The good news: Colorado is working to help kids stay current with their immunizations and has a computerized where any provider who gives a child a vaccine can report that information.
The bad news: 聽The state鈥檚 computer system is not compatible with most of the computer systems doctors use, so many practices don鈥檛 update the central database because it鈥檚 just too much extra work, according to , a researcher at the University of Colorado. That means doctors and researchers, who try to keep childhood immunizations on track, can鈥檛 rely on the database to make sure a vaccine isn鈥檛 missed or given twice.
This is just one small example of the digital disconnect that鈥檚 holding health care back, says , a policy analyst with the RAND Corporation. He says the ability for doctors to easily share information is the exception in America, not the rule.
Kellermann in this month鈥檚 Health Affairs, reflecting on a that said information technology could save America $81 billion a year by making health care more efficient. He found actual savings scant in 2012 and learned that many doctors complain electronic records make them less efficient.
The result is that the health care industry isn鈥檛 benefiting from the computer networks that have transformed industries such as manufacturing, retail and banking.
Kellerman points out that bank customers can 鈥済o to any ATM in the country — and in many cases in other countries鈥 to withdraw money or transfer funds among accounts. 鈥淵ou can鈥檛 do that with health information technology today,鈥 he says.
Dr. Farzad Mostashari, the , rejects the comparison. 鈥淧eople talk about the ATM,鈥 he says, but 鈥渢hat鈥檚 seven data elements, and they charge you two-buck-fifty for shipping those seven data fields over. We鈥檙e talking thousands of data fields around things that are life and death.鈥
Mostashari鈥檚 office is charged with leading American medicine鈥檚 digital transformation, and it is responsible for distributing $27 billion in federal stimulus funds to providers who demonstrate they are meaningfully using health IT systems.聽 According to a , while 72 percent of office-based physicians are using some sort of electronic system in their practice, only 40 percent of practices meet the definition of a 鈥渂asic鈥 system.
Mostashari鈥檚 office meets constantly with software vendors 鈥- on average, one meeting every three and a half hours for the past three years, he says. They鈥檙e trying to hammer out the basic industry standards necessary to make sharing health information as easy as bank records or other important information.
Mostashari says the number of doctors and hospitals using electronic records has doubled in the last two years. Despite the growing pains, he says the government鈥檚 strategy is helping, though it will be another six years before the government鈥檚 IT strategy starts showing significant savings.
Both he and Kellermann agree that patients would get better care, at lower cost, if health care systems could share patient records easily. But that won鈥檛 happen until doctors and hospitals start getting paid for being IT-smart. Right now, duplicative testing also means duplicate payments. Kellerman is optimistic the Affordable Care Act鈥檚 payment reforms can change that.
鈥淎s we shift American health care and start paying for the best quality care and the best outcomes, rather than who does the most stuff, who orders the most tests or who does the most operations, then I think you鈥檒l see IT becoming a tool for efficiency and high performance,鈥 Kellermann says.
This story is part of a reporting partnership that includes ,听 and Kaiser Health News.
