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The Promises and Challenges of Health Information Technology

Copyright © 2013. 20 pages.
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DOI: 10.4018/978-1-4666-2770-3.ch004
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MLA

Gugerty, Brian and Michael J. Maranda. "The Promises and Challenges of Health Information Technology." User-Driven Healthcare: Concepts, Methodologies, Tools, and Applications. IGI Global, 2013. 57-76. Web. 20 Apr. 2014. doi:10.4018/978-1-4666-2770-3.ch004

APA

Gugerty, B., & Maranda, M. J. (2013). The Promises and Challenges of Health Information Technology. In I. Management Association (Ed.), User-Driven Healthcare: Concepts, Methodologies, Tools, and Applications (pp. 57-76). Hershey, PA: Medical Information Science Reference. doi:10.4018/978-1-4666-2770-3.ch004

Chicago

Gugerty, Brian and Michael J. Maranda. "The Promises and Challenges of Health Information Technology." In User-Driven Healthcare: Concepts, Methodologies, Tools, and Applications, ed. Information Resources Management Association, 57-76 (2013), accessed April 20, 2014. doi:10.4018/978-1-4666-2770-3.ch004

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Abstract

This chapter explores the application of Information Technology to healthcare in the United States. Recent developments and trends in healthcare information technology (HIT) are presented and discussed. Widespread adoption of HIT promises to save lives, save money, and improve health. Definitions, descriptions, and examples of electronic health records (EHRs) and personal health records (PHRs) are provided. The significant efforts to broadly and meaningfully adopt HIT over the next several years are discussed. The significant challenges in implementing EHRs are discussed, including transformation of clinical processes. Finally, the impact of HIT on the concept of ownership of the healthcare record and how it may change the relationship between the patient and healthcare provider are explored. Implementing effective HIT on a nationwide scale will require considerable effort.
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Introduction

The application of information technology to healthcare offers the promise of the comprehensive management of health information, including the exchange of information between patient and healthcare providers, among providers, and between providers and payers/government agencies. Healthcare information technology (HIT), if implemented extensively, has the potential to improve the quality of healthcare, to increase efficiency of providing care, and to reduce medical errors. This result translates into saving lives and saving money. The systematic application of HIT through a country can result in the general improvement of the population’s health.

Despite the fact that much of HIT was pioneered and developed in the US and this country remains an innovator in HIT, the US lags behind some other countries and regions in the implementation of HIT. Currently, there is a federal initiative in the US to promote adoption of HIT by healthcare providers. It is hoped that HIT will be implemented in the US broadly enough so that—in the words of David Blumenthal, MD, U.S. National Coordinator for Health Information Technology—a “nationwide electronic health information system” will develop (Blumenthal, 2010).

The Alliance for Health Reform (2009) describes HIT as encompassing “a broad array of technologies involved in managing and sharing patient information electronically, rather than through paper records.” The central component of this broad array of technology is the electronic health record (EHR). An EHR is a record of an individual’s health and healthcare-related information that is created, managed, and consulted by authorized clinicians and staff within one or more healthcare settings. Computer hardware and software technologies and standards underpin the EHR, and networking technologies and standards extend the EHR into the area of health information exchange (HIE). HIE enables the important information contained in the EHR to be shared across healthcare delivery organizations, regions, and nations.

Despite several decades of vigorous efforts to encourage the adoption of EHRs, most physician office practices and many hospitals have not done so in the United States. Even hospitals in the US that have begun to adopt HIT have a long way to go to achieve the desired end points, as will be discussed in detail later in this chapter. In fact, several countries or regions, including the Netherlands, the UK, France, Hong Kong, Singapore, and Australia, are significantly more advanced in the basic penetration and use of the EHR than the US. The US federal government through the Office of the National Coordinator of Health Information Technology and other agencies are trying to change that. The Bush administration set a goal of a fully functional EHR being used by every American by 2014. The Obama administration concurs with that goal and has appropriated tens of billions of dollars to make it a reality. This high-level focus on EHR adoption and the significant money that is available for such adoption over the next five years has generated great interest and activity in the US and beyond. Although the US has far to go in implementing HIT on a national scale, it remains a major innovator of HIT. The fragmented healthcare system with diverse types of providers allows for much innovation and experimentation in HIT.

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Complete Chapter List

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Table of Contents
Chapter 1
Rakesh Biswas, Joachim Sturmberg, Carmel M. Martin
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Chapter 2
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Chapter 3
Janine R. A. Kamath, Amerett L. Donahoe-Anshus
Over the last two decades there has been considerable deliberation, experience, and research in the arena of Health Information Technology (HIT)... Sample PDF
Electronic Health Record: Adoption, Considerations and Future Direction
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Chapter 4
Brian Gugerty, Michael J. Maranda
This chapter explores the application of Information Technology to healthcare in the United States. Recent developments and trends in healthcare... Sample PDF
The Promises and Challenges of Health Information Technology
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Chapter 5
Brett Harnett
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Chapter 6
Daniel Morrow, Jessie Chin
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Technology as a Bridge between Health Care Systems and Older Adults
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Chapter 7
Keith Lui
Health informatics (HI) is an increasingly important discipline to healthcare. HI is the scientific field concerned with improving how information... Sample PDF
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Chapter 8
Lemai Nguyen
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Chapter 9
Charlotte Tang, Sheelagh Carpendale
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Chapter 10
Erin Willis, Ye Wang, Shelly Rodgers
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Chapter 11
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E-Health and Digital Inclusion
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Chapter 12
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Chapter 13
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Information Security Standards for Health Information Systems: The Implementer’s Approach
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Chapter 14
Mohamed K. Watfa, Manprabhjot Kaur, Rashida Firoz Daruwala
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RFID Applications in E-Healthcare
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Chapter 15
Xiaomin Zhao, Ming J Zuo, Ramin Moghaddass
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Chapter 16
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There are e-health communities of many different kinds available on the Internet today. Some e-health communities are for people who need to change... Sample PDF
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Chapter 17
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Chapter 18
J. Escayola, J.D. Trigo, I. Martínez, M. Martínez-Espronceda, A. Aragüés, D. Sancho, S. Led, L. Serrano, J. García
Traditional fields in health delivery such as chronic diseases or independent aging are evolving to novel healthcare applications like... Sample PDF
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Chapter 19
Michelle Lee D’Abundo
The Health Information Technology for Economic and Clinical Health (HITECH) Act (2009) was legislation passed focused on improving health care... Sample PDF
Electronic Health Record Implementation in the United States Healthcare Industry: Making the Process of Change Manageable
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Chapter 20
Hartmut Remmers, Manfred Hülsken-Giesler
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e-Health Technologies in Home Care Nursing: Recent Survey Results and Subsequent Ethical Issues
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Chapter 21
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Chapter 22
Krishna K. Venkatasubramanian, Sidharth Nabar, Sandeep K. S. Gupta, Radha Poovendran
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Chapter 23
Dennis Backherms
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Chapter 24
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Chapter 25
Takeshi Toda, PaoMin Chen, Shinya Ozaki, Kazunobu Fujita, Naoko Ideguchi
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Chapter 26
N.P Chowdhry, Adnan Ashraf, B.S Chowdhry, A.K Baloch, A.W Ansari, H. De Meer
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Chapter 27
Ricardo Mendoza-González, Miguel Vargas Martin, Laura C. Rodríguez-Martínez
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Identifying the Essential Design Requirements for Usable E-Health Communities in Mobile Devices
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Chapter 28
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Chapter 29
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Chapter 30
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Chapter 31
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Chapter 32
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Chapter 33
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Chapter 34
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Chapter 36
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Chapter 37
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Chapter 38
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Chapter 39
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A Strategic Approach to e-Health Interoperability Using e-Government Frameworks
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Chapter 40
Ori Gudes, Elizabeth Kendall, Tan Yigitcanlar, Jung Hoon Han, Virendra Pathak
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Chapter 41
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Chapter 42
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Chapter 43
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Chapter 44
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Chapter 45
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An Overview of E-Health Development in Australia
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Chapter 46
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Chapter 47
Wayne Usher, Lay San Too
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Chapter 48
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Chapter 49
Panos Constantinides
This chapter draws on a secondary analysis of publicly available data on the development of the English National Program for IT (NPfIT). This... Sample PDF
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Chapter 50
Panos Constantinides
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Chapter 51
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Chapter 52
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Chapter 54
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Chapter 56
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Chapter 57
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Chapter 58
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Chapter 59
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Chapter 60
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E-healthcare systems through electronic medical records (EMRs), electronic prescribing and decision support systems endeavour to reduce the cost and... Sample PDF
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Chapter 61
Max E. Stachura, Joseph Wood, Fjorentina Angjellari-Dajci, James Grayson, Elena V. Astapova, Hui-Lien Tung, Donald A. Sofge, W.F. Lawless
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Representing Organizational Conservation of Information: A Review of Telemedicine and E-Health in Georgia
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Chapter 62
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Chapter 63
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Chapter 64
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Health care systems are complex and often approach a deterministic chaos in the number and types of interactions that occur among health care... Sample PDF
Interprofessional Care and Health Care Complexity: Factors Shaping Human Resources Effectiveness in Health Information Management
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Chapter 65
Kei Hoshi
The aim of this chapter is to propose a new way to meaningfully bridge the dichotomy between technological and human concerns in the context of... Sample PDF
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Chapter 66
Amit Chattopadhyay, Khushdeep Malhotra, Sharmila Chatterjee
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Chapter 67
Suptendra Nath Sarbadhikari
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Chapter 68
Lamprini T. Kolovou, Dimitrios K. Lymberopoulos
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Chapter 69
Mary Kuehler, Nakeisha Schimke, John Hale
Electronic Health Record (EHR) systems are a powerful tool for healthcare providers and patients. Both groups benefit from unified, easily... Sample PDF
Privacy Considerations for Electronic Health Records
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Chapter 70
Alejandro Enrique Flores, Khin Than Win, Willy Susilo
Protecting the confidentiality of a patient’s information in a shared care environment could become a complex task. Correct identification of users... Sample PDF
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Chapter 71
Bandar Alhaqbani, Colin Fidge
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Chapter 72
David Haniff
The chapter presents case studies of e-health applications that the author has been involved in such as a paramedic application that presented... Sample PDF
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Chapter 74
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Chapter 75
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Health 2.0 and Medicine 2.0: Safety, Ownership and Privacy Issues
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Chapter 76
Kristina Zgodavová, Aleš Bourek
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Potential of WEB Based Learning in Managing for the Sustained Success of a Healthcare Organization Based on IMPROHEALTH® Project
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Chapter 77
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Chapter 81
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