Reports Examine Prospects Of Center For Evidence-Based Medicine, Barriers To HIE Sustainability

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Article Date: 27 Feb 2008 - 6:00 PDT

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'Reports Examine Prospects Of Center For Evidence-Based Medicine, Barriers To HIE Sustainability'

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"Creating a Center for Evidence-Based Medicine," Medicare Payment Advisory Commission: The report by staff from the American Institutes for Research discusses how the U.S. could implement a more comprehensive and systematic approach to using evidence-based medicine in improving health care. In addition, the report discusses the barriers and challenges to establishing such a system, as well as the possible structure of an organization that promotes evidence-based medicine (Moon et al., MedPAC, February 2008).

"Creating Sustainable Local Health Information Exchanges: Can Barriers to Stakeholder Participation Be Overcome?" Center for Studying Health System Change/National Institute for Health Care Management Foundation: The study, funded by the Agency for Healthcare Research and Quality, examines the perspectives of stakeholders -- such as hospitals, physicians, health plans, employers and others -- on participation in health information exchanges. According to the findings, despite the potential of HIEs to improve health care quality and efficiency, rival hospitals, doctors and health plans are reluctant to electronically share patient clinical data because of concerns about the potential loss of competitive advantage and data misuse. The study also examines the achievements of some HIEs throughout the country that have become viable by meeting specific business needs for more efficient care, as well as other HIEs that have struggled to identify and finance initial services because of a lack of hospital participation (HSC/NIHCMF release, 2/25).

Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation© 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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Visitor Opinions (latest shown first)

Misleading Title Of Article

posted by Bob Davey on 29 Feb 2008 at 5:53 am

Perhaps this post would have been more appropriately titled "We Need Electronic Medical Records".

You assert that EMR's will reduce costs. I believe it is premature, without substantial evidence, to make that assumption. Currently, data capture in electronic format requires substantial additional resources of time, labor and materials, and computer infrastructure for the large-scale storage and exchange of patient records will not be insignificant.

Without single-payer universal coverage, EMR's will facilitate commercial insurer's ability to limit, deny and revoke coverage.

Finally, potential cost-savings of EMR's, if any, are unlikely to make much of a reduction in the growth of health-care spending without additional radical changes in policy (such as the institution of mass purchasing agreements to lower drug costs, a re-examination of cost/benefit ratios for some of the largest drug expenditures, e.g., statins, standardization of spending on patient care by geography, increased access to primary care physicians and preventive care, medically necessary access to the most expensive lab tests, diagnostic devices and surgical procedures, and limitations on subsidies for pseudoscience-based services.

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We Need Single Payer Universal Health Care

posted by Albert Reingewirtz on 27 Feb 2008 at 11:04 am

Science requires the free exchange of findings. As it is now medicine is guarded property for profit. Universal health care with electronic records not for profit will allow the free exchange of data, cost less than the archaic pen and paper of medical records of today. I do not know what evidence based medicine means exactly but their cry resonates with me. (USA)

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