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Monday, April 20, 2009 12:41 PM

Chopra Sees Challenges For Health IT

By ALLAN HOLMES, Nextgov

Virginia Secretary of Technology Aneesh Chopra, President Obama's choice for the long-promised chief technology officer post, is intimately familiar with the role the CTO will play. He was a member of Obama's transition team, which helped craft the priorities for the CTO. He will have a stake in overseeing the $19 billion in the stimulus package aimed at encouraging the creation of electronic health records.

In an interview with Nextgov, Chopra said the health records initiative faces the biggest opposition from physicians. Estimates put the percentage of physicians who use electronic health records in their practices between 4 percent and 17 percent.

"Adoption is the major barrier," Chopra said. "My general view is the [stimulus package] will encourage physicians to move to the tipping point of saying, 'Maybe I will take the plunge.' But there is still risk the physician has to take.

"My guess is that President Obama views this money as a down payment, the initial component of an overall health reform goal that will include reform of our health payment system in general to pay for outcomes and quality. The secret will be watching closely Obama's health reform goals to see if quality is tied to payments. I have strong confidence in the discussion taking place."

During his run for president, Obama released a government reform agenda in September 2008 that outlined what the CTO would do, including meeting with agencies to make sure they were using the best technologies and best practices. "Like he has in the campaign, Obama will employ innovative technologies, including blogs, wikis, social networking tools and other new strategies, to modernize internal, cross-agency, and public communication and information sharing," according to the plan.

Sources said Chopra was interested in the CTO position within the Health and Human Services Department, where he could focus on IT as it pertained to health care, such as creating a national network of electronic health records. In the interview with Nextgov, he said health IT was "a labor of love" and that he spent his career in state government advancing the cause of using IT to improve patient outcomes and reduce costs. Chopra is a former managing director with the health care think tank The Advisory Board Co.

Nextgov has more on this story.

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Latest response:Paul CombeFebruary 09, 2012 10:01 am