Goroll Allan H, Simon Steven R, Tripathi Micky, Ascenzo Carl, Bates David W
Harvard Medical School and Massachusetts General Hospital, Medical Service, 15 Parkman Street, Suite 645, Boston, MA 02114, USA.
J Am Med Inform Assoc. 2009 Jan-Feb;16(1):132-9. doi: 10.1197/jamia.M2899. Epub 2008 Oct 24.
The Massachusetts eHealth Collaborative (MAeHC) was formed to improve patient safety and quality of care by promoting the use of health information technology through community-based implementation of electronic health records (EHRs) and health information exchange. The Collaborative has recently implemented EHRs in a diverse set of competitively selected communities, encompassing nearly 500 physicians serving over 500,000 patients. Targeting both EHR implementation and health information exchange at the community level has identified numerous challenges and strategies for overcoming them. This article describes the formation and implementation phases of the Collaborative, focusing on barriers identified, lessons learned, and policy issues.
马萨诸塞州电子健康协作组织（MAeHC）的成立旨在通过在社区层面实施电子健康记录（EHR）和健康信息交换来推广健康信息技术的使用，从而提高患者安全和医疗质量。该协作组织最近在一系列通过竞争性选拔的不同社区中实施了电子健康记录，涵盖了近500名医生，为超过50万名患者提供服务。在社区层面针对电子健康记录实施和健康信息交换所面临的挑战进行研究，已确定了许多挑战及克服这些挑战的策略。本文描述了该协作组织的组建和实施阶段，重点关注已识别的障碍、汲取的经验教训以及政策问题。
