Skip to main content

Meaningful Use of Health Information Technology: What Does it Mean for Practicing Physicians?

  • Chapter
  • First Online:
Electronic Medical Records

Part of the book series: Current Clinical Practice ((CCP))

  • 1685 Accesses

Abstract

This chapter addresses the components of American Recovery and Reinvestment Act of 2009 (ARRA), specifically the provisions (collectively labeled HITECH) relevant to physicians practicing in ambulatory settings. Specifically, Chapter 1 highlights the incentives available to physicians through Medicare and Medicaid, as well as proposed requirements for “meaningful use” of EHR systems.

The first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency. The second is that automation applied to an inefficient operation will magnify the inefficiency.

–Bill Gates

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Blumenthal D. Stimulating the adoption of health information technology. N Engl J Med. 2009;360(15):1477–1479.

    Article  PubMed  CAS  Google Scholar 

  2. Goldstein MM, Blumenthal D. Building an information technology infrastructure. J Law Med Ethics. 2008;36(4):709–715, 609.

    Article  PubMed  Google Scholar 

  3. Lurie N, Fremont A. Building bridges between medical care and public health. JAMA. 2009;302(1):84–86.

    Article  PubMed  CAS  Google Scholar 

  4. Chaudhry B, Wang J, Wu S, et al. Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care [see comment]. Ann Intern Med. 2006;144(10):742–752.

    PubMed  Google Scholar 

  5. Executive Order 13335. Incentives for the use of health information technology and establishing the position of the national health information technology coordinator. Washington, DC, April 27, 2004. Available from http://edocket.access.gpo.gov/2004/pdf/04-10024.pdf. Accessed January 04, 2010.

  6. Executive Order 13410. Promoting quality and efficient health care in federal government administered of sponsored health care programs. Washington, DC, August 22, 2006. Available from: http://edocket.access.gpo.gov/2006/pdf/06-7220.pdf. Accessed January 04, 2010.

  7. DesRoches CM, Rosenbaum S. Scanning the health information technology-related policy environment: The promulgation of ‘Safe harbor’ regulations to incentivize technology adoption. In: Blumenthal D, DesRoches CM, Donelan K, et al., eds. Health Information Technology in the United States: Where we Stand, 2008. Princeton: Robert Wood Johnson Foundation; 2008.

    Google Scholar 

  8. Rosenbaum S, Cartwright-Smith L, Burke T, et al. Side-by-side chart detailing major health information technology, public health, Medicaid, and COBRA provisions of the American Recovery and Reinvestment Act of 2009. The George Washington University: Hirsh Health Law and Policy Program; March 18, 2009. Available from: http://www.gwumc.edu/sphhs/departments/healthpolicy/dhp_publications/pub_uploads/dhpPublication_C02EEDD2-5056-9D20-3DE547F4F4F83B34.pdf.

  9. ARRA Title IV Subtitle A § 4101(a) (adding new section 1848(o)(2)(A) to the Social Security Act), 42 U.S.C.A. § 1395w-4 (West, Westlaw through August 2009).

    Google Scholar 

  10. ARRA Title IV Subtitle B § 4201(a)(2) (adding new section 1903(t)(6)(C) to the Social Security Act), 42 U.S.C.A. § 1396b (West, Westlaw through August 2009).

    Google Scholar 

  11. ARRA Title IV Subtitle B § 4101 (a) (adding new section 1848 (o)(1)(A)(i) and (o)(1)(B) to the Social Security Act), 42 U.S.C.A. § 1395w-4 (West, Westlaw through August 2009).

    Google Scholar 

  12. ARRA Title IV Subtitle B § 4101 (b) (adding new section 1848 (a)(7)(A) to the Social Security Act), 42 U.S.C.A. § 1395w-4 (West, Westlaw through August 2009).

    Google Scholar 

  13. American Medical Association (AMA). H.R. 1, the “American Recovery and Reinvestment Act of 2009” explanation of health information technology (HIT) provisions. Available from: http://www.ama-assn.org/ama1/pub/upload/mm/399/arra-hit-provisions.pdf. Accessed January 21, 2010.

  14. ARRA Title IV Subtitle B § 4201 (a) (adding new section 1903 (t)(2)(A), (t)(3)(B) and (t)(3)(D) to the Social Security Act), 42 U.S.C.A. § 1395w-4 (West, Westlaw through August 2009).

    Google Scholar 

  15. Finnegan B, Ku L, Shin P, Rosenbaum S. Boosting health information technology in Medicaid: The potential effect of the American Recovery and Reinvestment Act. Washington, DC: Geiger Gibson/RCHN Community Health Foundation Research Collaborative; Jul 7, 2009. Available from: http://www.gwumc.edu/sphhs/departments/healthpolicy/dhp_publications/pub_uploads/dhpPublication_506602E1-5056-9D20-3D7DD946F604FDEE.pdf. Accessed January 11, 2009.

  16. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS). Medicare and Medicaid programs; electronic health record incentive program. Final Rule. Available from: http://edocket.access.gpo.gov/2010/pdf/E9-31217.pdf.

  17. Blumenthal D, DesRoches CM, Donelan K, et al. Health information technology in the United States, Where we stand, 2008. Princeton: Robert Wood Johnson Foundation; 2008.

    Google Scholar 

  18. McGraw D. “Privacy and health information technology,” in legal solutions in health reform. Washington, DC: O’Neill Institute for National and Global Health Law, Georgetown Law; 2009.

    Google Scholar 

  19. Goldstein MM, Repasch L, Rosenbaum S. Recent federal initiatives in health information technology. In: DesRoches CM, Jha A, eds. Health Information Technology in the United States: On the Cusp of Change, 2009. Princeton: Robert Wood Johnson Foundation; 2009.

    Google Scholar 

  20. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONCHIT). http://healthit.hhs.gov/portal/server.pt?open=512&objID=1153&mode=2. Accessed January 21, 2010.

  21. Department of Health and Human Services (HHS), Office of the National Coordinator for Health Information Technology (ONCHIT). http://healthit.hhs.gov/portal/server.pt?open=512&objID=1335&mode=2&cached=true. Accessed January 21, 2010.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine M. DesRoches .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

DesRoches, C.M., Miralles, P.D. (2011). Meaningful Use of Health Information Technology: What Does it Mean for Practicing Physicians?. In: Skolnik, N. (eds) Electronic Medical Records. Current Clinical Practice. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-606-1_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-60761-606-1_1

  • Published:

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-605-4

  • Online ISBN: 978-1-60761-606-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics