New York City Health and Hospitals Corporation - Leading Medical Information Technology Systems

Leading Medical Information Technology Systems

In recent years, HHC has received recognition for its advanced clinical information system which includes a comprehensive electronic health record (also known as an electronic medical record). HHC public hospitals have won the Nicholas E. Davies award for the use of clinical information technology. HHC President Alan Aviles received the CEO IT Achievement Award from the Healthcare Information and Management Systems Society and Modern Healthcare Magazine for leading use of information technology to advance healthcare excellence. And HHC's North Bronx Healthcare Network was awarded Hospitals and Health Networks' Most Wired Award four consecutive years for its use of information technology in safety, quality, customer service, business processes and workforce training.

In a statement on March 31, 2009, Mayor Bloomberg stressed the importance of HHC's information technology and its utility as a precedent for reform at the national level.

Implementing these principles, and the others the President has stressed, is going to require more than funding. It’s going to require innovation. And health information technology – which the President is making a strong commitment to – is a potential game-changer. Clay Christensen, a scholar whose work on transformative change in business I’ve long admired, has argued that such transformation is almost always produced by what he calls ‘disruptive innovation.' Think of how personal computers made mainframe computing obsolete, or of the effect of the internet on information technology generally. That was disruptive innovation. EHR’s can be that kind disruptive innovation, too. That’s what we’re finding in New York City, where we’ve created the nation’s largest primary care electronic health record network. It links more than 1,100 doctors with more than a million patients in low-income communities with a prevention-focused EHR. We’re already seeing that EHRs bring prevention front and center in every doctor’s visit, simply by giving doctors the information that they need when they need it about patient vaccinations, screenings, and other essential disease prevention measures. EHRs also allow doctors – in many cases for the first time – to actually understand how many patients they’re treating and how well they’re doing in preventing illness. With that data, EHRs also create the potential to reward doctors for actually keeping people healthy. Today, the potential of EHRs is barely being realized; it’s been estimated that across the nation, for example, fewer than two per cent of hospitals have installed comprehensive EHRs. So by including more than $20 billion in funding for EHRs in Federal stimulus funding, President Obama shows he understands just how much our health care system needs a strong dose of disruptive innovation.

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