Question

Federal Initiatives for Health IT Investments and Management talk about Health Care Information System Standards. Visit the ONC website at https://www.healthit.gov/topic/standards-technology and research activities related to standards and interoperability occurring at the national level. How can the harmonization and adoption of standards facilitate achieving the nation's health care reform goals? Evaluate the impact on the IHI Triple Aim goals of better health, better care at lower costs and give your reasons.

Answer 1

1.The Federal programs such as Regional Extension center ,Beacon Communities ,State Health Information Exchange and Electronic Health Record has raised the nation to the tipping point level.Some of the goals of Health IT adoption are improving health and health care quality,safety and communication among all members of health care team with the aim of increasing cost and at the same time raising the value.The harmonization and adoption of standards facilitate achieving the nations healt care reform goals by

• Conversion of research and best practices into guidelines which are electronically actionable ,provides decision support and reporting.
• Data once recieved can be reused at numerable times.
• Inorder to improve the use of data within the normal flow of care,CDES are standardized ,which allows for relevant information to Clinical decision support to occur without error.
• Valid,timed and precise interoperable decision support for providers as well as to the patients and consumers.
• Real time analytical tools for practicing and ad-hoc measurement.
• Tools that are easy and interoperable for collecting the existing data for multiple QI reporting programs.
• For quality measurement regional aggregtors of claims and clinical act are used which helps in reporting to public.

2.Three aims are required to improve the US health care system.it is called Triple Aim,because it aims in improving the experience of care,improving the experience of the health of populations,reduce percapita costs of health care.The components of Triple aim are not independent of eachother.Any change in one can affect the other two.When we try to improve care for individuals ,it will raise costs,especially if the improvements demands innovative and costly technologies.if we try to eliminate unnecessary therapies or diagnostic tests .it can lead to cost reduction.Triple aim is based on balance and depends on the promise of equity,ie health for a particular population should not be gained on the expense of the other population.The biggest obstacle to the pursuit of Triple aim is supply -driven demand.The distorted financing system mirrors the fragmented health care system ,only an effective integrator can support the triple aim.To control cost the first step would be to define ,measure and making transparent the percapita cost of care for a defined population.T control percapita costs initiatives should be taken to reduce wastes especially in procedures,tests,errors or other valuless services.Financial management in a system is the hallmark for pursuing triple aim.An integrator should be able cross the boundaries.