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Putting Policy Into Practice. Information Technology. Electronic Health Record Currently. “Doctors are using IT but not necessarily for reasons directly related to patient care” 46% have PDA 17% have tablet PCs One out of 4 practices has someone who uses a PDA
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Putting Policy Into Practice Information Technology
Electronic Health Record Currently “Doctors are using IT but not necessarily for reasons directly related to patient care” • 46% have PDA • 17% have tablet PCs • One out of 4 practices has someone who uses a PDA • 78% maintain calendar ( secretary) • 71% Contact information • 26% Checking medications • 9% Lab results
Electronic Health Record : diffusion and acceptance of value? • 40 % use one of the 3 following tools • E-prescribing 16 % • E-health record 30% • Remote disease monitoring 7% ( diabetes, heart) • Barriers • Cost • Implementation hassles: time & work flow • Reimbursement • Patient-doctor relationship negative perceptions • Technology: incompatibiities
Electronic Health Record : diffusion and acceptance of value? • What’s working? • 58% Increased efficiencies • 87% better care • 78% patient satisfaction enhanced • 74% saved their practice money
What is the role of government? Barriers Opportunities Economic engines Funding streams in IT Diffusion of best practices Crosscutting innovation with private sector
Implications …In the states
World Congress plans Governor and State Summit Technology Innovations In Health Care March 2005