By V. Altus. Kutztown University of Pennsylvania.

All segments of the healthcare industry must work together and contribute for this vision to occur purchase finax 1mg visa medications jokes. He has the remarkable ability to clearly and insightfully write about exceptionally complex topics purchase finax 1mg overnight delivery medications lexapro. He describes emerging information technologies and challenges to our ability to deliver superb healthcare. Jeff highlights the convergence of these technologies and these challenges and sets the stage for a new era of healthcare. This book will serve its readers well as they lead their organiza- tions into this new era. What I learned both encouraged and excited me, and you will find the reasons for that excitement in the pages that follow. The Internet “bubble” created a tremendous stir in equity mar- kets, the media, and society in general before bursting ignomin- iously in 2000 and taking more than a trillion dollars of investors’ capital with it. In healthcare, an immense economic sector that moves very slowly, the Internet was like an unidentified flying ob- ject that flew in one window and out the other without even denting the walls, leaving observers wondering what all the fuss was about. As I surveyed the technology, however, I became convinced that several innovations would have a more powerful impact on reshap- ing healthcare institutions and the processes of medicine themselves than the Internet. Moreover, these innovations—computer-assisted molecular and cellular diagnosis, computerized clinical decision support and artificial intelligence, telemedicine (enabling diagnosis of and intervention in illness from a distance), wireless and mobile computing applications, as well as affordable connectivity through the broadband Internet—were converging in a single complex new tool, the so-called “electronic medical record. As it develops in the next decade, it will not be a historic record of what was done to patients (enabling providers to bill for their services) so much as a navigational tool for physicians and the care team to help them guide patients and their families to a healthier place. To forecast where these technologies are headed and how they will affect the major ac- tors in health system—hospitals, physicians, consumers, and health plans—seemed like a worthy subject for a book. It then explores how emerging information technologies will affect hospitals, physicians, consumers, and health plans and how their relationships will change as they take up and use these new tools. All these actors crave a more satisfying role in the healthcare xii Preface process and yet will not, in some unqualified way, embrace impor- tant changes that they do not understand or do not believe will help them. The book also examines the growing absence of fit between our healthcare payment framework and other policies and the emerg- ing capacity to organize healthcare digitally. It discusses what poli- cymakers need to do to speed the transformation in the healthcare system and the leadership challenge involved in bringing about that transformation. The technologies discussed herein are real, and their potential for helping create a more respon- sive, safer, and more effective health system is enormous. Disciplining technology and those who create it to meet our needs is the ultimate task of leadership. To achieve the transformation in healthcare that society de- serves will require enlightened leadership—in the health professions and healthcare management and from government policymakers. It will also require a willingness on the part of healthcare practi- tioners and managers to understand and master the technologies themselves—to adapt them, play with them, and collaborate with those who create them—to make them easier to adopt and use. This book seeks to inspire a new generation of health- care professionals and managers to understand, master, and deploy these powerful new tools. Jeff Goldsmith May 2003 Preface xiii Acknowledgm ents Many people assisted in making this book possible. Neal Patterson, chairman and founder of Cerner Corporation, a pioneer- ing healthcare informatics firm, opened the door by inviting me to serve on Cerner’s board of directors. Gartner executives and analysts Jim Adams, Dave Garets (now of HealthLink), Janice Young, Thomas Handler, Wes Rishel, and Ken Kleinberg all contributed knowledge and ideas for this book.

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