Improving Care for Those with Complex Healthcare needs Through HIT

A new report from the Agency for Healthcare Research and Quality (AHRQ) found that providing patients and clinicians with information and support using health IT (HIT) was effective in improving outcomes and quality. “Findings and Lessons from the Improving Management of Individuals with Complex Health Care Needs Through Health IT Grant Initiative” documents the findings of more than 10 research projects that investigated how health IT applications can support shared-decisionmaking, communication during care transitions, and facilitate secure exchange of information across multiple settings of care. Multiple studies showed positive impacts on process, intermediate, health, and economic outcomes.

To access the report, select: http://healthit.ahrq.gov/asqmcpreport (PDF, 3 MB).

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
  • institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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