HELP for HIT

by Jack Lewin January 23, 2009 05:27

Last week week we released a congratulatory statement on the positive proposals laid out at the Senate Health, Education, Labor and Pensions (HELP) Committee’s Health IT hearing. I’m encouraged by the proactive position HELP is taking on promoting health IT adoption (with proposed big financial backing); we need to continue to encourage Congress and the new administration to support health IT — but, along with firm standards for interoperability. The statement says, "the money Obama's plan puts into the infrastructure will be wasted if interoperability standards are not also put into place." These standards will allow clinicians to access information from multiple sources to help make better informed medical decisions to avoid adverse drug events, and to encourage patients to adhere to evidence-based medication regimens.

More was cooking last week. The Progressive Policy Institute (a Blue-Dog Democrat think tank) also put out a statement promoting health IT investment that included a great deal of ACC policy consideration. With our help that statement did NOT include over-kill privacy protection language -- as first proposed -- that would place barriers in front of most chronic disease management, registries like NCDR, and interoperability. The patient should be able to protect and direct their data, but if requires affirmative authorizations at every step and every time information is exchanged, it can’t realistically occur. Maybe we need to mobilize the profession, along with consumer groups, to develop an “opt-in” unique patient identifier that would make all of this easier for patients who want their information available at the point of care (for life-saving reasons). Those greatly worried about privacy would not need to participate. The recommendations of the ACC Informatics Committee, chaired by Mike Mirro, M.D., F.A.C.C., have provided great input for these documents. [Mike contributed to the Lewin Report this month on health IT ... I encourage you to read and comment on his post.] The e-Health Initiative (we are members) also put out a very positive health IT promotion statement last week which we significantly helped to craft.

More health IT coverage in the blog-o-sphere this week:

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About the author

Jack Lewin has been chief executive office of the American College of Cardiology since November 2006. Under his leadership the College has continued to build upon its standing as a national leader in advocacy, with a particular focus on reforming Medicare, Medicaid, and the financing and delivery of quality health care. Learn more about Dr. Lewin.

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