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GAO-04-991R 1 (2004-08-13)

handle is hein.gao/gaocrptaqor0001 and id is 1 raw text is: 



  SGAO

        Accountability * Integrity  Reliability
United States Government Accountability Office
Washington, DC 20548


          August 13, 2004

          The Honorable Judd Gregg
          Chairman
          Committee on Health, Education, Labor, and Pensions
          United States Senate
          Subject: HHS's Efforts to Promote Health Information Technology and Legal
                  Barriers to Its Adoption

          Dear Mr. Chairman:

          Studies published by the Institute of Medicine and others have indicated that
          fragmented, disorganized, and inaccessible clinical information adversely affects the
          quality of health care and compromises patient safety.' Health information
          technology (IT)-technology used to collect, store, retrieve, and transfer clinical,
          administrative, and financial health information electronically-is seen as a
          promising solution to this problem. Technologies such as electronic health records
          (EHR)2 and bar coding of certain human drug and biological product labels have been
          shown to save money and reduce medical errors. However, only a small number of
          U.S. health care providers have fully adopted health IT. Significant financial,
          technical, cultural, and legal barriers to the adoption of health IT exist. These include
          a lack of access to capital, a lack of data standards, and resistance from health care
          providers.

          The Department of Health and Human Services (HHS), as a regulator, purchaser,
          health care provider, and sponsor of research, education, and training, has been
          working to promote the use of IT in public and private health care settings. There is
          no comprehensive catalogue of HHS's health IT efforts, however, and little is known
          about the nature and extent of the legal barriers and HHS's efforts to address them.



          'See, for example, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the
          21st Century: (Washington, D.C.: National Academy Press, 2001).

          2An EHR generally includes a longitudinal collection of electronic health information about the health
          of an individual or the care provided; immediate electronic access to patient- and population-level
          information by authorized users; decision support to enhance the quality, safety, and efficiency of
          patient care; and support of efficient processes for health care delivery.

          3Outside of HHS, the Department of Veterans Affairs (VA) and the Department of Defense (DOD) are
          considered by experts to be leaders in the use of health IT, particularly in the adoption of EHR systems
          for their constituents.


GAO-04-991R HHS's Health Information Technology Efforts

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