On April 27, 2004, President Bush signed Government Order (EO) 13335 and designed the Place of work of the Nationwide Coordinator for Health IT (ONC). Like tapping that first domino, this solitary motion is a critical moment in United States wellbeing IT history. Practically two many years afterwards, US coverage and know-how leadership in overall health IT is entire world-renowned.
Throughout this time, ONC has remained genuine to the 4 original obligations solid by EO 13335 (paraphrased):
- serve as the Secretary’s principal advisor on the development, application, and use of overall health IT
- make sure that well being info technologies policy and programs of the Department of Health and fitness and Human Providers (HHS) are coordinated with people of pertinent govt branch businesses
- coordinate outreach and consultation with public and private events and
- give responses and tips on wellbeing IT at the ask for of the Business office of Management and Spending budget.
The past 18 several years has observed its share of remarkable, marketplace-moving events, these as the passage of the HITECH Act (2009) and 21st Century Cures Act (2016) as nicely as main electronic health and fitness document (EHR) investments by HHS and the procurement of a business EHR process (ONC-accredited, I could possibly insert) by the Departments of Defense and Veterans Affairs. Incorporate in big monetary investments from the community and private sectors as very well as a significant amount of money of “sweat equity” from company organizations and technologies developers and you can see why much more than 90 % of hospitals and just about the very same total of medical professional tactics now use EHR techniques. This spectacular adjust in what is arguably the most intricate sector of our overall economy is a mammoth achievement.
Amidst these and other marquee times, a couple hundred past and current personnel have arrive by way of ONCs ranks with a simple goal in head – to make the nation’s wellbeing better by way of the use of well being IT. And that is what keeps us heading. Owning commenced at ONC soon after its very first birthday, there have definitely been months and a long time exactly where the headwinds felt robust. But we persevered. While there is no shortage of get the job done to be finished, it is also critical to acquire inventory of how considerably we’ve occur. That’s a testament to all of the national coordinators (with whom I have had the privilege to serve) and the remarkable continuity they’ve provided across administrations.
Thank you to everyone out there who has ever submitted a general public remark, participated in an advisory committee, attended an ONC celebration, or supported an ONC undertaking. We know if we invited you all, it would be one particular heck of a celebration!
As we celebrate our 18th birthday, it’s with a ongoing sense of satisfaction, patriotism, and optimism about the long run of overall health.