On January 9, 2009, an Institute of Medicine / National Research Council report (Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions) reviewed use of healthcare information technology at a number of sites including Partners HealthCare, the University of Pittsburgh Medical Center, HCA Tristar, Intermountain Healthcare, the Palo Alto Medical Foundation, the University of California (San Francisco), Vanderbilt University Medical Center, San Francisco General Hospital, and the Veterans Administration.
The report says in part that "the committee observed a number of success stories in the implementation of health care IT. But although seeing these successes was encouraging, they fall far short, even in the aggregate, of what is needed to support the IOM’s vision of quality health care. IT-related activities of health professionals observed by the committee in these institutions were rarely well integrated into clinical practice. Health care IT was rarely used to provide clinicians with evidence-based decision support and feedback; to support data-driven process improvement; or to link clinical care and research. Health care IT rarely provided an integrative view of patient data. Care providers spent a great deal of time in electronically documenting what they did for patients, but these providers often said that they were entering the information to comply with regulations or to defend against lawsuits, rather than because they expected someone to use it to improve clinical care. Health care IT implementation time lines were often measured in decades, and most systems were poorly or incompletely integrated into practice."
"Although the use of health care IT is an integral element of health care in the 21st century, the current focus of the health care IT efforts that the committee observed is not sufficient to drive the kind of change in health care that is truly needed. The nation faces a health care IT chasm that is analogous to the quality chasm highlighted by the IOM over the past decade. So that the nation can cross the health care IT chasm, the committee advocates re-balancing the portfolio of investments in health care IT to place a greater emphasis on providing cognitive support for health care providers, patients, and family caregivers; observing proven principles for success in designing and implementing IT; and accelerating research related to health care in the computer and social sciences and in health/biomedical informatics."
Link here for more on the "Good Enough" debate in Healthcare Technology.