Health Information Technology for Economic and Clinical Health (HITECH)

All of these potential advances could greatly improve health outcomes and help bend the health care cost curve. Unfortunately, these advances come with significant costs, both financially and in terms of personal privacy. Going forward, policymakers should work to ensure limited resources are used in a more cost-effective manner. Changes to EMR policy have been part of recent legislative and executive action.

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The health world is flirting with disaster, say the experts who monitor crime in cyberspace. A hack that exposes the medical and financial records of tens of thousands of patients is coming, they say — it’s only a matter of when...

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The HITECH act of 2009 (part of the American Recovery and Reinvestment Act) gave an unprecedented boost to an obscure corner of the IT industry that produced electronic health records. For the next eight years they were given the opportunity to bring health care into the 21st century and implement common-sense reforms in data sharing and analytics. They largely squandered this opportunity, amassing hundreds of millions of dollars while watching health care costs ascend into the stratosphere, and preening themselves over modest improvements in their poorly functioning systems...

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EMS providers often treat patients with complicated medical histories yet have no access to relevant health data, such as hospital or out-patient records, which might provide information critical to patient care. EMS reports also are rarely integrated into hospital records, leaving specialists and other hospital staff unaware of how patients presented to EMS initially and what treatments they received prior to arriving at the emergency department...Earlier this year, the Centers for Medicare & Medicaid Services (CMS) published a guidance letter that allows the use of Health Information Technology for Economic and Clinical Health (HITECH) funds for expenditures related to electronically connecting Eligible Providers to other Medicaid providers, including EMS, to share health information.

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The Department of Health and Human Services has made changes to its website, widely referred to as the "wall of shame," that lists reports of major health data breaches affecting 500 or more individuals. The changes come after complaints from some members of Congress and others that the website unfairly exposes breached organizations to endless public scrutiny because incidents are indefinitely listed on the site...

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