大統領への報告書 米国民の保健医療改善に向けた 保健

2010
12
PCAST
PCAST
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OSTP
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MIT
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MIT
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MIT
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2010
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iv
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DC20502
DC20502
PCAST
Realizing the Full
Potential of Health Information Technology to Improve Healthcare for Americans: The Path
Forward
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PCAST
PCAST
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2010
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Care Costs Fact Sheet
4
2010
Health
http://www.ahrq.gov/news/costsfact.htm
Anderson, G. and P. Markovich
2009
Systems Data, 2009
Multinational Comparisons of Health
2009
The
Commonwealth Fund
5
6
Chaudhry, B., J. Wang, S. Wu, M. Maglione, W. Mojica, E. Roth, S.C. Morton, and P.G.
9
Shekelle
2006
Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care
Annals of Internal Medicine
7 Blumenthal, D.
2010
2144
742
Launching HITECH HITECH
of Medicine
362
382
752
New England Journal
385
8 National Center for Health Statistics
2009
12
Electronic
Medical Record/Electronic Health Record Use by Office-based Physicians: United States, 2008 and
Preliminary, 2009
2008
2009
IT
IT
PCAST
PCAST
9
2009
12
18
DC
8
PCAST
7
16
PCAST
9
7
IT
1
1
14
IT
STPI
2010
2010
IT
CMS
10
15
2
IT
3
HIEs
4
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1
4,000
11
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900
2009
10
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200
90
270
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HITECH
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ONC
HITECH
CMS
2011
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1
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ONC
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CMS
2013
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2011
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2015
12
CMS
ONC
HITECH
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5
6,400
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3
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2011
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11
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13
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2009
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13
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10
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ARRA
2009
111
11
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3
12
13
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Healthcare IT News
http://www.ahrq.gov/about/ataglance.htm
IT
2010
2
26
http://www.healthcareitnews.com/blog/should-fda-regulate-ehr-safety
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10
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4
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20
5
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6
21
H1N1
14
7
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FDA
8
FDA
1
1
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22
9
14
Brownstein, J.S., C. Clark, B.S. Freifeld, E.H. Chan, M. Keller, A.L. Sonricker, S.R.
Mekaru, and D.L. Buckeridge
2010
Cases of 2009 H1N1 Influenza
Information Technology and Global Surveillance of
2009
H1N1
New England Journal of Medicine
362
1731
1735
IT
1
2
15
3
HITECH
1
23
16
4
15
16
24
17
IT
IT
17
Brynjolfsson, E. and L.M. Hitt
1998
Beyond the Productivity Paradox:
Computers are the Catalyst for Bigger Changes
http://ebusiness.mit.edu/erik/bpp.pdf
25
III.
IT
IT
IT
IT
IT
IT
IT
18
CDC
NAMCS
2009
6.9
20
19
FAX
IT
IT
20
26
IT
1
18
Garwin, R.L.
1968
Impact of Information-Handling Systems on Quality
and Access to Health Care
Public Health Reports
83 5
346
351
19 http://www.cdc.gov/nchs/data/hestat/emr_ehr/emr_ehr.htm
20
27
21
10
15
22
C
C
28
1996
HIPAA
HIPAA
IOM
23
5
HIPAA
21 Stead, W.W., and H.S. Lin
2009
Computational Technology for Effective Health
Care: Immediate Steps and Strategic Directions
DC
National Academies Press
http://www.nap.edu/catalog.php?record_id=12572
22 Schiff, G.D, and D.W. Bates
2010
Can Electronic Clinical Documentation Help
Prevent Diagnostic Errors?
New
England Journal of Medicine
362
23 Nass, S.J., L.A. Levit, and L.O. Gostin
2009
Advancing Research, Improving Health Through Research
HIPAA
National Academy
http://www.nap.edu/catalog.php?record_id=12458
29
1069
Beyond the HIPAA Privacy Rule:
DC
Press
1066
VA
VHA
VHA
VistA
24
6,000
25
VHA
VHA
4,000
26
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100
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1
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28
29
30
31
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300
10
1
32
2009
HealthConnect
4
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24
Asch, S.M.
2004
Comparison of Quality of Care for Patients in the Veterans
Health Administration and Patients in a National Sample
Annals of Internal Medicine
141
938
25
945
VistA: Winner of the 2006 Innovations in American Government Award
2006
27
2006
http://www1.va.gov/opa/pressrel/pressrelease.cfm?id=1152
VistA: Winner of the 2006 Innovations in American Government Award
2006
28
R. Kahn
2006
http://www.innovations.va.gov
26 VA Receives 2006 Innovations in Government Award VA
2006
VistA
2010
VistA
2006
http://www.innovations.va.gov
Kaiser Permanente Completes Electronic Health Record
Implementation
http://xnet.kp.org/newscenter/pressreleases/nat/2010/030310ehrcomplete.html
29 Fast Facts about Kaiser Permanente
http://xnet.kp.org/newscenter/aboutkp/fastfacts.html
30
Weissberg, J.
Perspective: Electronic Health Records in a Large, Integrated Health
System: It's Automatic...NOT! At Least, Not Yet
National Quality Measures
Clearinghouse
31 Kweder S.
2004
Vioxx and Drug Safety
http://www.fda.gov/NewsEvents/Testimony/ucm113235.htm
32
Chen, C., T. Garrido, D. Chock, G. Okawa, and L. Liang
2009
The Kaiser
Permanente Electronic Health Record: Transforming and Streamlining Modalities Of Care
Health Affairs
28
323
333
33
IT
31
PAMF
1999
34
PAMF
PAMF
1
2
IT
PAMF
35
34
"Sutter Health and Affiliated Palo Alto Medical Foundation Praised by U.S. Health and
Human Services for IT Innovation
IT
"
2005
http://www.sutterhealth.org/about/news/news_pamf-ehr.html
35
Academy Health
"HIT and HSR for Actionable Knowledge:
Description of Partnering Health Systems. Partner: Geisinger Health System
HIT
HSR
"
http://www.academyhealth.org/files/HIT/Geisinger%20Health%20System_1wfs.pdf
IT
1
32
2
1
7
36
6
36
Pham, H.H., D. Schrag, A.S. O'Malley, B. Wu B, and P.B. Bach
2007
Patterns in Medicare and Their Implications for Pay for Performance
New England Journal of Medicine
356 11
1130
1139
IT
IT
HIEs
RWJF
37
RHIOs
33
RWJF
Care
FAX
IT
2005
07
2 3
IT
2 3
34
37 Robert Wood Johnson Foundation
Forces for Quality
Aligning
http://www.forces4quality.org/welcome
IT
HITECH
PHRs
35
2
dbMotion ICA
MediTrust
Amalga
HITECH
2009
5
HITECH
200
ARRA
90
270
36
HTB
3
CareAlign
IT
HITECH
2014
4
4,000
2016
5
HITECH
6
3,750
ONC
CMS
CMS
CMS
CMS
CMS
3
2011
1
CMS
2013
2
2015
3
HITECH
ONC
ONC
IT
IT
ONC
ONC
CMS
CMS
HITECH
ONC
NHIN
ONC
NHIN
4
37
ONC
AHRQ
15
150
ONC AHRQ
ONC
ONC
NIST
ONC
HITECH
IT
4
6,000
IT
IT
iTunes
CMS
App Store
IT
CMS
CMS
VA
IT
PPACA
CMS
6
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38
CMS
CMS
2
CMS
CMS
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CMS
CMS
2
ONC
CMS
CMS
2002
03
2006
CMS
CMS
CMS
IT
39
PPACA
CMS
CMS
VHA
CMS
IT
CMS
CMS
2010
IT
12
2011
CMS
CMS
CMS
CMS
IT
38
IT
CMS
39 40
ONC
IT
CMS
IT
41
38 GAO
2009
"Social Security Administration: Effective Information
Technology Management Essential for Data Center Initiative
"
39
GAO
2008
GAO-09-662T
"Information Technology: Agencies
Need to Establish Comprehensive Policies to Address Changes to Projects' Cost, Schedule, and
Performance Goals
"
2008
GAO-08-925
GAO
"DOD Business Systems Modernization: Progress in Establishing Corporate
Management Controls Needs to Be Replicated Within Military Departments
"
GAO-08-705
GAO
2008
"Environmental Satellites: Polar-Orbiting
Satellite Acquisition Faces Delays, Decisions Needed on Whether and How to Ensure Climate Data
Continuity
"
GAO-08-518
40 Elm, J.P., Goldenson, D., El Emam, K., Donitelli, N., and Neisa, A.
of Systems Engineering Effectiveness - Initial Results
Carnegie Mellon University/SEI
40
2008
Survey
CMU/SEI-2008-SR-034
41 Kibbe, D.C.
http://www.sei.cmu.edu/library/abstracts/reports/08sr034.cfm
2010
Should Doctors Reject the Government's EHR Incentive Plan?
Family Practice Management
17
8
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8
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8
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2
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42
41
CMS
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42
5
33
42
IV.
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20
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1
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HIV
IT
SOA
SOA
43
43
SOA
2009
190
3
1
44
45
SOA
1,000
1
44
100
43 Sprott, D. and L. Wilkes
2004
1
Understanding Service-Oriented Architecture
Microsoft Architect Journal
44 eHealth Initiative
2009
Migrating Toward Meaningful
Use: The State of Health Information Exchange
45
2
3
IT
XML
1
X
IT
X
X
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ii
X
iii
45
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DEAS
46
5
IT
IT
47
46
48
49
HITECH
ONC
NHIN
50
46
47 World Health Organization
"
2007
"Patient Identification
Patient Safety Solutions
1
2
http://www.ccforpatientsafety.org/common/pdfs/fpdf/presskit/PS-Solution2.pdf
48 Markle Foundation
2005
Linking Health Care Information: Proposed
Methods for Improving Care and Protecting Privacy
http://www.connectingforhealth.org/assets/reports/linking_report_2_2005.pdf
49
J. Jonas
2006
Threat and Fraud Intelligence, Las Vegas Style
IEEE Security and Privacy
47
50 Government Health IT
IT
the road" for NHIN Exchange
ONC
2010
6
25
NHIN
http://www.govhealthit.com/newsitem.aspx?nid=74064
IT
1
1
IT
IT
IT
48
ONC to issue "rules of
51
51
49
V.
IT
52
53
2006
88
54
80
77
56
53
1
2
3
55
2003
HIPAA
HITECH
56
50
52
NPR
Kaiser Foundation
Harvard School of Public Health
2009
53
3
Cost, Privacy Top Health Care Concerns
Electronic Privacy Information Center
Medical
privacy public opinion polls
54 Lake Research Partners
American Viewpoint
2006
11
Survey Finds Americans Want Electronic
Personal Health Information To Improve Own Health Care
55
McGraw, D., J.X. Dempsey, L. Harris and J. Goldman
2009
Privacy as an
Enabler, Not an Impediment: Building Trust into Health Information Exchange
Health
Affairs
28 2
56
CFR
416
45
27
160
164
http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html
IT
HIPAA
HIPAA
HIPAA
HIPAA
HITECH
51
57
58
IT
57
Health IT Policy Committee
52
IT
Privacy and
Security Tiger Team
Consumer Choice
Technology Meeting
2010
6
29
http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=2833&PageID=19477
58
Henriksen K. and H. Kaplan, H.
2003
Hindsight bias, outcome
knowledge and adaptive learning
Quality and
Safety in Health Care
12
ii46
ii50
HIPAA
HIPAA
HIPAA
HITECH
HIPAA
2005
96
34
HIPAA
59
2006
60
HITECH
D
HIPAA
61
IT
HIPAA
HITECH
2HIPAA
62
59 Armstrong, D., E. Kline-Rogers, S.M. Jani
2005
Potential Impact of the HIPAA
Privacy Rule on Data Collection in a Registry of Patients with Acute Coronary Syndrome
HIPAA
Archives of Internal Medicine
165
53
1125
1129
60 J.F. Wilson
2006
Health Insurance Portability and Accountability Act Privacy Rule
Causes Ongoing Concerns Among Clinicians and Researchers
Annals of Internal Medicine
61
145 4
111-5 2009
313
316
13405
42
17935
http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/hitechact.pdf#page=39
62 Nass, S.J., L.A. Levit, and L.O. Gostin
2009
Advancing Research, Improving Health Through Research
Beyond the HIPAA Privacy Rule:
HIPAA
DC National Academy Press
http://www.nap.edu/catalog.php?record_id=12458
63
1
64
IT
54
1
65
66
63
PI Newswire PI
"Medical Records
Found in DMV's Dumpster
"
2010
6
3
http://www.pinewswire.net/2010/06/medical-records-found-in-dmvs-dumpster
64
http://www.huffingtonpost.com/2008/08/05/celebrity-medical-records_n_116968.html
"Celebrity
Medical Records in Massive UCLA Breach
"
http://abcnews.go.com/GMA/story?id=3711136&page=1
"Exposed: Clooney's Medical Records
"
65 InformationWeek
2008
Stolen With Personal Data on 300,000 Health Insurance Clients
1
30
"Laptop
30
"
http://www.informationweek.com/news/security/showArticle.jhtml?articleID=206100526
66 WBBM Chicago WBBM
ID Theft Victims
20
2010
5
27
ID
"Nearly 200,000 Are Potential
"
http://cbs2chicago.com/investigations/ID.theft.2.2.1719905.html
21
1
2
55
IT
67
ID
IT
ID
56
68
IT
67 HITECH
68
Markle Foundation
2006
Implementing a Trusted Information
Sharing Environment: Using Immutable Audit Logs to Increase Security, Trust, and Accountability
http://www.markle.org/downloadable_assets/nstf_IAL_020906.pdf
57
X
X
4
DEAS
69
X
https://
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X
X
X
X
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1
58
NIH
X
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10
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IT
69
10
59
VI.
IT
IT
4
ONC
5
CMS
4
70
60
3
2010
3
ONC
IT
IT
70
Halamka, J.
2009
11
11
The Magic of Middleware
Life as a Helthcare CIO
http://geekdoctor.blogspot.com/2009/11/magic-of-middleware.html
61
2 3
ONC
56
17
71
CMS VHA
DoD
4
ONC
4
ONC
62
IT
71
Office of the National Coordinator
2010
5
26
Beacon
Community Program
http://healthit.hhs.gov/portal/server.pt?open=512&objID=1805&parentname=CommunityPage&par
entid=2&mode=2&cached=true
IT
5
63
3
ARRA
300
72
IT
IT
1
80
73
64
72
Stytz, M.
2010
Electronic Patient Health Record Technology: Status and
Challenges
DC
STPI
73 Beth Israel Deaconess Medical Center
2000
10
John Halamka
3
GPS
1
3
65
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IT
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2 3
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66
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70
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74 USA Today USA
Data
2009
H
10
25
"R.I. Tracks H1N1 with Electronic
N
"
http://www.usatoday.com/news/nation/2009-10-25-rhode-island-flu-tracking_N.htm
75 Kweder S.
"
76
2004
11
18
"Vioxx and Drug Safety
http://www.fda.gov/NewsEvents/Testimony/ucm113235.htm
Nissen, E., and K. Wolski
2007
Effect of Rosiglitazone on the Risk of
Myocardial Infarction and Death from Cardiovascular Causes
New England Journal of Medicine
356 24
2457
2471
77 Alliance for Health Reform
2006
72
3
"Racial and Ethnic Disparities
in Health Care
"
http://www.allhealth.org/publications/pub_38.pdf
73
78
79
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74
DCIS
1.
2.
3.
4.
5.
6.
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3
1
1
81
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78
Cohen, H., G. Williams, J. Johnson, J. Duan, J. Gobburu, A. Rahman, K. Benson, J.
Leighton, S. Kim, R. Wood, M. Rothmann, G.M. Chen, M. Staten, and R. Pazdur
2002
Approval Aummary for Imatinib Mesylate Capsules in the Treatment of Chronic Myelogenous
Leukemia
Clinical Cancer Research
79
8 5
935
National Cancer Institute
942
Beta-Carotene Supplements Confirmed as
Harmful to Those at Risk for Lung Cancer
http://www.cancer.gov/clinicaltrials/results/final-CARET1204
75
80
Gold, T., T. Do T, and W. Dick
2008
Correlates and Effect of Suboptimal
Radiotherapy in Women with Ductal Carcinoma in Situ or Early Invasive Breast Cancer
Cancer
113 11
3108
3115
81 W.H. Press W H
2009
Bandit Solutions Provide Unified Ethical Models
for Randomized Clinical Trials and Comparative Effectiveness Research
PNAS 106
76
22387
22392
VIII.
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ONC
CMS
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HHS
XML
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78
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82 "Health Level Seven International
"
http://www.hl7.org/
83 World Health Organization
ICD
"
"International Classification of Diseases
http://www.who.int/classifications/icd/en/
84 AHRQ
USHIK
http://ushik.ahrq.gov/index.html
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79
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6
85
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ONC
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86
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Gray, J.
16
CMS
"A Conversation with Tim Bray
"
2005
http://queue.acm.org/detail.cfm?id=1046941
ARRA
CMS
4
5
IT
CMS
HHS
CMS
87
CMS
1
2
IT
3
81
ONC
HITECH
88
HL7
NIST
IHE
ONC
CMS
IT
ONC
1
CMS
2
3
CMS
CMS
CMS
PCAST
89
CMS
CMS
90
82
91
2
CMS
CMS
NQF
CMS
HHS
CMS
PPACA
CMS
CMS
CMS
IT
2
6
CMS
IT
CMS
CMS
CMS
3
83
ONC
CMS
CMS
IT
CMS
CMS
1
2
3
API
4
5
TCP
3
IT
ONC
IT
CMS
IT
87
88
Health Information Technology: Initial Set of Standards, Implementation Specifications,
and Certification Criteria for Electronic Health Record Technology
http://HealthIT.HHS.gov/standardsandcertification
89
Leatherman, S. and A. Epstein
2010
System Improvement
Performance Measurement for Health
Cambridge
84
University Press
90
Darves, B.
2008
"
6
"Ensuring - and Tracking - Physician Competence
New England Journal of Medicine Career Center
http://www.nejmjobs.org/career-resources/ensure-physician-competence.aspx
91
Gawande, A.
2009
The Checklist Manifesto: How to Get Things Right
Metropolitan Books
85
IX.
OMB
HHS
ONC
IT
12
IT
OMB
HHB
ONC
ONC
HITECH
2013
SHARP
IT
IT
NRC
86
NRC
2013
2014
CMS
2013
CMS
CMS
2013
2015
FDA CDC NIH AHRQ
CMS
VA
IT
FDA
87
AHRQ
FDA
HHS
HHS
CDC FDA
ONC
ONC
88
A
PCAST
HHMI
89
S
CDISC
MIT
D
C
ASTM
E
90
IBM
91
B
92
C
1
HITECH
2009
5
CMS
200
ARRA
CMS
93
2006
CMS
IT
VistA
XML
94
D
ACO
AHRQ
ARRA
CDA
CDC
CDS
CMS
EHR
FDA
HIE
HHS
HIPAA
HL7
7
IHE
IOM
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NHIN
NIST
PCIP
PCMH
PHR
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RHIO
SHARP
IT
VHA
http://www.whitehouse.gov/ostp/pcast
95