RAND Corporation

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A Doctor's Declaration Of Independence

Daniel F. Craviotto | The Wall Street Journal | April 28, 2014

It's time to defy health-care mandates issued by bureaucrats not in the healing profession.

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A Time Out For Health IT?

Hayward K. Zwerling | The Health Care Blog | March 17, 2013

A recent RAND(1) study has concluded that the implementation of health information technology (HIT) has neither effected a reduction in the cost of healthcare nor an improvement in the quality of healthcare. Read More »

AMA Calls for Design Overhaul of Electronic Health Records to Improve Usability

Press Release | American Medical Association | September 16, 2014

Building on its landmark study with RAND Corp. confirming that discontent with electronic health records (EHRs) is taking a significant toll on physicians, the American Medical Association (AMA) today called for solutions to EHR systems that have neglected usability as a necessary feature. Responding to the urgent physician need for better designed EHR systems, the AMA today released a new frameworkPDF FIle outlining eight priorities for improving EHR usability to benefit caregivers and patients. Read More »

AMA Pleads For More User-Friendly EHRs

Joseph Conn | Modern Healthcare | September 16, 2014

The American Medical Association is targeting the usability—or lack thereof—of electronic health-record systems as part of a broader campaign to improve physician satisfaction...

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Better Coordination Of Care Could Save $1.5 Billion Annually

Tracey Walker | Managed Healthcare Executive | May 1, 2014

Improving the coordination of care for elderly patients with chronic diseases reduces costs, use of health services and complications, according to a new RAND Corporation study published online in JAMA Internal Medicine.  

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Closed Records, EHR Decertification and the DoD

In anticipation of House of Cards Season 4, and with all due respect to the show’s creators, I think real life is giving us a perfect plotline that includes politicians, corporate interests, their lobbyists and a big fat government contract. Maybe Francis and Claire have me seeing conspiracies everywhere, but it seems a chain of recent health IT events have created intrigue in what is historically our staid, conservative industry. Follow the timeline with me and decide for yourself if I’m hearing black helicopters.

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Coalition Calls For Action Against EHRs That Block Interoperability

Staff Writer | iHealthBeat | June 17, 2014

The Health IT Now Coalition is calling on HHS to decertify electronic health record systems that require extra modules or additional costs to share data, Politico's "Morning eHealth" reports...

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Deconstructing Veterans Health Care

Jon C. White | Pain Medicine News | October 25, 2014

...An estimated 80% of the 9 million veterans receiving health care at the VA are satisfied. To cull from this population a minority of dissatisfied people who report negative things about the VA is not responsible investigative reporting; it is just tabloid journalism...

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Docs 'Stressed And Unhappy' About EHRs

Mike Miliard | HealthcareITNews | October 9, 2013

While physicians recognize the benefits of electronic health records, they also complain that many systems deployed nowadays are cumbersome to use and often act as obstacles to quality care, according to a new report from RAND Corporation. Read More »

Doctors Dissatisfied With Current EHRs But Hopeful For Future

Kyle Murphy | EHR Intelligence | October 9, 2013

Physicians are dissatisfied with the current state of EHR technology but are confident that future improvements will benefit both patients and their own professional satisfaction down the road, according to a new research published by the RAND Corporation. Read More »

Doctors Find Barriers to Sharing Digital Medical Records

Julie Creswell | New York Times | September 30, 2014

...While most providers have installed some kind of electronic record system, two recent studies have found that fewer than half of the nation’s hospitals can transmit a patient care document, while only 14 percent of physicians can exchange patient data with outside hospitals or other providers...

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Doctors' Dissatisfaction With EHRs May Be 'Early Warning Of Deeper Quality Problems'

Susan Jones | CNS News | October 18, 2013

Electronic health records are a source of frustration to many physicians, according to a study on physician satisfaction sponsored by the American Medical Association. Read More »

DoD Healthcare Exec Pushes $11 Billion IT Upgrade, But Unwittingly Reveals Why It Won’t Work

Loren B. Thompson | Lexington Institute | April 8, 2015

On March 25, the program executive overseeing a proposed modernization of the military healthcare records system testified before the Senate’s defense appropriations subcommittee. Christopher A. Miller urged committee members to support a costly upgrade to the way in which the healthcare records of military personnel and their dependents are stored and shared — which at a projected price-tag of $11 billion will be the biggest investment in an electronic health record system ever undertaken. If past experience with such IT projects is any indication it will end up costing a lot more, but that’s not the real problem. The real problem, as Miller unwittingly revealed in his testimony, is an acquisition strategy that can’t deliver what the department needs... Read More »

Does The Military Have Enough Psychiatrists?

Clara Ritger | Defense One | April 10, 2014

Twelve consecutive years of war have turned soldiers into the subjects of an unintended experiment in the impact of prolonged conflict on the human psyche.  And the results are still out, according to Army Surgeon General Patricia Horoho, who testified Wednesday at a congressional hearing.

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Don’t forget Obamacare’s electronic medical records wreck

Michelle Malkin | Michellemalkin.com | October 23, 2013

The White House finally acknowledged the spectacular public disaster of Obamacare’s Internet exchange infrastructure during Monday’s Rose Garden infomercial. But President Shamwow and his sales team are AWOL on the bureaucratic ravages of the federal electronic medical records mandate. Modernized data collection is a worthy goal, of course. But distracted doctors are seeing “more pixels than patients,” Dr. DiNubile observes, and the EMR edict is foisting “dangerous user-unfriendly technology” on physicians and patients.

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