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First published November 23, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1685
Journal of the American Medical Informatics Association 2005;12(2):113-120
© 2005 American Medical Informatics Association

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Submitted on September 3, 2004
Accepted on November 5, 2004

Achievable Steps toward Building a National Health Information Infrastructure in the United States

William W. Stead MD1*, Brian J. Kelly MD2, and Robert M. Kolodner MD3

Affiliation of the authors: 1 Associate Vice Chancellor for Health Affairs and Professor of Medicine and Biomedical Informatics, Vanderbilt University, Nashville, TN; 2 Associate Partner, Health and Life Science Division, Accenture, LLP; 3 Veterans Health Administration, Department of Veterans Affairs, Washington, D.C.

* To whom correspondence should be addressed.

Consensus is growing that a healthcare information and communication infrastructure is one key to fixing the crisis in the United States in healthcare quality, cost and access. The National Health Information Infrastructure (NHII) is an initiative of the Department of Health and Human Services receiving bipartisan support. There are many possible courses toward its objective. Decision makers need to reflect carefully on which approaches are likely to work on a large enough scale to have the intended beneficial national impacts and which are better left to smaller projects within the boundaries of healthcare organizations. This paper provides a primer for use by informatics professionals as they explain aspects of that dividing line to policy makers and to healthcare leaders and front-line providers. It then identifies short term, intermediate and long-term steps that might be taken by the NHII initiative.




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