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Pediatric Informatics: Computer Applications in Child Health (Health ...

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Chapter 1<br />

Snapshots of <strong>Child</strong> <strong>Health</strong><br />

and Information Technology<br />

George R. Kim<br />

“In a time of turbulence and change, it is more true than ever<br />

that knowledge is power”<br />

– John F. Kennedy<br />

<strong>Health</strong> care is <strong>in</strong> “a time of turbulence and change.” One characteristic of this<br />

time is the grow<strong>in</strong>g awareness by the public, government and health care <strong>in</strong>dustry<br />

that the safety, cost-effectiveness and outcomes of US medical care can and must<br />

improve. Another is the overwhelm<strong>in</strong>g belief by policy-makers, health experts and<br />

patients that technology will help br<strong>in</strong>g about improvements and sav<strong>in</strong>gs through<br />

better control and account<strong>in</strong>g of health care processes and <strong>in</strong>formation.<br />

For pediatricians and the families for whom they provide care, this time creates<br />

new challenges. <strong>Child</strong>ren, especially those with special health care needs,<br />

encounter barriers to timely appropriate care and are at high risk for harms from<br />

medical errors, and there is grow<strong>in</strong>g concern among pediatric providers that current<br />

health <strong>in</strong>formation technologies (health IT), designed for adults, do not meet<br />

pediatric needs and may <strong>in</strong> fact create new vulnerabilities and risks to child health<br />

and safety.<br />

For pediatricians, these challenges present opportunities to:<br />

Br<strong>in</strong>g expertise <strong>in</strong> child health to technology developers to create <strong>in</strong>formation<br />

tools and standards that will make pediatric practice safer, more efficient and<br />

that will optimize and strengthen the value of pediatric care.<br />

Share evidence and experience on successful strategies for adopt<strong>in</strong>g health<br />

IT <strong>in</strong>to pediatric workflows that m<strong>in</strong>imize risk to patients and maximize<br />

benefits to all.<br />

1.1 Organization of the Book<br />

This book presents medical, technical, organizational, and economic perspectives<br />

on <strong>in</strong>formation technology <strong>in</strong> child health, draw<strong>in</strong>g on shared expertise<br />

from general and specialty pediatrics, health care leadership, pediatric nurs<strong>in</strong>g,<br />

C.U. Lehmann et al. (eds.), <strong>Pediatric</strong> <strong>Informatics</strong>: <strong>Computer</strong> <strong>Applications</strong> 3<br />

<strong>in</strong> <strong>Child</strong> <strong>Health</strong>, <strong>Health</strong> <strong>Informatics</strong>,<br />

© Spr<strong>in</strong>ger Science + Bus<strong>in</strong>ess Media, LLC 2009

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