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Obama names national health IT coordinator

President Barack Obama today named Boston physician David Blumenthal as the national coordinator for health information technology in the Health and Human Services Department (HHS). He will direct the department's efforts to spend $19.5 billion in economic stimulus funds for health IT to advance implementation of the Nationwide Health Information Network (NHIN).

The health IT infrastructure would let health care professionals share clinical data about patients with security and privacy protections, HHS has said.

Blumenthal, a practicing doctor and expert on health IT, was a senior health adviser for the Obama presidential campaign. He most recently served as a physician and director of the Institute for Health Policy at The Massachusetts General Hospital/Partners HealthCare System in Boston.

Blumenthal replaces Robert Kolodner, who had been the national coordinator since 2006 and who has overseen the technology and policy foundation for the NHIN. President George W. Bush created the position in 2004 with the goal of having electronic health records for most individuals by 2014.

“President Obama believes we must take serious steps to modernize our health care system in order to improve the health of all Americans, bring down costs and ensure sustained long-term economic growth,” Jenny Backus, an HHS spokeswoman said in a statement.

“As a primary care physician who has used an electronic record to care for patients every day for 10 years, I understand the enormous potential of this technology,” Blumenthal said in a statement. “President Obama has laid out a vision of health reform that is both inspiring and long overdue. We cannot make that vision a reality without the help of our most advanced computer technology.”

Blumenthal’s appointment is an excellent choice because he is well versed in many aspects of health care, said Dan Pelino, general manager of healthcare initiatives at IBM, after a forum that IBM sponsored on health IT in the economic stimulus law.

“It signals that the administration is ready to move as fast as they need to move to meet the [law’s] deadlines,” he said. The stimulus law contains deadlines for specific accomplishments related to health IT.

Blumenthal has also been a professor of medicine and health care policy at Harvard Medical School. There, he also served as director of the Harvard University Interfaculty Program for Health Systems Improvement. Prior to that, he was senior vice president at Boston’s Brigham and Women’s Hospital and served as executive director of the Center for Health Policy and Management and as a lecturer on Public Policy at the John F. Kennedy School of Government. During the late 1970s, Blumenthal worked on Senator Edward Kennedy’s Senate Subcommittee on Health and Scientific Research.

About the Author

Mary Mosquera is a reporter for Federal Computer Week.

Reader comments

Mon, Mar 23, 2009 Gary Lee Minnesota

Let's hope that this work will be done by indigenous US personnel. Perhaps that should be a requirement of the RFPs, as it is for most other CMS and HHS work.

Mon, Mar 23, 2009 Gary Potkay Virginia

Over the next five years, the Obama administration intends to create a federally run electronic exchange that includes every American's "medical history and problems lists." As I understand it, before you run out to the nearest federal office and sign up to put the "medical history and problems" lists for yourself, your spouse and your children into the government's "nationwide health information technology infrastructure," you should know the law does not require you -- as an individual -- to do this.
The "explanatory statement" for Division A explains this. "To the extent that this section calls the national coordinator to ensure that every person in the United States have an EHR by 2014, this goal is not intended to require individuals to receive services from providers that have electronic health records and is aimed at having the national coordinator takes steps to help providers adopt electronic health records," says the explanation. "This provision does not constitute a legal requirement on any patient to have an electronic health record."
But if the national coordinator cannot make you -- an individual -- submit your records to the system, how is the poor guy going get "an electronic health record for each person in the United States by 2014"?
This mystery created by 139 pages in Division A is solved by the 77 pages in Division B: The secretary of health and human services is given a carrot and stick to make doctors and hospitals create EHRs for their patients. Doctors and hospitals that make "meaningful use" of EHRs by the deadline get bonus payments from Medicare. Those that do not get diminishing Medicare payments.
What is "meaningful use"? That is at the discretion of the secretary of HHS, but the law says it will include "electronic prescribing," "the electronic exchange of health information to improve the quality of health care" and submitting information "on such clinical quality measures and such other measures as selected by the secretary."
Lastly, the law directs the secretary to ratchet up the "meaningful use" test as time goes on. Or as the "explanation" politely puts it: "The secretary would seek to improve the use of electronic health records and health care quality by requiring more stringent measures of meaningful use over time."
In other words, once the secretary has your medical file in the system, he is supposed to make your doctor do ever more with it at his command.

Fri, Mar 20, 2009 Sama

This is a promising start but here in Michigan where the unemployment exceeds 10.1%, it is close to impossible for the hundreds if IT workers that have been laid off by the automotive companies to land a job in the healthcare sector. While it is great to talk about digitizing medical records where is the software and training to staff these initiatives?

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