievement of these objectives through meaningful use were set to be met by this year (2015), but an extension has been made until

In today’s fragmented healthcare system, clinical decisions are made based on the available information. Unfortunately, the available information is not always complete. Patients have been using an increasing number of providers and health systems, many of which have no way to effectively communicate clinical information. This forces healthcare providers to make decisions based on incomplete information at the cost of outcomes to the patients and dollars to the health system. It is estimated that the use of health information exchange (HIE) could save $78 billion in healthcare costs per year (Shortliffe, 2014, p425). A concerted effort to solve this problem began in 2009, when The Office of the National Coordinator for Health Information Technology

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving

Health Information Technology (HIT) has been introduced into the National Health Service (NHS) in order to improve the quality, efficiency, safety and cost effectiveness of the delivery of health care. The application of computerized information technology in health care settings has so far played a vital role in improving the accessibility of information and has replaced more labour intensive and unproductive methods (Shekelle and Goldzweig, 2009).

For this reason, health care providers need relevant and accurate information to deliver quality medical care to patients. The root cause of implementation of HIT can be categorized as the gap between well-resourced and under-resourced providers and disparities exacerbated among at-risk populations (Can Health, 2012). Under-resourced providers serve population at-risk rather the resourced providers and they require sufficient funding to maintain and implement health technology. This creates a gap between the two providers resulting in inconsistencies in health care. For example, to implement Electronic Health Records system, “eligible providers may receive incentive payments during the 2011-2015 time period if they can demonstrate adoption and meaningful use of certified electronic health record technology” (Can Health,

The U.S. transforming health care system by promoting development of a nationwide Health IT infrastructure since 2004. Which allows for electronic use and exchange of information. Most of the healthcare institution are encouraged by the Health Information Technology (HIT) and US Government to develop an integrated computer based information management environment to use electronic