Accelerating U.S. EHR adoption: how to get there from here. recommendations based on the 2004 ACMI retreat.


Journal Article

Despite growing support for the adoption of electronic health records (EHR) to improve U.S. healthcare delivery, EHR adoption in the United States is slow to date due to a fundamental failure of the healthcare information technology marketplace. Reasons for the slow adoption of healthcare information technology include a misalignment of incentives, limited purchasing power among providers, variability in the viability of EHR products and companies, and limited demonstrated value of EHRs in practice. At the 2004 American College of Medical Informatics (ACMI) Retreat, attendees discussed the current state of EHR adoption in this country and identified steps that could be taken to stimulate adoption. In this paper, based upon the ACMI retreat, and building upon the experiences of the authors developing EHR in academic and commercial settings we identify a set of recommendations to stimulate adoption of EHR, including financial incentives, promotion of EHR standards, enabling policy, and educational, marketing, and supporting activities for both the provider community and healthcare consumers.

Full Text

Duke Authors

Cited Authors

  • Middleton, B; Hammond, WE; Brennan, PF; Cooper, GF

Published Date

  • January 2005

Published In

Volume / Issue

  • 12 / 1

Start / End Page

  • 13 - 19

PubMed ID

  • 15492028

Pubmed Central ID

  • 15492028

International Standard Serial Number (ISSN)

  • 1067-5027

Digital Object Identifier (DOI)

  • 10.1197/jamia.M1669


  • eng

Conference Location

  • England