Julia Adler-Milstein

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In this paper we assess the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical group practices) and independent laboratories, radiology centers, pharmacies, payers, public health departments, and other providers. We have created an HIEI taxonomy and combined published evidence with(More)
OBJECTIVE Regional Health Information Organizations (RHIOs) will likely play a key role in our nation's effort to catalyze health information exchange. Yet we know little about why some efforts succeed while others fail. We sought to identify factors associated with RHIO viability. DESIGN Using data from a national survey of RHIOs that we conducted in(More)
OBJECTIVE To examine whether there is a common sequence of adoption of electronic health record (EHR) functions among US hospitals, identify differences by hospital type, and assess the impact of meaningful use. MATERIALS AND METHODS Using 2008 American Hospital Association (AHA) Information Technology (IT) Supplement data, we calculate adoption rates of(More)
OBJECTIVE To develop benchmark measures of health information and communication technology (ICT) use to facilitate cross-country comparisons and learning. MATERIALS AND METHODS The effort is led by the Organisation for Economic Co-operation and Development (OECD). Approaches to definition and measurement within four ICT domains were compared across seven(More)
OBJECTIVES To examine the impact of the degree of electronic health record (EHR) use and delegation of EHR tasks on clinician productivity in ambulatory settings. STUDY DESIGN We examined EHR use in primary care practices that implemented a web-based EHR from athenahealth (n = 42) over 3 years (695 practice-month observations). Practices were(More)
Interim results of the Medicare health support (MHS) demonstration projects suggest that commercial disease management (DM) is unable to deliver short-term medical cost savings. This is not surprising given the current DM program focus on compliance with process measures that may only lead to cost savings in the long-term. A program focused on reducing(More)
In industries outside healthcare, highly skilled employees enable substantial gains in productivity after adoption of information technologies. The authors explore whether the presence of highly skilled, autonomous clinical support staff is associated with higher performance among physicians with electronic health records (EHRs). Using data from a survey of(More)
With heightened interest in Regional Healthcare Information Organizations, policy makers may require guidance on the potential benefits and costs of systems that enable healthcare information exchange and interoperability (HIEI) in their communities. The United Hospital Fund of New York (UHF) engaged CITL to determine the net value of electronic(More)
BACKGROUND The United States is aiming to achieve nationwide adoption of electronic health records (EHRs) but lacks robust empirical evidence to anticipate the effect on health care costs. OBJECTIVE To assess short-term cost savings from community-wide adoption of ambulatory EHRs. DESIGN Longitudinal trial with parallel control group. SETTING Natural(More)
Published and distributed by the Healthcare Information and Management System Society (HIMSS). All rights reserved. No part of this publication may be reproduced, adapted, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission(More)