Original Article
Toward a Statewide Health Information Technology Center (Abbreviated Version)
Abstract
With the passage of The American Reinvestment and Recovery Act of 2009 that includes the Health Care Information Technology for Economic & Clinical Health Act, the opportunity for states to develop a Health Information Technology Center (THITC) has emerged. The Center provides the intellectual, financial, and technical leadership along with the governance and oversight for all health information technology-related activities in the state. This Center would be a free-standing, not-for-profit, public-private partnership that would be responsible for operating one or more (in large states) Regional Health Information Technology Extension Centers (Extension Centers) along with several Regional Health Information Exchanges (HIEs) and one or more Regional Health Information Data Centers (Data Centers). We believe that if these features and functions could be developed, deployed, and integrated statewide, the health and welfare of the citizens of the state could be improved while simultaneously reducing the costs associated with the provision of care.This content is limited to qualifying members.
Existing members, please login first
If you have an existing account please login now to access this article or view purchase options.
Purchase only this article ($25)
Create a free account, then purchase this article to download or access it online for 24 hours.
Purchase an SMJ online subscription ($75)
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
Purchase a membership plan (fees vary)
Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.
References
1. American Recovery and Reinvestment Act of 2009. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ5/pdf/PLAW-111publ5.pdf. Accessed August 20, 2010.
2. Federal Register Vol. 74 (1010). Available at: healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_869068_0_0_18/HITREC_Federal%20Register%20Notice%202009-05-28.pdf. Accessed August 20, 2010.
3. House of Representatives. 1 111th Congress of the United States of America, Section 3011 pg 132–165. Available at: frwebgate.access. gpo.gov/cgi-bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h1enr.pdf. Accessed August 20, 2010.
4. CISCO Healthcare Industry Profile—Data Center DDM08CS1514 06/08. Available at: www.cisco.com/web/strategy/docs/healthcare/hc_dc_profile.pdf. Accessed August 20, 2010.
5. Texas Medical Association's EMR Readiness Assessment Guide. Available at: http://www.texmed.org/uploadedFiles/Practice_Management/Computers_And_Software/Are%20you%20ready%20for%20an%20EMR.doc. Accessed August 20, 2010.
6. Electronic Medical Record Buying Guide for Small Physician Practices. Available at: http://www.chcf.org/∼/media/Files/PDF/F/ForresterEMRBuyersGuideRevise.pdf. Accessed August 20, 2010.
7. Columbus S. Small practice, big decision: selecting an EHR system for small physician practices. J AHIMA 2006;77:42–46.
8. King MM. Clinica Adelante, Inc. Electronic Health Record Implementation Plan. March 2006. Available at: http://archive.healthit.ahrq.gov/portal/server.pt/gateway/PTARGS_0_890537_0_0_18/Clinica%20Adelante%20EHR%20Implementation%20Plan.doc. Accessed August 20, 2010.
9. Campbell EM, Guappone KP, Sittig DF, et al. Computerized provider order entry adoption: implications for clinical workflow. J Gen Intern Med 2009;24:21–26.
10. Sittig DF, Singh H. A new socio-technical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care In press.
11. U.S. Preventive Services Task Force (USPSTF) Recommendations. Available at: http://www.ahrq.gov/CLINIC/uspstfix.htm. Accessed August 20, 2010.
12. Zhu VJ, Overhage MJ, Egg J, et al. An empiric modification to the probabilistic record linkage algorithm using frequency-based weight scaling. J Am Med Inform Assoc 2009;16:738–745.
13. Dogac A, Laleci GB, Aden T, et al. Enhancing IHE XDS for federated clinical affinity domain support. IEEE Trans Inf Technol Biomed 2007;11:213–221.
14. Dolin RH, Giannone G, Schadow G. Enabling joint commission medication reconciliation objectives with the HL7/ASTM Continuity of Care Document standard. AMIA Annu Symp Proc 2007;11:186–190.
15. Halpert AM. Access audit trails: en route to security. J AHIMA 2000;71:43–46; quiz 47–48.
16. Indiana Health Information Exchange—Docs 4 Docs program. Available at: http://www.ihie.com/Services/default.php. Accessed August 20, 2010.
17. Sittig DF, Gandhi TK, Franklin M, et al. A computer-based outpatient clinical referral system. Int J Med Inform 1999;55:149–158.
18. U.S. Preventive Services Task Force (USPSTF) Recommendations. Available at: http://www.ahrq.gov/CLINIC/uspstfix.htm. Accessed August 20, 2010.
19. Turner WP, Seader JH, Brill KG. Industry Standard Tier Classifications Define Site Infrastructure Performance. Available at: http://www.datacenterdynamics.com.br/Media/DocumentLibrary/Tier_Classification.pdf. Accessed August 20, 2010.
20. Campbell EM, Sittig DF, Guappone KP, et al. Overdependence on technology: an unintended adverse consequence of computerized provider order entry. AMIA Annu Symp Proc 2007;11:94–98.
