Health IT Overview
HITECH and Implications for California
Testimony of Jonah Frohlich, Senior Program OfficerCalifornia HealthCare FoundationSenate Health Committee HearingMarch 13, 2009
CALIFORNIA HEALTHCARE FOUNDATION
Health Care as a Cottage Industry
CALIFORNIA HEALTHCARE FOUNDATION
Vendor Landscape
3
Over 90 EHR vendors offe
r
independently certified systems
Over 90 EHR vendors offe
r
independently certified systems
CALIFORNIA HEALTHCARE FOUNDATION
CALIFORNIA HEALTHCARE FOUNDATION
CALIFORNIA HEALTHCARE FOUNDATION
CALIFORNIA HEALTHCARE FOUNDATION
CALIFORNIA HEALTHCARE FOUNDATION
Percent
“Meaningful Use” of Ambulatory EHRs in the US
- New England Journal of Medicine, Catherine M. DesRoches et al, July 3, 2008
CALIFORNIA HEALTHCARE FOUNDATION
Implementation Challenges
EHRs are expensive to implement
Standards are not yet entrenched to allow for easy information exchange
Small practices, clinics and hospitals need support to:
o Negotiate contracts
o Implement the technology and interfaces
o Confront the reality of using a complex technology everyday
