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History of Health Information Technology in The U.S

The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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Health IT Workforce Curriculum - 2012
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© © All Rights Reserved
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18 views

History of Health Information Technology in The U.S

The Health IT Workforce Curriculum was developed for U.S. community colleges to enhance workforce training programmes in health information technology. The curriculum consist of 20 courses of 3 credits each. Each course includes instructor manuals, learning objectives, syllabi, video lectures with accompanying transcripts and slides, exercises, and assessments. The materials were authored by Columbia University, Duke University, Johns Hopkins University, Oregon Health & Science University, and University of Alabama at Birmingham. The project was funded by the U.S. Office of the National Coordinator for Health Information Technology. All of the course materials are available under a Creative Commons Attribution Noncommercial ShareAlike (CC BY NC SA) License (http://creativecommons.org/licenses/by-nc-sa/3.0/). The course description, learning objectives, author information, and other details may be found at http://archive.org/details/HealthITWorkforce-Comp05-Unit01. The full collection may be browsed at http://knowledge.amia.org/onc-ntdc or at http://www.merlot.org/merlot/viewPortfolio.htm?id=842513.

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Health IT Workforce Curriculum - 2012
Copyright
© © All Rights Reserved
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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History of Health Information

Technology in the U.S.


Evolution of Health IT:
The Early Years
Lecture c The 1980s

This material Comp5_Unit1 was developed by The University of Alabama Birmingham, funded by the Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology under Award Number
1U24OC000023
Evolution of Health IT:
The Early Years
Learning Objectives
2
Discuss the impact that the cost containment focus of
the 1980s had on the use of health information
technology
Discuss the healthcare environment of the 1980s and its
impact on the types of informatics applications
developed during this time period
Discuss the increasing professionalization of
informaticians and HIT professionals in the 1980s
including training programs and professional
organizations
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
General Environment -- 1980s
Empowerment
Personal computers
Computer users:
Computer specialists
Children

Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the
U.S. Evolution of Health IT: The Early Years
Lecture c
3
(CC BY-NC-ND 2.0. Photo by Judy Baxter)
Influence Patterns
4
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Source: (Tapscott, 1998)
Influence Patterns
5
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Healthcare Environment 1980s
Cost containment
Prospective payment (DRGs)
Increase in HMOs
6
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Healthcare Environment 1980s
Cost containment
Prospective payment (DRGs)
Increase in HMOs
Increase in physicians
More competition for NIH funding
7
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Healthcare Environment 1980s
Cost containment
Prospective payment (DRGs)
Increase in HMOs
Increase in physicians
More competition for NIH funding
Patient empowerment
8
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Healthcare Organizations
Increase revenue
Decrease costs
9
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Information Systems
Automated fiscal, data processing
Use of information for cost containment
Automation of administrative, some clinical
systems
Information added to HMSS = HIMSS




Source: (HIMSS Legacy Workgroup, 2007)
10
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Information Systems
Automated fiscal, data processing
Use of information for cost containment
Automation of administrative, some clinical
systems
Information added to HMSS = HIMSS
Director of Information Systems
Report to CFO
Minimal clinical concern

11
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Physicians
Scientific practice of medicine
More group practices
Decreasing physician autonomy
Cost containment pressure
Increase in patient involvement
Little direct use of computers
12
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Academic Physicians
Increased standardization of the art of
medicine
13
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Academic Physicians
Increased standardization of the art of
medicine
Health services research
Focus on cost
14
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Academic Physicians
Increased standardization of the art of
medicine
Health services research
Focus on cost
Research use of computers
Clinical research

15
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Medical Informaticians
Increased development of systems
Diagnostic decision support systems
Reminder and alerting systems







Source: (Miller & Masarie, 1986)
16
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Medical Informaticians
Increased development of systems
Diagnostic decision support systems
Reminder and alerting systems
System evaluations begin
Impact of computer use on reducing costs




Source: (Wilson et al., 1982)

17
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Medical Informaticians
Increased development of systems
Diagnostic decision support systems
Reminder and alerting systems
System evaluations begin
Impact of computer use on reducing costs
Increased professionalization/specialization
AMIA
NLM training programs
Specialized informatics fields
18
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Evolution of Health IT
Summary 1980s
Healthcare costs increased
Efforts at cost containment

19
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Evolution of Health IT
Summary 1980s
Healthcare costs increased
Efforts at cost containment
Continued standardization of medical
practice
Informatics applications to support
systematic, scientific practice

20
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Evolution of Health IT
Summary 1980s
Healthcare costs increased
Efforts at cost containment
Continued standardization of medical
practice
Informatics applications to support
systematic, scientific practice
Growing professionalism within
informatics
21
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Evolution of Health IT
Summary 1980s
Healthcare costs increased
Efforts at cost containment
Continued standardization of medical
practice
Informatics applications to support
systematic, scientific practice
Growing professionalism within informatics
Children began using computers in
school
22
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
Evolution of Health IT
References Lecture c
23
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture c
References
HIMSS Legacy Workgroup. History of the Healthcare Information and Management Systems Society (formerly
Hospital Management Systems Society) [Internet]. Chicago: Healthcare Information and Management Systems
Society (HIMSS); 2007. Available from: http://www.himss.org/content/files/HIMSS_HISTORY.pdf
Miller R, Masarie FE. Quick medical reference (QMR) for diagnostic assistance. MD Comput. 1986 Sep-
Oct;3(5):34-48.
Tapscott D. Growing up digital. New York: McGraw-Hill, 1998.
Wilson GA, McDonald CJ, McCabe GP Jr. The effect of immediate access to a computerized medical record on
physician test ordering: a controlled clinical trial in the emergency room. Am J Public Health. 1982 Jul;72(7):698-
702.

Images
Slide 3: Baxter, Judy , CC BY-NC-ND 2.0, Available from: http://www.flickr.com/photos/judybaxter/3555505/

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