Drs. Brailer and Mostashari in Health Affairs: Two National Coordinators Compare Notes | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Drs. Brailer and Mostashari in Health Affairs: Two National Coordinators Compare Notes

March 5, 2012
by by Mark Hagland
| Reprints

The March issue of Health Affairs, whose contents were released online March 2, carried an article in which the first national coordinator of health IT, David Brailer, M.D., interviewed the third, and current, national coordinator, Farzad Mostashari, M.D. In the interview, Dr. Mostashari predicts that 50 percent of physicians will have adopted electronic health records (EHRs) within a couple of years, up from just 20 percent in 2009.

Here are a few brief excerpts:

DAVID BRAILER: “Where are we now with health information technology adoption in general?”

FARZAD MOSTASHARI: “I think the three-word phrase would be ‘on the march.’ If we look at every indicator we have, it’s all pointing in the right direction. As you know, in 2009 about 20 percent of primary care providers had a basic EHR when HITECH was passed, and within a year that jumped to 30 percent. I expect us to be at 40 percent in this year’s statistics, and within a couple of years we’re going to be over 50 percent. That’s real acceleration. We also have seen tremendous attention paid to the need for use of electronic health records, not just basic adoption, but their meaningful use… [W]hat we really want are the outcomes, and I think we’re going to start to see seom demonstrable results from the places like our Beacon demonstration communities…”

BRAILER: “During the Bush administration, we placed the top priority on interoperability and information sharing. We saw the small number of incumbent EHRs in use as an opportunity to push interoperability without facing opposition from legacy systems. The Obama administration has made adoption its top priority, putting the overwhelming share of budget dollars towards. That. Why did you make the shift? And how does health information exchange fit into the adoption agenda?”

MOSTASHARI: That’s a great question, and I guess I would say that it’s really meaningful use of electronic health records that sets the frame here… ‘Meaningful use’ includes electronic prescribing, which is an electronic exchange… It includes public health reporting. And it includes transitions of care, whether it’s for referrals or to hospitals and other settings with electronic transfer of information.”

BRAILER: “…It is hard to understand where we are with health information exchange. When will the typical hospital see a health information exchange that really works? What’s going to be the landmark…?”

MOSTASHARI: “I think it’s already happening. One of the things that our health IT standards committee has really been very vigilant about has been in saying we need standards not only to be well formulated in committee. We also need them to be really very broadly adoptable, and adopted in practice and in industry. That really trends toward, first, simplicity of the standards and protocols, and second, reusing standards that exist in broader electronic contexts—on the Internt—and not just in the health care standards world.”

Get the latest information on Meaningful Use and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

NewYork-Presbyterian, Walgreens Partner on Telemedicine Initiative

NewYork-Presbyterian and Walgreens are collaborating to bring expanded access to NewYork-Presbyterian’s healthcare through new telemedicine services, the two organizations announced this week.

ONC Releases Patient Demographic Data Quality Framework

The Office of the National Coordinator for Health IT (ONC) developed a framework to help health systems, large practices, health information exchanges and payers to improve their patient demographic data quality.

AMIA, Pew Urge Congress to Ensure ONC has Funding to Implement Cures Provisions

The Pew Charitable Trusts and the American Medical Informatics Association (AMIA) have sent a letter to congressional appropriators urging them to ensure that ONC has adequate funding to implement certain 21st Century Cures Act provisions.

Former Michigan Governor to Serve as Chair of DRIVE Health

Former Michigan Governor John Engler will serve as chair of the DRIVE Health Initiative, a campaign aimed at accelerating the U.S. health system's transition to value-based care.

NJ Medical Group Launches Statewide HIE, OneHealth New Jersey

The Medical Society of New Jersey (MSNJ) recently launched OneHealth New Jersey, a statewide health information exchange (HIE) that is now live.

Survey: 70% of Providers Using Off-Premises Computing for Some Applications

A survey conducted by KLAS Research found that 70 percent of healthcare organizations have moved at least some applications or IT infrastructure off-premises.