ABSTRACT

The US healthcare market is on the downside of the EMR implementation cycle driven first by the Health Information Technology for Economic and Clinical Health Act followed by the Patient Protection and Affordable Care Act [1]. Taxpayers have spent approximately $32 billion supporting the implementation of EMRs by providers to digitize health information that is designed to improve care quality and patient experience while driving down cost. Other chapters in this book assess the impacts that EMRs could have on healthcare delivery and health maintenance as we move from a fee-for-service (FFS) model to a new model for reimbursing healthcare services-fee for value (FFV). FFV becomes the reimbursement model that supports the Institute of Health Improvement’s Triple Aim-improving the patient experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare [2].