Clinical Health Systems history

In 1990, Tim Berners-Lee established the World Wide Web and while healthcare wasn’t immediately affected, the web and browser technology established an expectation of how to access, share and navigate information.

The study wouldn’t be published until 1991, but it found security issues, lack of standards and cost were the primary barriers to adopting electronic health records at the time.

In 1994, the World Health Organization adopted the ICD-10 coding standard.

Some of the larger not-for-profit corporations have bailed out public facilities through lease arrangements, such as the one between the Daughters of Charity’s Seton Medical Center and the public Brackenridge Hospital in Austin, Texas, that occurred in 1995.

Then in 1997, the Balanced Budget Act decreased Medicare payments to hospitals by $115 billion over five years, including a projected $17 billion reduction in Medicare payments to hospitals.

The MU program launched in stages beginning in 2011.

In 2014, the ONC created Stage 2, which sought to extend the requirements of Stage 1 and promote more advanced clinical processes.

As of 2015, electronic health record adoption had doubled in just seven years.

On December 13, 2016, Congress passed the 21st Century Cures Act, which revised a definition of interoperability with three characteristics:7