Electronic Medical Records and Obama's Economic Plan
On Dec. 6, President-elect Obama announced the three major pillars of his economic recovery plan: rebuild our roads/bridges, enhance our schools including broadband, and deploy electronic health records for every clinician and hospital in the U.S.
I can summarize all my advice to the new administration in one sentence: Allocate Federal funds of $50,000 per clinician to states, which will be held accountable (use it or lose it) for rapid, successful implementation of interoperable CCHIT certified electronic records with built in decision support, clinical data exchange, and quality reporting.
Not only will this improve care coordination which will lead to better health care value (reduced cost, enhanced quality), it will create jobs.
Just how many jobs would this create? For just the Beth Israel Deaconess Community Clinician project, here's the list of jobs we created:
In 2009, we will implement 150 physicians in 75 practices, or 13 physicians in 6 practices per month. The direct staff we'll need are:
Massachusetts eHealth Collaborative: 6 FTEs (5 practice consultants plus a project manager)
Concordant: 9 FTEs (5 on-site assessment/design/deployment/support, 2 technical lead/system architect, 2 project management)
eClinicalWorks: 4 FTEs (3 on-site trainers, plus part of a product specialist and a project manager)
At BIDMC, the project is run by 3 FTEs (Project Director, Technical Lead, Senior Practice Consultant)
Thus we've created 22 jobs for the rollout and support of our EHR project. Multiply this by the number of clinicians needing EHRs in the country and you'll see that the Obama plan will create tens of thousands of new high tech jobs.
When I've discussed the Obama Economic plan with my colleagues, some have said that it's too early to invest in EHRs because they are not yet standards-based or fully interoperable. I believe that commercial EHRs are good enough and as of 2008, we have many real examples of data sharing. Here are the statistics from our work in Massachusetts that includes homegrown EHRs, eClinicalWorks, GE Centricity, Next Gen, Allscripts/Misys, and Epic.
NEHEN - In 2008, we've done 60 million data exchange transactions a year from EHRs, practices management systems, and hospital information systems.