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In spite of a continuous spiraling of healthcare costs and reimbursements, it has been difficult to address the policy issues that inhibit implementing cost-effective solutions for our aging-services health crisis.  

Until the policy makers and healthcare professionals  recognize the advantages of technology-based solutions, we will not be able to address current problems in new, practicable and innovative ways. 

CAST's Impediments to the Roll Out of Health IT document discusses these impediments in detail. In it, CAST articulated 7 policy impediments that currently exist:

  1. Reimbursement for on-site wellness and healthcare systems
  2. Federal funding is needed to support the development of technology for proactive care
  3. U.S. Deparmtnent of Housing and Urban Development senior housing regulations should recognize the need for 'smart' cost-effective housing solutions that allow seniors extended stay in non-institutional environments
  4. Cross-state licensure opportunities for nurses and physicians are needed to gain the benefit of opportunities in telehealth, wellness monitoring and remote care management
  5. Challenges in a global marketplace
  6. Electronic Health Records (EHR) & Personal Health Records (PHR)
  7. Re-engineer role delineation and scope of responsibilities for doctors, nurses, and other caregivers to maximize use of their skill sets and expand productivity both in clinical and educational arenas

Also, visit Health Information Technology from the Centers for Medicare and Medicaid Services (CMS). It covers the HIT provisions in the American Recovery and Reinvestment Act of 2009.

The site also provides information pertaining to the Medicare and Medicaid incentives for EHR adoption.