The Obama adminstration's chief for healthcare IT technology David Blumenthal, MD, was on the healthcare IT message from dawn to dusk Thursday - a part of the White House campaign to save its troubled healthcare reform plans.
The day started with an open letter from Blumenthal about the benefits of electronic health records and ended with another open letter from him on the $1.2 billion HITECH grants that had been announced earlier in the day.
Blumenthal joined Vice President Joseph Biden and Health and Human Services Secretary Kathleen Sebelius at Mt. Sinai Hospital on Chicago's West Side for a roundtable discussion with nurses, doctors and administrators.
At the forum, the trio announced $1.2 billion in HITECH grants would be released - $598 million to create 70 health information technology extension centers across the country to help physicians and hospitals implement electronic health records and $564 million to help states support the development of health information exchanges.
"This is just the first wave of resources invested in health technology aimed at really transforming our paper-driven system to an electronic system over the next several years, providing help and support for hospitals and doctors as they make this conversion," Sebelius said.
"It's no coincidence that these two grant programs are leading the way," Blumenthal said in this open letter at the end of the day. "Key to the successful adoption and meaningful use of EHRs is the assurance that providers have the help and guidance they need to select, implement and maintain a certified EHR system. In addition, we need the various and often disparate local, statewide and regional systems to work together, regardless of location and differing state and federal standards or policies, to enhance patient care."
After the roundtable at Mt. Sinai, Sebelius introduced Blumenthal on a teleconference with the media. Blumenthal spoke briefly and responded to questions about concerns over data security and the definition of meaningful use of healthcare IT, a measure that will determine which providers are eligible to receive extra payments from Medicare and Medicaid.
He said the definition would be completed by the end of the year. On the security issue, he said the Health Information Technology Policy Committee would be asked to take up the topic of security soon.
"We understand that is critical," he said. "The information that is passed within the healthcare system has to be secure or the public won't have confidence in those electronic health records."
The full text of Blumenthal's letter sent at the end of the day Thursday appears on the following page.
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HITECH Priority Grants Program Rollout: News on Next Steps Toward Nationwide Health Information Exchange
A Message from Dr. David Blumenthal, National Coordinator for Health Information Technology
Today's announcement from the White House regarding the rollout of the first two in a series of HITECH priority grant programs represents a critical step forward in laying the groundwork for meaningful use of electronic health records (EHRs). These programs will offer valuable help to health care providers in the selection and incorporation of EHRs into clinical practice, and for States and their designates to assure that statewide information exchange is developed with an eye toward nationwide connectivity across the health care system.
It's no coincidence that these two grant programs are leading the way. Key to the successful adoption and meaningful use of EHRs is the assurance that providers have the help and guidance they need to select, implement and maintain a certified EHR system. In addition, we need the various and often disparate local, statewide and regional systems to work together, regardless of location and differing state and federal standards or policies, to enhance patient care.
Toward that end, the first grant program, the Health Information Technology Extension Program, will fund dozens of Health Information Technology Regional Extension Centers across the country. The regional extension centers will offer hospitals and clinicians hands-on technical assistance to support meaningful use of certified EHR systems. These modern health IT centers could be considered as somewhat akin to the agricultural extension centers Congress set up early in the 20th century, which helped to support vast improvements in the efficiency, quality and productivity of the agricultural sector.
We hope this 21st century health IT extension program will have a similarly profound effect in helping health care providers through a major transition in our nation's health system, ultimately improving the quality, efficiency, reliability, availability and equity of care for every American.
A national Health Information Technology Research Center (HITRC) will also be created. The HITRC will help the regional centers collaborate with each other, and it will serve as a national clearinghouse to identify and share best practices and experiences so that providers can learn from what others have gone through as they've put such systems in place.
The second grant program will help States and Qualified State Designated Entities (SDEs) to develop or align the necessary policies, procedures and network systems to assist electronic information exchange within and across states, and ultimately throughout the health care system. A key to this program's overall success will be technical, legal and financial support for information exchanges across health care providers.
Together, the grants will offer much-needed local and regional assistance and technical support to providers while enabling coordination and alignment within and among states, ultimately allowing information to follow patients anywhere within the health care system. They are a clear sign that the Administration is delivering on its promise to transform care.
As we push hard to make EHRs available to all Americans, and the use of electronic health information part of an expected standard of care, we also are intensely focused on ensuring the privacy and security of patient records. If we want to achieve nationwide use of EHRs, patients first and foremost must be assured and have confidence that their electronic personal health information is private, secure and safe. The technology to secure this information exists, and is constantly improving through advances in encryption and de-identification of data. The protection of all health information is absolutely central to all of our efforts in support of electronic health information exchange.
Sincerely,
David Blumenthal, M.D., M.P.P.
National Coordinator for Health Information Technology
U.S. Department of Health & Human Services
