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"This is a critical point for health IT," said co-author Kenneth Mandl, MD, MPH, of the Children's Hospital Informatics Program. "Pouring money into existing health IT systems would be the most natural approach to take with the stimulus, but it may also be the wrong approach. We need to pause and make decisions that will have long-term benefits. Rather than simply deploying existing technologies we need to establish clarity on what the characteristics of an ideal system would be."

In their NEJM article, Mandl and Isaac Kohane, MD, PhD, also of CHIP, propose for the government, through the Department of Health and Human Services (DHHS), to mandate the development of a platform that will support applications for clinical care, public health and research. Much like the software platform developed by Apple for the iPhone, or the Indivo platform created by CHIP researchers that has emerged as a model for personal health records, the co-authors encourage DHHS to mandate the creation of a platform that will support an ecosystem of applications (i.e. order entry systems, medication reconciliation systems, patient communication systems, etc.) which can be developed by existing vendors or new health IT developers. The platform they suggest would support:

The development of such a model could stimulate health IT and the economy, the co-authors note, as more vendors and developers are able to participate in its success and growth. Such an approach and investment by the government, they predict, would be catalytic to health care as we know it.

Mandl K. and Kohane I. No Small Change for the Health Information Economy. New England Journal of Medicine, March 26, 2009.

Contact:
Keri Stedman
617-919-3110
keri.stedman@childrens.harvard.edu

Founded in 1869 as a 20-bed hospital for children, Children's Hospital Boston today is the nation's leading pediatric medical center, the largest provider of health care to Massachusetts children, and the primary pediatric teaching hospital of Harvard Medical School. In addition to 396 pediatric and adolescent inpatient beds and comprehensive outpatient programs, Children's houses the world's largest research enterprise based at a pediatric medical center, where its discoveries benefit both children and adults. More than 500 scientists, including eight members of the National Academy of Sciences, eleven members of the Institute of Medicine and 13 members of the Howard Hughes Medical Institute comprise Children's research community. For more information about the hospital visit: www.childrenshospital.org/newsroom.