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HITECH Act and Its Impact on California's Healthcare IT Landscape

This testimony by Jonah Frohlich, Senior Program Officer at the California HealthCare Foundation, explores the implications of the HITECH Act for California's healthcare industry. Frohlich highlights the challenges faced by small practices and hospitals in implementing Electronic Health Records (EHRs), including high costs, lack of standardization, and the complexity of technology use in daily operations. The testimony also discusses the diverse landscape of over 90 certified EHR vendors and emphasizes the need for support in adopting and integrating these technologies effectively.

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HITECH Act and Its Impact on California's Healthcare IT Landscape

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  1. HITECH and Implications for California Testimony of Jonah Frohlich, Senior Program Officer California HealthCare Foundation Senate Health Committee Hearing March 13, 2009 Health IT Overview

  2. Health Care as a Cottage Industry

  3. Vendor Landscape ABELSoft n Allscripts Benchmark Systems CareData Solutions Cerner Community Service Conceptual MindWorks digiChart Doctations eCast eClinicalWorks e-MDs Eclipsys EHS Epic GE Healthcare gloStream gMed Greenway Medical Technologies Healthland HealthPort HIT Services Group iMedica Indian Health Service Ingenix Integritas Integrity On Site Intivia LSS Data Systems McKesson MedAppz MedcomSoft MediNotes NextGen Nightingale Noteworthy Medical Systems Ochsner Clinic Foundation PracticeOne Purkinje Sage SOAPware SRSsoft SSIMED STI Computer Services TransMed Network Wellogic Over 90 EHR vendors offer independently certified systems

  4. “Meaningful Use” of Ambulatory EHRs in the US Percent - New England Journal of Medicine, Catherine M. DesRoches et al, July 3, 2008

  5. Implementation Challenges • EHRs are expensive to implement • Standards are not yet entrenched to allow for easy information exchange • Small practices, clinics and hospitals need support to: • Negotiate contracts • Implement the technology and interfaces • Confront the reality of using a complex technology everyday

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