The American Journal of Managed Care | Special Issue: Health Information Technology - Guest Editor: Farzad Mostashari, MD, ScM

CLINICAL

Health information exchange was adopted and accepted rapidly in a large public healthcare system. Its use varied by patient characteristics, clinical settings, and type of insurance.

COMMENTARY

Nearly every Institute of Medicine report or blueribbon panel tasked with developing ideas for fixing our healthcare delivery system points to the same solution: greater use of health information technology (HIT).

INTRODUCTION

The American Journal of Managed Care was founded in 1995, during the last period of serious reexamination of how healthcare is paid for and how it's delivered. Nearly 20 years later, after the retreat of the first managed care revolution, per capita healthcare costs have more than doubled, and there is again a strong movement toward payment and delivery system reform.

MANAGERIAL

Although increasing electronic health record use and delegating the related work improve physician productivity, these 2 strategies interact differently based on practice size.

METHODS

Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.

POLICY

Balancing competing goals of innovation and regulatory oversight will influence the evolution of the vendor market for certified ambulatory electronic health record products.

REVIEW ARTICLE

Although health information technology interventions are associated with cost savings and revenue gains, there still are few articles on this topic.

TRENDS FROM THE FIELD

Organizations pursuing change need the infrastructure and tools to effect it. Health information technology is critical to delivery reform but its development will require support and time.

WEB EXCLUSIVE

New case management model achieves success in reducing readmissions and is easily duplicated across the Baptist Health System, Inc.
A study to assess clinician attitudes and experiences after participating in a New York City cardiovascular disease focused quality recognition and financial incentive program using health information technology.
A randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.
Adopting the 5 core medication management elements of meaningful use electronic medical records reduces adverse drug events and saves costs.

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