Former President Bill Clinton on Wednesday called for transparency in health care pricing and addressing chronic disease epidemics such as obesity in order to drive down the cost of care for all. He also called for embracing IT and letting go of outmoded administrative systems. When Clinton called for transparency in health care pricing, the crowd erupted in applause.
Speaking at the Healthcare Information and Management Systems Society (HIMSS) 2013 conference here before a standing-room-only audience, Clinton said the lack of IT capability in health care is keeping costs high and consumers ignorant.
[ InfoWorld's Galen Gruman reports from HIMSS: iPads have won the hospital, but Android may win the patients. | Get the first word on what the important tech news really means with the InfoWorld Tech Watch blog. ]
"The absence of technology, in part, means consumers have no way of knowing what they're going to be charged, what their options are, in place after place in America," Clinton said. "What I think we should think about is what we can do to improve delivery and what we can do to improve what consumers get."
Pennsylvania, for example, every year publishes comparative data among hospitals on various health procedures, including what they charge and the measurable results, he said. "Every single year, so far, the results have been the same. There is no correlation between what people pay and the quality of health care they get," Clinton said.
The most important correlation between treatment and outcomes, Clinton said, is how often hospitals performed a procedure. "It's just like you: The more you do something, the better you get at it," he said, calling for adherence to standards for industry best practices.
Information sharing, which is vexing the health care industry as it struggles to implement proprietary electronic health record (EHR) software and upgrade its medical coding systems, will be key to driving costs down, Clinton said.
Clinton cited Blue Button, a relatively new online personal health record standard developed by the U.S. Department of Veterans Affairs, as a model for sharing health information. Blue Button allows veterans and dependents to select a "blue button" on the VA's personal health portal, My HealtheVet, and download to a personal cloud-based storage service their personal health information to be shared with providers, payers, or others in a safe and secure manner.
Under the auspices of the Health Information Technology for Economic and Clinical Health Act, (HITECH Act), the federal government is requiring health care providers -- hospitals, clinics, and private physician practices alike -- to implement electronic health records. Providers must also prove their meaningful use of those systems through a three-stage government process that is taking place over the next four years.
The government requirements around Stage 2 of that process include criteria on how health care facilities can exchange key clinical information about patients and provide patients with online access to their health data.
IT systems that reinforce medical best practices, such as equipment sterilization procedures, are the best hope for driving down hospitals' preventable health problems and costs, such as infections.