The Health Story Project is an alliance of healthcare vendors, providers and associations that share a vision that all of the clinical information required for good patient care, administration, reporting and research will be readily available electronically—providing patients with a comprehensive electronic clinical record, or complete health story.
The greatest single waste of current health information technology (HIT) resources is the failure to leverage information that is already electronic; this occurs approximately 600,000,000 times each year in the U.S. when dictated notes are printed and the electronic source is not available for exchange and reuse. With the American Recovery and Reinvestment Act (ARRA) there is an opportunity to accelerate transformation of dictation from paper to electronic data and to address this significant gap.
Meaningful use of the Certified Electronic Health Record (EHR) must encompass dictation for creation and exchange of standards-based clinical documentation. This comprehensive view of the EHR supports the immediate needs of front-line physicians and patients, is complementary with structured data, and lays the ground work for increasing EHR adoption and information reuse.
Stakeholder Communities Addressed in this Testimony
• Physicians: the overwhelming majority use dictation
• Vendors: Medical Records and Document Management, Coding, Dictation, Speech Recognition, Natural Language Processing & EHR
• Transcription/Coding Service Providers: includes over 200,000 U.S.-based knowledge workers
• Patients: want and deserve access to their complete record, including physician narrative and structured data entry
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