Public and private sector roles in health information technology policy: Insights from the implementation and operation of exchange efforts in the United States

Joshua Vest, Thomas R. Campion, Lisa M. Kern, Rainu Kaushal

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: In the US, the federal and state governments are supporting interoperable health information technology (HIT) and health information exchange (HIE) through policy interventions and financial investments. However, private healthcare organizations and partnerships have also been active in establishing exchange activities, promoting interoperability, and developing technologies. This combination of influence from different actors has resulted in a rapidly changing healthcare environment. In this context, we sought insights into the optimal roles for the public and private sectors in HIT/HIE policy development and implementation. Methods: We leveraged the concurrency of federal and New York State initiatives to spur HIT/HIE adoption by interviewing HIT experts (n=17). Interviewees represented federal and state government agencies, healthcare providers, and exchange organizations. A semi-structured interview guide with open-ended questions covered the domains of organization, value, privacy, security, and evaluation. We analyzed transcripts using a general inductive and comparative approach. Results: Interviewees assigned roles for standard setting and funding to the federal government and suggested states were better positioned to offer implementation support. Interviewees forwarded a public-private partnership model as a potential solution to the limitations facing the private and public sectors. Conclusions: HIT/HIE policy is a complex issue involving standards, privacy, funding and implementation. When New York State began funding HIT, significant federal intervention did not exist. Since the launch of New York State's program and the subsequent federal Meaningful Use criteria, interviewees expressed distinct but complementary roles for both state and federal governments and saw an avenue to include the private sector through public-private partnerships.

Original languageEnglish (US)
Pages (from-to)149-156
Number of pages8
JournalHealth Policy and Technology
Volume3
Issue number2
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Medical Informatics
Private Sector
Public Sector
Information technology
Federal Government
Health
State Government
Public-Private Sector Partnerships
Privacy
Organizations
Delivery of Health Care
Government Agencies
Policy Making
Health Personnel
Interviews
Technology
Interoperability
Health Information Exchange

Keywords

  • American recovery and reinvestment act
  • Federal government
  • Health information exchange
  • Medical informatics
  • Policy making
  • State government

ASJC Scopus subject areas

  • Health Policy
  • Biomedical Engineering

Cite this

Public and private sector roles in health information technology policy : Insights from the implementation and operation of exchange efforts in the United States. / Vest, Joshua; Campion, Thomas R.; Kern, Lisa M.; Kaushal, Rainu.

In: Health Policy and Technology, Vol. 3, No. 2, 01.01.2014, p. 149-156.

Research output: Contribution to journalArticle

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