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January 26, 2013 12:00 AM

IT iconoclasts

Experts offer dissent on policy issues, technology implementation

Joseph Conn
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    Raising questions: Ross Koppel

    Questions of privacy: Dr. Deborah Peel

    The good, the bad: Dr. Scot Silverstein

    A flawed system: Dr. Lawrence Weed

    Each month, more hospitals and office-based physicians buy and use electronic medical records and other health information technologies as the U.S. presses on toward achieving the goal first articulated by President George W. Bush in 2004: providing most Americans with access to an electronic medical record within a decade.

    According to the latest data from the CMS, more than 190,000 providers have been paid a total of $10.7 billion to purchase and meaningfully use electronic health-record systems under the federal incentive payment program created by President Barack Obama's 2009 stimulus package.

    But health IT has long had its critics, even among its pioneers and proponents, as these four prominent health IT iconoclasts will attest.

    All four consider themselves to be proponents of health IT, but they rail against a tide of health IT boosterism. Their targets: misplaced priorities, failing to promote EHR usability and interoperability, inadequate concern for patient safety and privacy, overemphasizing EHR adoption, understating IT costs and overestimating the return on public IT investments.

    When it comes to the criticism, “the one thing we can't do with this information is to ignore it,” says physician informaticist Dr. William Bria, longtime president of the Association of Medical Directors of Information Systems and a three-time selection as one of Modern Healthcare's Top 25 Clinical Informaticists.

    “Obviously, the maelstrom of change within healthcare, including meaningful use, results in a weariness that could cause physicians and other clinicians to become exhausted and no longer vigilant,” Bria says. “Many, many technologies have come and gone in the history of medicine over the centuries, and it often has been a maverick physician that has called a timeout on ineffective medications or treatments.

    “There is little question that, going forward, medicine will be using information tools,” Bria says. “However, I believe it's becoming also very apparent that we need a modulation and a proper regulation of information technologies used in day-to-day care.”

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      • COVID-19
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      • Safety & Quality
      • Transformation
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        • Payment
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      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition (Web Version)
    • Digital Health
    • Insights
      • ACA 10 Years After
      • Best Practices
      • Special Reports
      • Innovations
    • Opinion
      • Bold Moves
      • Breaking Bias
      • Commentaries
      • Letters
      • Vital Signs Blog
      • From the Editor
    • Events & Awards
      • Awards
        • Nominate/Eligibility
        • 100 Most Influential People
        • 50 Most Influential Clinical Executives
        • Best Places to Work in Healthcare
        • Excellence in Governance
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top 25 Innovators
        • Diversity in Healthcare
          • - Luminaries
          • - Top 25 Diversity Leaders
          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
        • Best Places to Work Awards Gala
        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Supply Chain
        • - Hospital at Home
        • - Workplace of the Future
        • - Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
      • Webinars
    • Multimedia
      • Podcast - Beyond the Byline
      • Sponsored Podcast - Healthcare Insider
      • Video Series - The Check Up
      • Sponsored Video Series - One on One
    • Data Center
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      • Hospital Financials
      • Staffing & Compensation
      • Quality & Safety
      • Mergers & Acquisitions
      • Data Archive
      • Resource Guide: By the Numbers
      • Surveys
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    • MORE +
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