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Office of the National Coordinator for Health Information Technology (ONC)


Barriers to Adoption


Current Market Barriers and Challenges to Widespread Adoption of Health Information Technology

  • Payers don’t reward efficiency or quality; they pay based on volume
  • Adoption issues
    • There is a negative business case for typical health information technology adopter
    • There is a significant electronic health record adoption gap based on organization size
    • There is a first mover disadvantage for health information technology buyers
  • High failure rate for electronic health record implementation
    • There is variable availability of IT expertise in physician offices
    • There is a high failure risk for business re-engineering
    • There is limited implementation support for 75,000 small practices
  • Limited capacity for interoperability
    • Few health information technology products include standards
    • Standards are not rigorous and lag behind commercialization
    • There is no viable health information exchange infrastructure

What's New

  • Third Nationwide Health Information Network Forum: Prototypes and Business Models, January 25-26, 2007.
    more details


  • Emergency Responder Electronic Health Record Detailed Use Case
    more details


  • HHS Announces State Alliance for e-Health
    more details


  • State Privacy and Security Subcontract Opportunities Announced Under Expanded HHS Contract with RTI
    full story


  • Click here to find out more about the American Health Information Community workgroup meetings.


  • HHS Enters Into Agreements to Support Digital Health Recovery for the Gulf Coast
    full story


  • HHS Announces Award of NHIN Prototype Contracts
    full story


  • ONC and AHIMA release two anti-fraud project reports
    full story


  • Health IT (HIT) Adoption Initiative Announced
    full story


  • Health IT Contracts Awarded Stemming from RFPs
    full story


Resources

Last revised: May 23, 2005

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