Accelerating the Adoption of Clinical IT Among the Healthcare Providers in US

Strategies & Policies

by Katya Fonkych

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Healthcare and information technology experts argue that nationwide adoption of advanced clinical health information technology (HIT) is an essential tool to transform U.S. healthcare into a system that delivers consistently high quality of care with greater efficiency for more patients. This dissertation analyzes the process of adopting HIT and derives policy strategies that could promote nationwide adoption. It assesses the current status and dynamics of HIT adoption in the United States, provides an economic analysis of adoption decisions in hospitals and healthcare systems, and analyzes market failures that stymie its diffusion and require policy interventions. Finally, it evaluates HIT adoption in U.S. hospitals to identify facilities that are disadvantaged or least likely to adopt. The author calls for greater involvement of the government and for Medicare reimbursement models that would reward the higher quality and efficiency achieved through HIT.

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Measuring Current HIT Adoption

  • Chapter Three

    Economics of Hospital's Decision to Adopt a Clinical HIT System

  • Chapter Four

    Empirical Analysis

  • Chapter Five

    Conclusions and Policy Options

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This document was submitted as a dissertation in November 2006 in partial fulfillment of the requirements of the doctoral degree in public policy analysis at the Pardee RAND Graduate School. The faculty committee that supervised and approved the dissertation consisted of Emmett Keeler (Chair), James Dertouzos, Federico Girosi, and Glenn Melnick.

This report is part of the RAND Corporation dissertation series. Pardee RAND dissertations are produced by graduate fellows of the Pardee RAND Graduate School, the world's leading producer of Ph.D.'s in policy analysis. The dissertations are supervised, reviewed, and approved by a Pardee RAND faculty committee overseeing each dissertation.

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