Community-wide Implementation of Health Information Technology: The Massachusetts eHealth Collaborative Experience

被引:60
作者
Goroll, Allan H. [1 ,2 ]
Simon, Steven R. [3 ,4 ]
Tripathi, Micky [5 ]
Ascenzo, Carl [6 ]
Bates, David W. [7 ,8 ]
机构
[1] Massachusetts Gen Hosp, Med Serv, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Harvard Univ, Sch Med, Boston, MA USA
[4] Harvard Pilgrim Hlth Care, Dept Ambulatory Care & Prevent, Boston, MA USA
[5] Massachusetts eHlth Collaborat, Waltham, MA USA
[6] Blue Cross & Blue Shield Massachusetts, Boston, MA USA
[7] Harvard Univ, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA
[8] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
关键词
ELECTRONIC MEDICAL-RECORDS; PRIMARY-CARE;
D O I
10.1197/jamia.M2899
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
The Massachusetts eHealth Collaborative (MAeHC) was formed to improve patient safety and quality of care by promoting the use of health information technology through community-based implementation of electronic health records (EHRs) and health information exchange. The Collaborative has recently implemented EHRs in a diverse set of competitively selected communities, encompassing nearly 500 physicians serving over 500,000 patients. Targeting both EHR implementation and health information exchange at the community level has identified numerous challenges and strategies for overcoming them. This article describes the formation and implementation phases of the Collaborative, focusing on barriers identified, lessons learned, and policy issues.
引用
收藏
页码:132 / 139
页数:8
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