Title: Message
I think it depends what is meant by a "health organisation' - it could range from anything from a multi-state HMO to a local GP practice.
I think the essence of the quote is that results will accrue to those who can act together like a "health organisation". In Australia those groups will probably be overlapping - for example if you considered a pathology practice and the practices that it distributes results to as a health organisation it would overlap with the health organisation that consisted of practices exchanging referral information electronically and these would overlap with the State health organisation. Each of those grouping would realise their own economies relatively independently of the others. Obviously more benefits would accrue if everyone was communicating and I think it is this universal intercommunication that the quote sees as being 20 years off.
 
Nigel
 
-----Original Message-----
From: George Margelis [mailto:[EMAIL PROTECTED]
Sent: Wednesday, 11 January 2006 1:24 PM
To: [email protected]
Subject: [GPCG_TALK] Your comments on this quote for discussion

Hi everyone

 

I was wondering if any of you would like to comment on this quote I saw this week:

 

"Ninety-nine percent of the benefit [of health IT] will come by internal use within health organizations. There will be some marginal benefit of cross-organization data sharing, but by-and-large, the concept of widespread interoperability at this time seems to be the product of groupthink. Maybe in 20 years there will be significant benefit, but right now we should be focused on implementing health IT within our own organizations to improve the quality of care."

-- Neil Calman, M.D., president and CEO of the Institute for Urban Family Health, in the January 2006 issue of the American Health Information Management Association's Journal of AHIMA.

Dr George Margelis

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