From National Comprehensive Cancer Network, Fort Washington, Pennsylvania, and Duke University Medical Center, Cary, North Carolina.
J Natl Compr Canc Netw. 2016 Oct;14(10):1226-1233. doi: 10.6004/jnccn.2016.0132.
When used effectively, health information technology (HIT) can transform clinical care and contribute to new research discoveries. Despite advances in HIT and increased electronic health record adoption, many challenges to optimal use, interoperability, and data sharing exist. Data standardization across systems is limited, and scanned medical note documents result in unstructured data that make reporting on quality measures for reimbursement burdensome. Different policies and initiatives, including the Health Information Technology for Economic and Clinical Health Act, the Medicare Access and CHIP Reauthorization Act, and the National Cancer Moonshot initiative, among others, all recognize the impact that HIT can have on cancer care. Given the growing role HIT plays in health care, it is vital to have effective and efficient HIT systems that can exchange information, collect credible data that is analyzable at the point of care, and improves the patient-provider relationship. In June 2016, NCCN hosted the Emerging Issues and Opportunities in Health Information Technology Policy Summit. The summit addressed challenges, issues, and opportunities in HIT as they relate to cancer care. Keynote presentations and panelists discussed moving beyond Meaningful Use, HIT readiness to support and report on quality care, the role of HIT in precision medicine, the role of HIT in the National Cancer Moonshot initiative, and leveraging HIT to improve quality of clinical care.
当有效使用时，健康信息技术（HIT）可以改变临床护理，并有助于新的研究发现。尽管 HIT 取得了进步，电子健康记录的采用率也有所提高，但在最佳使用、互操作性和数据共享方面仍存在许多挑战。系统之间的数据标准化有限，扫描的医疗记录文档导致非结构化数据，使得报告质量措施的报销负担繁重。不同的政策和计划，包括《健康信息技术经济和临床健康法案》、《医疗保险准入和儿童健康保险再授权法案》以及《国家癌症登月计划》等，都认识到 HIT 对癌症护理的影响。鉴于 HIT 在医疗保健中的作用不断增强，拥有能够交换信息、收集可信数据（在护理点进行分析）并改善医患关系的高效 HIT 系统至关重要。2016 年 6 月，NCCN 主办了“健康信息技术政策新兴问题和机遇峰会”。该峰会讨论了与癌症护理相关的 HIT 挑战、问题和机遇。主题演讲和小组成员讨论了超越有意义的使用、支持和报告质量护理的 HIT 准备情况、HIT 在精准医学中的作用、HIT 在国家癌症登月计划中的作用，以及利用 HIT 改善临床护理质量。
