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Chapter 9: Health Care Reform > The Effect of Health Care Reform on the It Asse...


Patient-centered care reorientation and changes in payment methods that shift the focus of health care delivery goals toward the improvement of outcomes and lowering of costs place new demands on EHRs and other health information technology components (Bates and Bitton, 2010).

The primary IT asset ramifications of care reorientation center on applications. Specifically, EHRs, personal health records (PHRs), and HIEs grow in importance, and the critical application capabilities change in emphasis. The change in emphasis will significantly concentrate on implementation of an EHR or, if one is already implemented, in ensuring its EHR has the needed capabilities.

The Electronic Health Record

The EHR has taken on many definitions and thus is a fluid and shifting idea. Guided by an IOM-defined framework for the possible functions of an EHR, DesRoches and others (2008) identified four domains that, when incorporated into the IT asset, are considered to constitute a fully functional EHR. These domains include the following:


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