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Kenneth D. Mandl, MD, MPH Director, Intelligent Health Laboratory Childrens Hospital Informatics Program Center for Biomedical Informatics, Harvard
As per the previous National Coordinator . . . l New England Journal of Med 2008: Low uptake of HIT in ambulatory setting l New England Journal of Med 2009 Low uptake in of HIT in hospitals
Conclusion: $48B
investment, pushing the technology
18.5% Increase
Signal Detection
l For every million prescriptions, 0.5% increase in MI (95%CI 0.1 to 0.9) l 50.3% of the deviance explained
What do we not know? l Full medication list l Complete history from across sites of care l Symptoms/effects not resulting in a healthcare visit l Functional status improvement for patients on COX-2 l Pain relief for patients on COX-2
l Ambient data from the health care system l Data acquired directly from patients l Meticulously collected data
Stephen Edge, MD Roswell Park Cancer Center Marc D. Natter, MD, MPH Boston Childrens Hospital Chad Malone, MD Remedy Informatics Keith Marsolo, PhD Cincinnati Childrens Hospital Medical Center