Health IT Archives

Hospital Computerization Not a Budget Saver, Concludes Study

by Barry P Chaiken, MD | Dec 17, 2009 | Archives

By Joshua Feblowitz The recent survey of over four thousand hospitals found no connection between computerization and reduced costs. In addition, increased computerization led to only small improvements in the quality of care. Researchers found that more “wired”...

Making Meaningful Use Meaningful

by Barry P Chaiken, MD | Nov 23, 2009 | Archives

Note: This article was written before the implementation of the Meaningful Use rule that was a gate to obtaining funding for EHRs through the HITECH Act. It provides some contextual background on the evolution in our use of EHRs. A short three years ago, the Office of...

Is It Time to Play NICE?

by Barry P Chaiken, MD | Jul 21, 2009 | Archives

Note: Although it has been more than a decade since passage of ARRA, with almost 20% of GDP spent on healthcare there is much reason to think of better applying evidence-based guidelines in clinical care. The American Reinvestment and Recovery Act 2009 (ARRA) earmarks...

Leverage Clinical Decision Support

by Barry P Chaiken, MD | Jul 21, 2009 | Archives

Americans receive only slightly more than half of the screening, diagnostic, treatment, and follow-up care recommended by experts. In essence, even though healthcare professionals know the proper way to manage patients, these evidence-based rules are mostly not...

Healthcare IT: Slogan or Solution?

by Barry P Chaiken, MD | Jan 21, 2008 | Archives

In 1980 a Stanford University School of Business professor Alain Enthoven authored a book titled Health Plan: The Only Practical Solution to the Soaring Cost of Medical Care. Dr. Enthoven provided the theoretical underpinnings of managed competition, an approach to...