Transforming Healthcare with Health Information Technology.
Denison, Charles M.
Transforming Healthcare with Health Information Technology. - 1st ed. - 1 online resource (174 pages) - Health Care Issues, Costs and Access . - Health Care Issues, Costs and Access .
Intro -- TRANSFORMING HEALTHCARE WITH HEALTH INFORMATION TECHNOLOGY -- TRANSFORMING HEALTHCARE WITH HEALTH INFORMATION TECHNOLOGY -- Library of Congress Cataloging-in-Publication Data -- CONTENTS -- PREFACE -- Chapter 1: REALIZING THE FULL POTENTIAL OF HEALTH INFORMATION TECHNOLOGY TO IMPROVE HEALTHCARE FOR AMERICANS: THE PATH FORWARD -- ABOUT THE PRESIDENT'S COUNCIL OFADVISORS ON SCIENCE AND TECHNOLOGY -- THE PRESIDENT'S COUNCIL OF ADVISORSON SCIENCE AND TECHNOLOGY -- Co-Chairs -- Members -- Staff -- EXECUTIVE OFFICE OF THE PRESIDENTPRESIDENT'S COUNCIL OF ADVISORS ONSCIENCE AND TECHNOLOGYWASHINGTON, D.C. 20502 -- EXECUTIVE SUMMARY -- Advantages of Focusing on a Universal Exchange Language -- Recommendations -- PCAST HEALTH INFORMATION TECHNOLOGY WORKING GROUP -- Co-Chairs -- Members -- Staff -- I. INTRODUCTION AND OVERVIEW -- Introduction -- THE ORIGINS OF THIS STUDY -- Analysis of the Problem -- The Present Federal Landscape -- STRUCTURE OF THIS REPORT -- II. THE POTENTIAL OF HEALTH IT -- Introduction -- Potential Benefits of Health IT: An Overview -- The Value of Patient-Specific Data to Patients -- The Value of Patient-Specific and Aggregated Data to Physicians -- The Value of Population Data for Research and Public Health -- Realizing the Potential of IT: A Data-Centric Approach -- CONCLUSION -- III. HEALTH IT TODAY -- Introduction -- Historical Barriers to EHR Adoption -- Limitations of Present-Day EHRs -- Workflow Disruption and Documentation Burden -- Lack of Decision Support Functionality -- Lack of a Platform for Innovative Applications -- Concerns about Security and Privacy -- Lessons from Early Adopters -- The Kaiser and VA Experience -- Experiences at Other Organizations -- Lessons and Challenges -- Health Information Exchanges -- New and Emerging Technologies -- "Cloud-Based" Technologies for Small Providers. Personal Health Records -- Data Aggregation "Middleware" -- The HITECH Act and Shifting Incentives -- Opportunities and Challenges for ONC and CMS -- Conclusion -- IV. TECHNOLOGY FOR AN INTEGRATED HEALTH IT ECOSYSTEM -- Introduction -- Earlier Models for Enabling Data Exchange -- Universal Exchange Using Metadata-Tagged Data Elements -- Data Element Access Services -- Advantages of the Tagged Data Element Approach -- V. PRIVACY AND SECURITY CONSIDERATIONS -- Introduction -- The Present Framework -- The Need for Strong, Persistent Privacy Protections -- Deleterious Effects on Medical Research and Care -- Data Security: How Good Is Good Enough? -- A Health IT Architecture for 21st Century Privacy and Security -- Privacy Protection of Metadata-Tagged Data Elements -- VI. ECONOMIC AND REGULATORY ISSUES -- Introduction -- Standards and Incentives for Interoperability -- Creating a Data Exchange Infrastructure -- A Regulatory Structure for Data Access -- Competition to Supply Technology -- Innovation and Markets for Applications -- The Broader Economics of Healthcare -- Estimating Costs -- VII. HEALTH DATA AND THE RESEARCH OPPORTUNITY -- Introduction -- The Potential for Real-Time, Real-World, and Comprehensive Data -- Supporting Research Uses -- VIII. GUIDANCE TO AGENCIES -- Introduction -- A Feasible Roadmap to the Future -- Guidance on Necessary Design Choices -- Guidance on Meaningful Use Requirements -- IX. RECOMMENDATIONS -- IX. RECOMMENDATIONS -- APPENDIX A: EXPERT INPUT -- APPENDIX B: ACKNOWLEDGMENTS -- APPENDIX C: GLOSSARY -- APPENDIX C: GLOSSARY -- APPENDIX D: ABBREVIATIONS -- Chapter 2: THE HEALTH INFORMATION TECHNOLOGY FORECONOMIC AND CLINICAL HEALTH (HITECH)ACT -- SUMMARY -- INTRODUCTION -- FEDERAL EFFORTS TO PROMOTE HIT -- HIPAA Administrative Simplification:Electronic Transactions,Sec urity & -- Privacy Standards. Electronic Transactions and Code Sets -- Unique Health Identifiers -- Health Information Security -- Health Information Privacy -- Medicare Part D: E-Prescribing -- Anti-Kickback Statute, Stark Law -- CMS Grants, Demonstrations and Pay-for-Performance -- Office of the National Coordinator for Health InformationTechnology -- Agency for Healthcare Research and Quality -- Other Federal Agencies -- HIT LEGISLATION IN THE 109 AND 110 CONGRESSES -- 109 Congress -- 110 Congress -- HITECH ACT: EXPLANATION OF PROVISIONS -- HIT Appropriations in ARR -- ACKNOWLEDGMENTS -- Chapter 3: THE PRIVACY AND SECURITY PROVISIONS FOR HEALTH INFORMATION IN THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009* -- SUMMARY -- INTRODUCTION -- THE HEALTH INSURANCE PORTABILITY ANDACCOUNTABILITY ACT (HIPAA) -- The HIPAA Privacy Rule -- The HIPAA Security Rule -- SUBTITLE D (PRIVACY) OF THE HITECH ACT -- Application of the HIPAA Security Provisions and Penalties to Business Associates -- Breach Notification -- Definitions -- Notice of Unauthorized Disclosure of Protected Health Information -- Notice of Unauthorized Disclosure of Personal Health Records -- Health Information Privacy Education -- Application of HIPAA Privacy Provisions andPenalties to Business Associates -- Individual Rights Regarding Protected Health Information -- Restrictions on Disclosures -- Minimum Necessary -- Requesting an Accounting -- Sales of Protected Health Information -- Access to EHRs -- Restrictions on Commercial Uses of Protected Health Information -- Marketing -- Fundraising -- Business Associate Contracts Required for Certain Entities -- Application of Criminal Penalties -- Enforcement -- Enforcement by the Office of Civil Rights -- Increased Civil Monetary Penalties -- State Attorney General Enforcement -- Audits -- Relationship to Other Laws -- Studies, Reports, and Guidance -- End Notes. Chapter 4: NATIONWIDE PRIVACY AND SECURITY FRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION* -- I. PREAMBLE TO THE NATIONWIDE PRIVACY AND SECURITYFRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLYIDENTIFIABLE HEALTH INFORMATION -- Purpose -- Background -- Historical Perspective -- Legal Environment -- Methodology -- Principles -- Scope -- Organization of the Principles -- Terminology -- II. THE NATIONWIDE PRIVACY AND SECURITYFRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLYIDENTIFIABLE HEALTH INFORMATION -- Scope -- Introduction -- Individual Access -- Correction -- Openness and Transparency -- Individual Choice -- Collection, Use, and Disclosure Limitation -- Data Quality and Integrity -- Safeguards -- Accountability -- End Notes -- APPENDIX I: GLOSSARY -- INDEX.
9781624176852
United States. -- Health Information Technology for Economic and Clinical Health Act.
Medical informatics -- Law and legislation -- United States.
Data protection -- Law and legislation -- United States.
Electronic books.
K3611.R43 -- A2 2011eb
344.7303/21
Transforming Healthcare with Health Information Technology. - 1st ed. - 1 online resource (174 pages) - Health Care Issues, Costs and Access . - Health Care Issues, Costs and Access .
Intro -- TRANSFORMING HEALTHCARE WITH HEALTH INFORMATION TECHNOLOGY -- TRANSFORMING HEALTHCARE WITH HEALTH INFORMATION TECHNOLOGY -- Library of Congress Cataloging-in-Publication Data -- CONTENTS -- PREFACE -- Chapter 1: REALIZING THE FULL POTENTIAL OF HEALTH INFORMATION TECHNOLOGY TO IMPROVE HEALTHCARE FOR AMERICANS: THE PATH FORWARD -- ABOUT THE PRESIDENT'S COUNCIL OFADVISORS ON SCIENCE AND TECHNOLOGY -- THE PRESIDENT'S COUNCIL OF ADVISORSON SCIENCE AND TECHNOLOGY -- Co-Chairs -- Members -- Staff -- EXECUTIVE OFFICE OF THE PRESIDENTPRESIDENT'S COUNCIL OF ADVISORS ONSCIENCE AND TECHNOLOGYWASHINGTON, D.C. 20502 -- EXECUTIVE SUMMARY -- Advantages of Focusing on a Universal Exchange Language -- Recommendations -- PCAST HEALTH INFORMATION TECHNOLOGY WORKING GROUP -- Co-Chairs -- Members -- Staff -- I. INTRODUCTION AND OVERVIEW -- Introduction -- THE ORIGINS OF THIS STUDY -- Analysis of the Problem -- The Present Federal Landscape -- STRUCTURE OF THIS REPORT -- II. THE POTENTIAL OF HEALTH IT -- Introduction -- Potential Benefits of Health IT: An Overview -- The Value of Patient-Specific Data to Patients -- The Value of Patient-Specific and Aggregated Data to Physicians -- The Value of Population Data for Research and Public Health -- Realizing the Potential of IT: A Data-Centric Approach -- CONCLUSION -- III. HEALTH IT TODAY -- Introduction -- Historical Barriers to EHR Adoption -- Limitations of Present-Day EHRs -- Workflow Disruption and Documentation Burden -- Lack of Decision Support Functionality -- Lack of a Platform for Innovative Applications -- Concerns about Security and Privacy -- Lessons from Early Adopters -- The Kaiser and VA Experience -- Experiences at Other Organizations -- Lessons and Challenges -- Health Information Exchanges -- New and Emerging Technologies -- "Cloud-Based" Technologies for Small Providers. Personal Health Records -- Data Aggregation "Middleware" -- The HITECH Act and Shifting Incentives -- Opportunities and Challenges for ONC and CMS -- Conclusion -- IV. TECHNOLOGY FOR AN INTEGRATED HEALTH IT ECOSYSTEM -- Introduction -- Earlier Models for Enabling Data Exchange -- Universal Exchange Using Metadata-Tagged Data Elements -- Data Element Access Services -- Advantages of the Tagged Data Element Approach -- V. PRIVACY AND SECURITY CONSIDERATIONS -- Introduction -- The Present Framework -- The Need for Strong, Persistent Privacy Protections -- Deleterious Effects on Medical Research and Care -- Data Security: How Good Is Good Enough? -- A Health IT Architecture for 21st Century Privacy and Security -- Privacy Protection of Metadata-Tagged Data Elements -- VI. ECONOMIC AND REGULATORY ISSUES -- Introduction -- Standards and Incentives for Interoperability -- Creating a Data Exchange Infrastructure -- A Regulatory Structure for Data Access -- Competition to Supply Technology -- Innovation and Markets for Applications -- The Broader Economics of Healthcare -- Estimating Costs -- VII. HEALTH DATA AND THE RESEARCH OPPORTUNITY -- Introduction -- The Potential for Real-Time, Real-World, and Comprehensive Data -- Supporting Research Uses -- VIII. GUIDANCE TO AGENCIES -- Introduction -- A Feasible Roadmap to the Future -- Guidance on Necessary Design Choices -- Guidance on Meaningful Use Requirements -- IX. RECOMMENDATIONS -- IX. RECOMMENDATIONS -- APPENDIX A: EXPERT INPUT -- APPENDIX B: ACKNOWLEDGMENTS -- APPENDIX C: GLOSSARY -- APPENDIX C: GLOSSARY -- APPENDIX D: ABBREVIATIONS -- Chapter 2: THE HEALTH INFORMATION TECHNOLOGY FORECONOMIC AND CLINICAL HEALTH (HITECH)ACT -- SUMMARY -- INTRODUCTION -- FEDERAL EFFORTS TO PROMOTE HIT -- HIPAA Administrative Simplification:Electronic Transactions,Sec urity & -- Privacy Standards. Electronic Transactions and Code Sets -- Unique Health Identifiers -- Health Information Security -- Health Information Privacy -- Medicare Part D: E-Prescribing -- Anti-Kickback Statute, Stark Law -- CMS Grants, Demonstrations and Pay-for-Performance -- Office of the National Coordinator for Health InformationTechnology -- Agency for Healthcare Research and Quality -- Other Federal Agencies -- HIT LEGISLATION IN THE 109 AND 110 CONGRESSES -- 109 Congress -- 110 Congress -- HITECH ACT: EXPLANATION OF PROVISIONS -- HIT Appropriations in ARR -- ACKNOWLEDGMENTS -- Chapter 3: THE PRIVACY AND SECURITY PROVISIONS FOR HEALTH INFORMATION IN THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009* -- SUMMARY -- INTRODUCTION -- THE HEALTH INSURANCE PORTABILITY ANDACCOUNTABILITY ACT (HIPAA) -- The HIPAA Privacy Rule -- The HIPAA Security Rule -- SUBTITLE D (PRIVACY) OF THE HITECH ACT -- Application of the HIPAA Security Provisions and Penalties to Business Associates -- Breach Notification -- Definitions -- Notice of Unauthorized Disclosure of Protected Health Information -- Notice of Unauthorized Disclosure of Personal Health Records -- Health Information Privacy Education -- Application of HIPAA Privacy Provisions andPenalties to Business Associates -- Individual Rights Regarding Protected Health Information -- Restrictions on Disclosures -- Minimum Necessary -- Requesting an Accounting -- Sales of Protected Health Information -- Access to EHRs -- Restrictions on Commercial Uses of Protected Health Information -- Marketing -- Fundraising -- Business Associate Contracts Required for Certain Entities -- Application of Criminal Penalties -- Enforcement -- Enforcement by the Office of Civil Rights -- Increased Civil Monetary Penalties -- State Attorney General Enforcement -- Audits -- Relationship to Other Laws -- Studies, Reports, and Guidance -- End Notes. Chapter 4: NATIONWIDE PRIVACY AND SECURITY FRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION* -- I. PREAMBLE TO THE NATIONWIDE PRIVACY AND SECURITYFRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLYIDENTIFIABLE HEALTH INFORMATION -- Purpose -- Background -- Historical Perspective -- Legal Environment -- Methodology -- Principles -- Scope -- Organization of the Principles -- Terminology -- II. THE NATIONWIDE PRIVACY AND SECURITYFRAMEWORK FOR ELECTRONIC EXCHANGE OF INDIVIDUALLYIDENTIFIABLE HEALTH INFORMATION -- Scope -- Introduction -- Individual Access -- Correction -- Openness and Transparency -- Individual Choice -- Collection, Use, and Disclosure Limitation -- Data Quality and Integrity -- Safeguards -- Accountability -- End Notes -- APPENDIX I: GLOSSARY -- INDEX.
9781624176852
United States. -- Health Information Technology for Economic and Clinical Health Act.
Medical informatics -- Law and legislation -- United States.
Data protection -- Law and legislation -- United States.
Electronic books.
K3611.R43 -- A2 2011eb
344.7303/21