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Efforts to reduce health care costs have focused on Health and Medical Savings Accounts, medical liability reform and Association Health Plans. While these steps are all vital and must not be abandoned, there are other options we must look at if we want to make health care more affordable and accessible.

Congressman Murphy believes there is currently a too limited of a focus when it comes to health care. Instead of always asking “who” will pay for health care services, people should begin to focus on “what” it is they are paying for. Congress continues to fund an antiquated health care system in which patients often end up paying for preventable medical errors that could be avoided with modern technology.

Congress needs to institute fundamental changes to bring our nation’s health care delivery system into the 21st Century.

We live in the Information Age, but health care, one of the most information intensive fields, remains mired in a pen-and-paper past. We can buy plane tickets online, make financial transactions across oceans, and send family pictures via email; yet the health care industry remains dangerously disconnected.

Such an inefficient health care information system holds serious consequences for all of us.

Patients must still carry their paper records and scribbled-down prescriptions from one provider to another where any information that slips from their folder is lost forever. This lack of comprehensive information technology robs doctors and nurses of critical information; results in medical errors, misdiagnosis and needless test duplications; increases costs; and reduces the overall quality of health care.

Doctors and nurses may have only moments to examine voluminous paper medical records -- unable to review records thoroughly, they risk missing critical patient information.

A wealth of information is available highlighting the need to modernize America’s health care systems sooner rather than later:

• The Institute of Medicine reports that over 7,000 people die every year just from medication errors alone with anywhere between 44,000 and 98,000 deaths attributed to medical errors in hospitals.

• A study by the RAND Corporation estimates that only 55 percent of our nation’s patients are receiving the recommended care they need.

• A recent study by the state of Pennsylvania found that 10 percent of hospitalizations of Pennsylvanians under the age of 65 were unnecessary and avoidable had the patients been offered early intervention or high quality outpatient care.

The absence of information technology in health care significantly contributes to inappropriate or inadequate treatment. These mistakes cost money and they cost lives. According to the Pennsylvania Health Care Cost Containment Council, unnecessary hospitalizations cost $2.8 billion in unnecessary treatment in Pennsylvania alone.

And, the Agency for Healthcare Research and Quality reports that $100 billion a year is linked to medical errors.

Congress must begin to look at health care costs in a new way, focusing on overall health and not simply disease; emphasizing the need to move toward a model of integrated care by providing ways for a patient’s physicians to coordinate their care; and promoting the modernization of our nation’s health care system.

The situation people face every month when trying to pay for their health insurance requires this Congress to bring the information technology that touches every other aspect of our lives to the one area that may mean the most. Just as information technology has changed the face of our nation’s banking, manufacturing, retail and virtually every other sector of society; it must now transform and modernize our nation’s health care system.

Congress must promote ideas to bring the transformative power of information technology to every corner of our health care system in an effort to ensure quality, patient safety and efficiency through bipartisan solutions.

Congressman Tim Murphy is a psychologist, and holds two Adjunct Associate Professor positions at the University of Pittsburgh (Pediatrics, and Public Health). He is Co-chair of both the Congressional 21st Century Healthcare Caucus and the Congressional Mental Health Caucus.


Healthcare FYIs

Each week Congressman Tim Murphy sends a Health Care FYI to other members of Congress and the medical community on ways the government and individuals can lower the cost of healthcare. A new idea is presented each week, from the use of electronic medical records to increasing the number of Community Health Centers. Congressman Murphy hopes you find the information useful. For more information on how to lower the cost of healthcare, please sign up for Healthcare FYI emails at HealthcareFYI@mail.house.gov or contact Congressman Murphy's office at (412) 344-5583 or (202) 225-2301.

44 Ways to Transform Health Care
Healthcare FYI #45

Improving Emergency Care
Healthcare FYI #44

Consumers have the right to know the cost and quality of health care
Healthcare FYI #43

The Uninsured
Healthcare FYI #42

Eliminating Preventable Medication Errors
Healthcare FYI #41

Reducing Exposure to Secondhand Smoke
Healthcare FYI #40

Can Competition Lower Health Care Insurance Costs?
Healthcare FYI #39

Winning the race to cure Breast Cancer
Healthcare FYI #38

Lowering Long-Term Care Costs
Healthcare FYI #37

Improving Health Literacy
Healthcare FYI #36

Ending Preventable Infections
Healthcare FYI #35

Empowering Health Care Consumers
Healthcare FYI #34

10 Recommendations to Lower Health Care Costs
Healthcare FYI #33

Lowering Drug Costs for Medicare Patients
Healthcare FYI #32

Informed consumers can lower prescription drug costs
Healthcare FYI #31

Winning the War against Post Traumatic Stress Disorder
Healthcare FYI #30

Preparing for an Avian (Bird) Influenza Pandemic
Healthcare FYI #29

Protecting Patient Privacy for the 21st Century
Healthcare FYI #28

Strengthening Medicaid: Reducing Waste, Fraud and Abuse
Healthcare FYI #27

Taking Control of Chronic Conditions: Patient Care Management Lowers Health Care Costs
Healthcare FYI #26

Taking your Medicine Can Reduce Health Care Costs
Healthcare FYI #25

Maternal Smoking During Pregnancy Increases Health Care Costs
Healthcare FYI #24

Prenatal Care Saves Lives and Money
Healthcare FYI #23

Bad Medicine : Avoiding Counterfeit Drugs
Healthcare FYI #22

Reducing the Costs of Uncompensated Care
Healthcare FYI #21

Reporting Errors Improves Patient Safety
Healthcare FYI #20

Reducing American Obesity
Healthcare FYI #19

Coordinating Care to Treat Chronic Disease
Healthcare FYI #18

Paper Costs and Kills
Healthcare FYI #17

Ending Defensive Medicine
Healthcare FYI #16

Extending The Shelf Life of Prescription Drugs
Health Care FYI #15

Cord Blood Stem Cells are Saving Lives
Healthcare FYI #14

Ensuring a Stable Vaccine Supply
Healthcare FYI #13

Information Technology Can Transform Health Care
Healthcare FYI #12

Primary Prevention Lowers Health Care Costs
Healthcare FYI #11

Stop Wasting Prescription Drugs
Healthcare FYI #10

Integrated Health Care Saves Money
Healthcare FYI #9

Reward Positive Performance in Hospitals
Healthcare FYI #8

Stop Paying for Hospital Acquired Infections
Healthcare FYI #7

Protect Volunteer Physicians at Community Health Centers
Healthcare FYI #6

Know Thyself: The Importance of Patient Responsibility
Healthcare FYI #5

Community Health Centers
Healthcare FYI #4

Electronic Prescribing
Healthcare FYI #3

Electronic Medical Records
Healthcare FYI #2

Federal Spending for Healthcare
Healthcare FYI #1
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