Cited by 811Electronic Health Records SystemsHealthcare Policy and ManagementHealthcare Systems and Technology

The Value Of Health Care Information Exchange And Interoperability: There is a business case to be made for spending money on a fully standardized nationwide system.

Walker, Jan, Pan, Eric, Johnston, Douglas, Adler-Milstein, Julia, Bates, David W., Middleton, Blackford·2005·Health Affairs

Abstract

In this paper we assess the value of electronic health care information exchange and interoperability (HIEI) between providers (hospitals and medical group practices) and independent laboratories, radiology centers, pharmacies, payers, public health departments, and other providers. We have created an HIEI taxonomy and combined published evidence with expert opinion in a cost-benefit model. Fully standardized HIEI could yield a net value of dollar 77.8 billion per year once fully implemented. Nonstandardized HIEI offers smaller positive financial returns. The clinical impact of HIEI for which quantitative estimates cannot yet be made would likely add further value. A compelling business case exists for national implementation of fully standardized HIEI.

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Crossref · 10.1377/hlthaff.w5.10

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Authors
Walker, J., Pan, E., Johnston, D., Adler-Milstein, J., Bates, D. W., & Middleton, B.
Affiliations
  • Brigham and Women's Hospital (US)
  • The authors are with the Center for Information Technology Leadership, Partners HealthCare System, in Boston, Massachusetts. Jan Walker ( ) is its executive director; Eric Pan, associate fellowship director and a senior analyst; Douglas Johnston, a senior analyst; Julia Adler-Milstein, a research analyst; David Bates, a member of the executive committee; and Blackford Middleton, chairman. Bates is also chief of the Department of General Internal Medicine at Brigham and Women's Hospital (Boston)...
Venue
Health Affairs
Published
2005-01
Volume
24
Issue
Suppl1
Pages
W5-10-W5-18
ISSN
  • 0278-2715 (ISSN-L)
  • 1544-5208
OpenAlex
W2034898504
Cited by
811
References
30
Citations by year
2026: 11 · 2025: 10 · 2024: 15 · 2023: 36 · 2022: 19 · 2021: 21 · 2020: 28 · 2019: 32 · 2018: 52 · 2017: 41 · 2016: 44 · 2015: 34 · 2014: 54 · 2013: 62 · 2012: 48
FWCI
94.34
Type
journal article
Language
en
Open access
closed
Locations
  • Health Affairs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
Keywords
interoperability, electronic health records, cost-benefit analysis, standardization, business case, healthcare workers, laboratory, pharmacy, payers, public health departments
MeSH terms
Cost-Benefit Analysis, Delivery of Health Care, United States, Information Dissemination, Public Health Informatics

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