ArticleJournal of the American Medical Informatics Association : JAMIA2017
Crossing the health IT chasm: considerations and policy recommendations to overcome current challenges and enable value-based care.
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed.
- Digital solutions in acute medicine: Will electronic health records join up the patient journey (soon?).Future healthcare journal · 2026Article
- Clinical Research Informatics: a Decade-in-Review.Yearbook of medical informatics · 2024Review
- The use and perceived value of electronic health information resources by health care professionals in the field of medicine, pharmacy, and nursing in Jazan province, Saudi Arabia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024Article
- Article
- Community-dwelling older adults' acceptance of smartwatches for health and location tracking.International journal of older people nursing · 2023Article
- A Practical Framework for Value Creation in Health Information Systems From an Ecosystem Perspective: Evaluated in the South African Context.Frontiers in psychology · 2022Article
- Involving patients as key stakeholders in the design of cardiovascular implantable electronic device data dashboards: Implications for patient care.Heart rhythm O2 · 2020Article
- Benefits of Blockchain Initiatives for Value-Based Care: Proposed Framework.Journal of medical Internet research · 2019Article
- Comparing the Trends of Electronic Health Record Adoption Among Hospitals of the United States and Japan.Journal of medical systems · 2019Article
- Electronic Health Record Adoption and Nurse Reports of Usability and Quality of Care: The Role of Work Environment.Applied clinical informatics · 2019Article
- Organizational influences on healthcare system adoption and use of advanced health information technology capabilities.The American journal of managed care · 2019Article
- Assessing the Impact of Body Mass Index Information on the Performance of Risk Adjustment Models in Predicting Health Care Costs and Utilization.Medical care · 2018Article
- Weighing benefits and risks in aspects of security, privacy and adoption of technology in a value-based healthcare system.BMC medical informatics and decision making · 2018Article
- "Minimally invasive research?" Use of the electronic health record to facilitate research in pediatric urology.Journal of pediatric urology · 2018Review
- The Role of PAEHRs in Patient Involvement.Journal of medical systems · 2018Article
- Forecasting the Maturation of Electronic Health Record Functions Among US Hospitals: Retrospective Analysis and Predictive Model.Journal of medical Internet research · 2018Article
- Public and Population Health Informatics: The Bridging of Big Data to Benefit Communities.Yearbook of medical informatics · 2018Review
- Nutritionally recommended food for semi- to strict vegetarian diets based on large-scale nutrient composition data.Scientific reports · 2018Article
- What do we know about the needs and challenges of health systems? A scoping review of the international literature.BMC health services research · 2017Article
- Transformational strategies for optimizing use of medications and related therapies through us pharmacists and pharmacies: Findings from a national study.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
While great progress has been made in digitizing the US health care system, today's health information technology (IT) infrastructure remains largely a collection of systems that are not designed to support a transition to value-based care. In addition, the pursuit of value-based care, in which we deliver better care with better outcomes at lower cost, places new demands on the health care system that our IT infrastructure needs to be able to support. Provider organizations pursuing new models of health care delivery and payment are finding that their electronic systems lack the capabilities needed to succeed. The result is a chasm between the current health IT ecosystem and the health IT ecosystem that is desperately needed.In this paper, we identify a set of focal goals and associated near-term achievable actions that are critical to pursue in order to enable the health IT ecosystem to meet the acute needs of modern health care delivery. These ideas emerged from discussions that occurred during the 2015 American Medical Informatics Association Policy Invitational Meeting. To illustrate the chasm and motivate our recommendations, we created a vignette from the multistakeholder perspectives of a patient, his provider, and researchers/innovators. It describes an idealized scenario in which each stakeholder's needs are supported by an integrated health IT environment. We identify the gaps preventing such a reality today and present associated policy recommendations that serve as a blueprint for critical actions that would enable us to cross the current health IT chasm by leveraging systems and information to routinely deliver high-value care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.