To: Sam who wrote (50700 ) 1/11/2011 8:35:53 PM From: FJB Respond to of 95587 Gov't, Google give Rx for health care ITeetimes.com Rick Merritt 1/11/2011 6:01 PM EST SAN FRANCISCO – In talks at a medical conference, White House officials and Google's chief executive sketched out a series of reforms they hope will accelerate the migration to digital medical records. The reforms include incentives to purchase health IT systems and new payment plans to encourage their use. As early as this week the government will release the first details for how physicians can get reimbursed through Medicare programs for adopting digital health records, said Nancy-Ann DeParle, director of the White House Office of Health Reform, speaking at a J.P. Morgan event here. "For years at these conferences people said we need to make a more substantial investment in this area," DeParle said in a lunch address. "Well a multi-billion dollar investment literally starts now, and I hope to see rapid adoption," she added. Separately, a new Center for Medicare and Medicaid Innovation will try to pioneer ways of paying for the goal of keeping groups of people healthy, in part through online monitoring. "That should be music to the ears of many health care entrepreneurs stymied by a lack of flexibility [in reimbursement systems]," she said. Officials hope new payment schemes and new kinds of paying agencies will shift the focus from paying for clinic and hospital visits to paying to keep people well and finding ways to save money on health care. The incentives aimed at getting doctors online will roll out in three phases, said Aneesh Chopra, the first U.S. chief technology officer, speaking in an afternoon panel. This year a $20 billion economic stimulus program will pay doctors up to $75,000 each for buying IT systems, Chopra said. In 2013, they can get incentives for linking them to emerging health data exchanges where doctors can share patient data. In 2015 incentives will focus on "meaningful use" of health IT for patient care. Eric Schmidt, chief executive of Google, talked on the panel about his work on a White House panel that delivered a report on health care IT. "Eighty percent of doctors have no IT systems at all in their offices, and even large providers have closed system that are not interoperable," Schmidt said. The report called for the Administration to adopt a series of interoperability standards such as using metadata tagging. "Government is going to force a disaggregated industry to become interoperable," he said. Linking health care IT systems will open the door to broad studies of the effectiveness of different types of health care, Schmidt said. "Changing physicians' behavior to get them to use electronic health records and system is more difficult," he added. Schmidt called for entrepreneurs to create open source software for health care IT as the platform for new services. He also called for refinements in standards for digital health records. "If we set the architecture correctly people will think of digital devices as a natural extension of their health," he said.