FROM THE FOUNDATION

The Social Life of Health Information

A new Pew Internet/CHCF national survey finds the Internet has joined doctors and family members as one of the top three ways people search for answer to their health care questions.

Evaluating One-e-App

CHCF and The California Endowment funded the development of One-e-App, a Web-based program that enables users to apply for multiple public insurance programs at once. Read a business case assessment by The Lewin Group.

Privacy, Security, and the Stimulus Bill

The recently enacted economic stimulus legislation includes a number of improvements to federal health privacy law. This brief looks at issues of privacy and security in the wake of ARRA.

EHRs and PHRs

Wednesday, October 29, 2008

Barriers Discourage Hospitals From Helping Doctors Adopt EHRs

Despite relaxed federal laws that allow hospitals to subsidize physicians' adoption of electronic health record systems, doctors still have been slow to invest in the technology, the Tennessean reports.

Under the relaxed regulations, hospitals can fund up to 85% of the costs of EHR software and associated support services for physicians. Physicians still are responsible for hardware costs (Ward, Tennessean, 10/29).

A Center for Studying Health System Change study released last month found that most hospitals are not taking advantage of the temporary change in policy. The relaxed physician self-referral and anti-kickback regulations are set to expire Dec. 31, 2013 (iHealthBeat, 9/19). After 2013, physicians would assume responsibility for ongoing medical record costs.

Antoine Agassi, chair of Tennessee Gov. Phil Bredesen's (D) eHealth Advisory Council, ascribes the sluggish response to hospitals lacking the funding to subsidize physicians' EHR adoption or preferring to spend the money they do have on building their own systems.

Jordan Asher, physician network executive for St. Thomas Health Service in Tennessee, cited low physician interest, hardware costs and other implementation challenges as barriers.

Joy Grossman, co-author of the Center for Studying Health System Change study, said, "From the physician's perspective, the jury is still out on the value of adopting electronic [health] records in the short run" (Tennessean, 10/29).



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