History of Health Information

Technology in the U.S.

Evolution of Health IT:
The Early Years
Lecture a Introduction and Pre-1970

This material Comp5_Unit1 was developed by The University of Alabama Birmingham, funded by the Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology under Award Number
1U24OC000023
Evolution of Health IT:
The Early Years
Learning Objectives
2
Discuss the enduring values that have been foci for HIT
stakeholders from the perspectives of healthcare organizations,
community and practicing physicians, and academic physicians,
information systems personnel, and medical informaticians
Discuss how the social, educational, and professional environments
in healthcare influence these values
Discuss the impact of key developments in the 1950s and 1960s
including Sputnik, Medicare/Medicaid legislation, medical research,
and the Civil Rights legislation on healthcare
Describe the characteristics of the healthcare environment and the
use of computers in healthcare in the 50s and 60s
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
The Integration of Informatics into
Healthcare Delivery Why Now?
Views of informatics and information
systems
Why has it taken so long to integrate IT
into healthcare?
3
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
The Integration of Informatics into
Healthcare Delivery Why Now?
Views of informatics and information
systems
Why has it taken so long to integrate IT
into healthcare?
Factors leading to the integration
Future projections
4
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Evolution from
1950s Present
General Environment
Healthcare Environment


5
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Evolution from
1950s Present
General environment
Healthcare environment
Healthcare organizations
Physicians
Medical school faculty


6
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Evolution from
1950s Present
General environment
Healthcare environment
Healthcare organizations
Physicians
Medical school faculty
Informatics specialists


7
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Approach
Influences on each group
Enduring goals, interests, concerns
Predict future changes



8
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
9
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
10
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
11
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns






12
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
13
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
14
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
15
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Influence Patterns
16
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Enduring Goals, Interests, Concerns
17
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Healthcare Organizations
Fiscal viability


18
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Healthcare Organizations
Fiscal viability
Growth


19
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Practicing Physicians
Patient care
20
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Practicing Physicians
Patient care
Professional freedom

21
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Academic Physicians
Patient care
Research
Teaching
22
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Medical Informaticians
Computer applications to improve
patient care


23
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Medical Informaticians
Computer applications to improve patient
care

Computer and information science

24
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
25
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
26
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
Space exploration
27
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
(Courtesy NSSDC)
General Environment Pre-1970
Importance of science
Space exploration
Technology development
28
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
Space exploration
Technology development
Science education
29
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
Space exploration
Technology
development
Science education
Great Society
30
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
Space exploration
Technology
development
Science education
Great Society
War on Poverty
31
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
General Environment Pre-1970
Importance of science
Space exploration
Technology
development
Science education
Great Society
War on Poverty
Civil Rights
Legislation
32
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Source:LBJ Library, University of Texas
General Environment Pre-1970
Importance of science
Space exploration
Technology
development
Science education
Great Society
War on Poverty
Civil Rights Legislation
Access to jobs,
education, healthcare
33
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Source:LBJ Library, University of Texas
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology

34
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers

35
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
(NASA/courtesy of nasaimages.org)
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers
Broader health insurance
coverage
Medicare/Medicaid legislation
36
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers
Broader health insurance
coverage
Medicare/Medicaid legislation
Charge reimbursement
37
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers
Broader health insurance
coverage
Medicare/Medicaid legislation
Charge reimbursement
Increased access
38
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers
Broader health insurance coverage
Medicare/Medicaid legislation
Charge reimbursement
Increased access
More chronic conditions
Health IT Workforce Curriculum
Version 3.0/Spring 2012
39
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a

Pre-1970 Healthcare Environment
Scientific breakthroughs
Cures for infectious diseases
Wonder drugs
New medical technology
Computers
Broader health insurance coverage
Medicare/Medicaid legislation
Charge reimbursement
Increased access
More chronic conditions
Fear of physician shortage


Source: (Weiner, 2002)

40
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Evolution of Health IT:
The Early Years
Summary Lecture a
41
More interest in science education
Legislation that led to more individuals having
access to education and healthcare
Reimbursement to physicians for usual and
customary care
Worries about a possible physician shortage
Beginning development of clinical computing
applications
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
Evolution of Health IT: The Early Years
References Lecture a
42
Health IT Workforce Curriculum
Version 3.0/Spring 2012
History of Health Information Technology in the U.S.
Evolution of Health IT: The Early Years
Lecture a
References
Weiner JP. A shortage of physicians or a surplus of assumptions? Health Aff (Millwood). 2002;21(1):160-2.

Images
Slide 27: Picture of Sputnik Satellite, NASA Picture of the Day Collection, Available from: ttp://www.nasaimages.org
Slide 32 -33: Johnson signing Civil Rights Act, Available from:
http://commons.wikimedia.org/wiki/File:Lyndon_Johnson_signing_Civil_Rights_Act,_2_July,_1964.jpg Source:LBJ
Library, University of Texas
Slide 35: NASA Great Images in Nasa Collection, IBM Electronic Data Processing Machine Available from:
http://www.nasaimages.org/l