Strong Data Infrastructure Needed to Improve Health Care for Americans

A new report funded by the Agency for Healthcare Research and Quality (AHRQ) describes interoperability challenges in the U.S. health information technology system and proposes a potential future state health IT architecture. “A Robust Health Data Infrastructure” includes recommendations for the Centers for Medicare and Medicaid Services and the Office of the National Coordinator for Health IT (ONC) as they continue to develop the national vision for an effective and efficient interoperable health ecosystem.
The report, a joint effort between AHRQ, ONC and the Robert Wood Johnson Foundation, comes at a time of intense effort to adopt certified health IT, connect care providers to improve population health, build capacity in the health-care system to use health IT for better health and care, and support consumer access to health information.    

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Ethics and HIT

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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Benefit from new technologies... enable people to have remote access to CBT

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