Bush says computers reduce health care costs


CLEVELAND - President Bush prodded doctors and hospitals yesterday to make better use of computers to share patient information, saying the health care industry's continued reliance on paper records inflates costs and undermines care.

Participating in a talk show-style "conversation" with Cleveland-area medical personnel, Bush said the development of a nationwide data-sharing network was an integral part of his agenda for reducing health care costs.

"Most industries in America have used information technology to make their businesses more cost-effective ... and the truth of the matter is, health care hasn't," Bush said.

"We've got fantastic new pharmaceuticals that help save lives, but we've got docs still writing records by hand."

Bush said the responsibility for adopting advanced information technology would remain in the private sector, but Washington planned to play a role by providing money for demonstration projects.

Medicare program

The White House said an important step in that process would be "e-prescribing," a program that would enable Medicare doctors, participants and pharmacists to fill prescriptions by computer.

Yesterday, the Department of Health and Human Services issued rules to implement the program, which will begin when the new Medicare drug benefit takes effect in January 2006.

In addition, the White House said the president's proposed 2006 budget would seek $125 million for projects to demonstrate the effectiveness of health care information technology. The president also will ask Congress to pass a supplemental appropriation doubling this year's funding to $100 million.

"When you multiply the efficiencies to be gained all across the spectrum ... some predict that you can save 20 percent off the cost of health care as a result of the advent of information technology," Bush said.

His information technology initiative is one of the least controversial elements of his health care agenda, which includes expanded use of tax-sheltered health savings accounts and limits on medical malpractice jury awards.

Some critics contend the president's overall program would shift more of the escalating cost of health care to patients without providing sufficient resources to help them assume the added burden.

Yesterday's event was held at the Cleveland Clinic medical complex, where 1,200 physicians use the Internet to share information about their patients. Bush appeared on stage with doctors and other hospital personnel who described the benefits of what one called the "medical information highway."

"When an electronic medical record system is in place, a patient will never have to worry about taking the wrong dose or taking the wrong medicine ... simply because somebody couldn't read the handwriting on a piece of paper," said Martin Harris, the clinic's chief information officer.

The doctors acknowledged that there was still considerable resistance within their profession to embracing Internet-based data sharing because of concerns about confidentiality, but they said that those who try it tend to become believers.

Patient experience

Patricia McGinley, a patient of Cleveland Clinic physician Robert Juhasz, said she became a convert after discovering she could use her home computer to obtain and interpret her blood test results, assuaging her anxiety before she could meet with Juhasz to discuss them.

"I went from feeling helpless to feeling in complete control," McGinley told the president. "It really did make me feel like I was part of the decision-making process."

In Washington, Bush's former Democratic opponent, Sen. John Kerry of Massachusetts, advanced his own health-care proposal and attacked Bush's plan as "window dressing."

Kerry outlined his plan to expand health coverage to children during a luncheon address before hundreds of health care advocates. He was greeted with a standing ovation and offered a blistering critique of the president's plan.

Kerry's proposal, which he introduced as legislation Monday, would provide health coverage to the 11 million American children who lack it by offering fiscal incentives to states. Currently, states pay half the cost of Medicaid, the government health plan for the poor.

The speech was part of an effort by Kerry to make his re-entry into Washington politics in the wake of his loss to Bush in November.

The Los Angeles Times is a Tribune Publishing newspaper.

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