Dot-Gov: Market failure and the creation of a national health information technology system

Health Affairs

Volumn 24, Issue 5, 2005, Pages 1246-1262

  Kleinke, J D ^a,b  

^a Omnimedix Institute   (United States)

^b Health Grades Inc   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GOVERNMENT; INFORMATION SYSTEM; MASS COMMUNICATION; MEDICAL RECORD; ORGANIZATION AND MANAGEMENT; REVIEW; UNITED STATES;

DIFFUSION OF INNOVATION; FEDERAL GOVERNMENT; GOVERNMENT PROGRAMS; INFORMATION MANAGEMENT; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; UNITED STATES;

EID: 27644505054     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.24.5.1246     Document Type: Review

References (55)

1. All prescribing information is from the 2005 Physicians Desk Reference (New York: Medical Economics Publishing, 2004).
2. The U.S. personal financial services industry accounts for 8-10 percent of gross domestic product (GDP). "Trust Me, I'm a Banker," Economist (15 April 2004): 21.
3. See, for example, M. Friedman, A Program for Monetary Stability (New York: Fordham University Press, 1960);
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5. and R.M. Ebeling, "Monetary Central Planning and the State, Part 24: Milton Friedman's Framework for Economic Stability," Freedom Daily, December 1998, www.fff.org/freedom/1298b.asp (20 July 2005).
6. J. Taylor, Principles of Economics, 3d ed. (Palo Alto, Calif.: Stanford University Press, 2001).
7. J.D. Kleinke, Oxymorons: The Myth of a U.S. Health Care System (San Francisco: Jossey-Bass, 2001).
8. B. Donald, "Newt Gingrich Pushing 'Wired' Hospitals," Associated Press, 22 June 2004.
9. President G.W. Bush, State of the Union Address, 2 February 2005, www.whitehouse.gov/news/releases/2005/02/print/20050202-11.html (20 July 2005).
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13. and M. Siegel, "Bill Frist, Bioterrorism, and Visits to the Doctor," Nation, 9 January 2003, www.thenation.com/doc.mhtml?i= 2003127&s=marc20030109 (20 July 2005).
14. Newt Gingrich, Center for Health Transformation, keynote speech, 2004 Managed Healthcare Symposium, Dana Point, California, November 2004.
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16. J. Carroll, "Electronic Medical Records: High Hopes Meet Harsh Reality," Managed Care 13, no. 11 (2004): 14; and Mark McClellan, CMS, address to Executives Club of Chicago, 16 February 2005.
17. Leapfrog's measures of hospital quality include the installation of computerized physician order entry (CPOE) systems, which cost on average $3-$10 million depending on hospital size and level of existing IT infrastructure. See E. Poon et al., "Overcoming Barriers to Adopting and Implementing Computerized Physician Order Entry Systems in U.S. Hospitals," Health Affairs 23, no. 4 (2004): 184-190.
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24. See Open Clinical, at www.openclinical.org/dld_loinc.html (7 June 2005).
25. This is the amount that Walker and colleagues estimate would be saved on hospital and reference lab testing, following the implementation of their proposed national IT system at its highest level. Walker et al., "The Value of Health Care Information Exchange."
26. Walker et al., The Value of Health Care Information Exchange. Ibid.
27. Connecting for Health, Financial, Legal, and Organizational Approaches to Achieving Electronic Connectivity in Healthcare, October 2004, www.connectingforhealth.org/assets/reports/flo_sustain_healthcare_rpt.pdf (24 June 2005).
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29. J.D. Kleinke, "Re-Naming and Re-Gaming: Medicare's Doomed Attempt to Reform Reimbursement for Injectable Drugs," Health Affairs, 8 December 2004, content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.561 (7 June 2005).
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34. J. Tieman, "Lurching into the Future; Bush Sets 2014 Goal for EMRs, Calls for Incentives," Modern Healthcare (3 May 2004): 18;
35. and R.L. Rundle, "Healthcare Providers Let Patients View Records Online," Wall Street Journal, 25 June 2002.
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37. K. Davis, "American Health Care: Why So Costly?" (Testimony to the U.S. Senate Appropriations Committee, 11 June 2003);
38. and F. Quinlan, "Response to a National Approach to Electronic Health Records for Australia," April 2000, www.gpcg.org/publications/docs/ Ehrtcom.pdf (8 June 2005).
39. J. Orbell and L. Wilson, "Institutional Solutions to the N-Prisoners' Dilemma," American Political Science Review 72, no. 2 (1978): 411-421.
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42. Callahan, "Doctors Slowly Going Digital."
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44. Walker et al., "The Value of Health Care Information Exchange."
45. David Brailer, Office of National Coordinator for Health Information Technology, keynote address, Healthcare Information and Management Systems Society (HIMSS) Annual Conference, San Diego, California, 12-16 February 2005; and McClellan, address to Executives Club.
46. Walker et al., "The Value of Health Care Information Exchange."
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48. Walker et al., "The Value of Health Care Information Exchange."
49. Kleinke, Oxymorons.
50. J.D. Kleinke, "Release 0.0: Clinical Information Technology in the Real World," Health Affairs 17, no. 6 (1998): 23-38.
51. Kleinke, "Vaporware.com"; Connecting for Health, "Connecting Americans to Their Healthcare" (New York: Markle Foundation, July 2004);
52. and U.S. Government Accountability Office, HHS's Efforts to Promote Health Information Technology and Legal Barriers to Its Adoption, Pub. no. GAO-04-991R (Washington: GAO, 13 August 2004), 60.
53. T. Sloane, "Cynicism or Realism?" Modern Healthcare (7 February 2005): 22.
54. R. Herzlinger, "An IT Trojan Horse," Modern Healthcare (6 September 2004): 22.
55. W. Frist, "Health Care in the Twenty-first Century," New England Journal of Medicine 352, no. 3 (2005): 267.