| TUSCALOOSA, Ala.
- When former President Clinton made health care reform a priority
for his administration, he and others in his administration envisioned
a national information system that would allow all components of health
care to share information.
Aside from some small-scale attempts, however, little has been
done in the way of forging a cohesive, networked health care system,
according to Dr. Grant Savage, Richard Scrushy/HealthSouth Chair
and Professor of Health
Care Management at UA's Culverhouse
College of Commerce and Business Administration.
"There are a number of reasons information technology has
not progressed in health care," Savage said. "Cost, competition,
politics, privacy - all come to mind. But we have reached the point
that consumer complaints about health care delivery practically
dictate that we seriously look at how information technology can
alleviate some of the problems in health care."
So when a Savage acquaintance from the past contacted him with
an idea about health care and information technology, Savage listened.
The contact was Leo van der Reis, M.D., whom Savage had known when
he taught health care management at Texas Tech University.
Van der Reis, now an adjunct professor in health care at UA, is
director of the Quincy
Foundation for Medical Research, a charitable trust in San Francisco.
The Quincy Foundation, a not-for-profit organization, has been conducting
research for the past 10 years on issues of concern to physicians
and other health care professionals, particularly the standardization
of information technology across health care.
Van der Reis and Savage worked out a plan to transfer the intellectual
property of the Quincy Foundation to the healthcare management program
at UA, and the publications, records and other material are now
stored at the Angelo Bruno
Business Library.
Savage said the strength of the Universitys management information
systems program was a major consideration in planning to locate
the Quincy Foundation's intellectual property at UA, as was the
strength of the information technology and health care sector in
Birmingham.
Savage and van der Reis are developing plans for convening a two-phase
conference on the role of information technology in health care
in late 2002 and early 2003. The result of the conference would
be a comprehensive report on the clinical information and standardization
needs of the U.S. health care community.
Current plans call for the conference to have two phases, including
an exploratory workshop to establish an agenda and blue papers
on key issues, followed by the working conference and subsequent
white papers on relevant issues. "We want to make
sure we have every step planned and that the appropriate people
have sufficient input," Savage said.
Van der Reis said that he and Savage have met with representatives
from the Office of the Secretary of Health and Human Services in
Washington, D.C., and that Secretary Tommy Thompson will be a keynote
speaker at the conference to standardize information technology
in health care.
"At the present time, it is a veritable mess," van der
Reis said. "There are thousands of systems and subsystems working
independently, instead of being interconnected.
"At the exploratory workshop meeting, 10 people from academia
and 20 from industry will sit down to address the issues involved
in clinical information exchange, particularly across different
organizations. This set of discussions will be developed into blue
papers, allowing people attending the working conference to
focus on specific aspects of standardization.
"We already have received considerable expressions of interest
and support and have received commitment of a matching grant for
$100,000," he said. "Additional sponsors will be from
corporate, private sources."
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