Anticipating and addressing the unintended consequences of health IT and policy: A report from the AMIA 2009 Health Policy Meeting

Meryl Bloomrosen, Justin Starren, Nancy M. Lorenzi, Joan Ash, Vimla L. Patel, Edward H. Shortliffe

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

Federal legislation (Health Information Technology for Economic and Clinical Health (HITECH) Act) has provided funds to support an unprecedented increase in health information technology (HIT) adoption for healthcare provider organizations and professionals throughout the U.S. While recognizing the promise that widespread HIT adoption and meaningful use can bring to efforts to improve the quality, safety, and efficiency of healthcare, the American Medical Informatics Association devoted its 2009 Annual Health Policy Meeting to consideration of unanticipated consequences that could result with the increased implementation of HIT. Conference participants focused on possible unintended and unanticipated, as well as undesirable, consequences of HIT implementation. They employed an input-output model to guide discussion on occurrence of these consequences in four domains: technical, human/cognitive, organizational, and fiscal/policy and regulation. The authors outline the conference's recommendations: (1) an enhanced research agenda to guide study into the causes, manifestations, and mitigation of unintended consequences resulting from HIT implementations; (2) creation of a framework to promote sharing of HIT implementation experiences and the development of best practices that minimize unintended consequences; and (3) recognition of the key role of the Federal Government in providing leadership and oversight in analyzing the effects of HIT-related implementations and policies.

Original languageEnglish (US)
Pages (from-to)82-90
Number of pages9
JournalJournal of the American Medical Informatics Association
Volume18
Issue number1
DOIs
StatePublished - Jan 2011

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Medical Informatics
Health Policy
American Recovery and Reinvestment Act
Organizational Policy
Federal Government
American Medical Association
Financial Management
Legislation
Practice Guidelines
Health Personnel
Delivery of Health Care
Safety

ASJC Scopus subject areas

  • Health Informatics

Cite this

Anticipating and addressing the unintended consequences of health IT and policy : A report from the AMIA 2009 Health Policy Meeting. / Bloomrosen, Meryl; Starren, Justin; Lorenzi, Nancy M.; Ash, Joan; Patel, Vimla L.; Shortliffe, Edward H.

In: Journal of the American Medical Informatics Association, Vol. 18, No. 1, 01.2011, p. 82-90.

Research output: Contribution to journalArticle

Bloomrosen, Meryl ; Starren, Justin ; Lorenzi, Nancy M. ; Ash, Joan ; Patel, Vimla L. ; Shortliffe, Edward H. / Anticipating and addressing the unintended consequences of health IT and policy : A report from the AMIA 2009 Health Policy Meeting. In: Journal of the American Medical Informatics Association. 2011 ; Vol. 18, No. 1. pp. 82-90.
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