Transforming the U.S. health care system from paper-based to electronic-based may improve health care quality and reduce costs, but a new study in Health Affairs by researchers from the Harvard School of Public Health (HSPH) suggests that goal is far off. The adoption of basic or comprehensive electronic health records (EHR) by U.S. hospitals increased modestly from 8.7% in 2008 to 11.9% in 2009, but only 2% of hospitals met the federal “meaningful use” standard needed to qualify for government financial incentives.The researchers also found that smaller, rural, and public hospitals fell further behind their larger, private, and urban counterparts in adopting EHRs, further widening the gap between the two groups in receiving the benefits of health information technology.“Getting hospitals to start using EHRs is critical,” said lead author Ashish Jha, associate professor of Health Policy and Management. “Paper-based medical records lead to hundreds of thousands of errors each year in American hospitals and probably contribute to the deaths of tens of thousands of Americans. This is not acceptable. There is overwhelming evidence that EHRs can help, yet the expense and the disruption that implementing these systems can cause has forced many hospitals to move slowly.”The researchers drew from a survey by the American Hospital Association, which asked 4,493 acute-care non-federal hospitals about their health information technology efforts as of March 1, 2009; 3,101 (69%) responded. A representative from each hospital reported on the presence or absence of 32 clinical functions of an EHR and how widely they had been implemented throughout the hospital. Responses were statistically adjusted to balance for hospitals that did not respond.They found that hospitals’ adoption of basic or comprehensive EHR systems increased by 3.2% between 2008 and 2009. Based on the measures examined by the authors, only approximately 2% of U.S. hospitals described EHRs that would allow them to meet the criteria in the American Recovery and Reinvestment Act for “meaningful use,” which doctors and hospitals must meet by 2012 in order to receive financial incentives through Medicare and Medicaid reimbursements. These meaningful use guidelines include 14 core functions, such as prescribing electronically and keeping an active medication list for patients.Given the state of the economy at the time the survey was conducted, Jha is not surprised that adoption rates for EHR systems, which can cost tens of millions of dollars to purchase and implement, remain low. He notes that the government’s financial incentives may go primarily to larger, academic hospitals, further widening an already large digital divide.“The problem is that the bonuses that hospitals get for meeting meaningful use are front-loaded, meaning hospitals have to implement and use EHRs by 2012 in order to get the bulk of the incentives,” Jha said. “This is an aggressive timeline, and many hospitals may not make it. If they miss out, it may be years before many of these hospitals will be able to afford to purchase and install their own EHR systems.”
Boxing’s biggest free agent has a new home.Gennady Golovkin has agreed to a six-fight deal with DAZN that will see the former unified middleweight world champion fight out the rest of his career on the streaming platform. The deal is a partnership between DAZN and GGG Promotions in which the hard-hitting native of Kazakhstan will compete twice a year over the next three years, with his first fight in June against an opponent to be determined. No details regarding the worth of the contract were announced.A press event will take place next week in Los Angeles as Golovkin and Skipper will discuss the partnership. DAZN is part of DAZN Group, parent company of Sporting News. Join DAZN to watch GGG in June and 100+ fight nights a year“DAZN has quickly become the new home of boxing by making the biggest events easily available to the fans,” said Golovkin (38-1-1, 34 KOs). “When deciding on where I wanted to continue my career, DAZN’s global vision perfectly matched my goals — not just for my career but the opportunity to showcase talented Eastern European fighters to the world. Thank you to my fans for all of the loyal support and I look forward to you joining me on DAZN.” DONE. DEAL. ✍️#WatchOnDAZN pic.twitter.com/Jt9A7hjqSz— DAZN USA (@DAZN_USA) March 8, 2019 Golovkin was a mainstay on HBO since 2012 and bludgeoned his way to stardom, collecting 23 straight knockouts from 2008 to 2017. The silver medalist in the 2004 Summer Olympics quickly rose to fame and made his debut on pay-per-view against David Lemieux in 2015, stopping him in the eighth round. GGG also scored victories over Kell Brook and Daniel Jacobs, the latter going the distance and ending his remarkable knockout streak. Most notably, GGG engaged in a two-fight war with Canelo Alvarez, who is also signed to DAZN. The pair battled to a highly-disputed split draw in their first meeting on Sept. 16, 2017. The rematch was just as close, but Canelo emerged victorious by a controversial majority decision last September. Golovkin became a free agent when HBO decided to close the doors on HBO Boxing, which left GGG searching for a new network. With a possible grudge match against Alvarez on the horizon, the 36-year-old made the decision to join the streaming platform. “Gennady Golovkin is a generational talent with international appeal,” DAZN Group executive chairman John Skipper said. “We’re confident he will bring his passionate fans to the platform as we produce tentpole events with his team over the next several years.”The announcement sets up DAZN to stream blockbuster fights within the middleweight division for the foreseeable future, with all of the division’s champions and many top contenders regularly appearing on the platform. A list of middleweights on DAZN includes Canelo Alvarez (WBA & WBC champion), Daniel Jacobs (IBF champion) and Demetrius Andrade (WBO champion). Canelo and Jacobs will meet at T-Mobile Arena in Las Vegas on May 4 (also exclusively on DAZN) and there’s a strong possibility that Golovkin will face the winner later this year.MORE ABOUT DAZN• Meet DAZN, the first dedicated live sports streaming service• What sports are live-streamed on DAZN?• How much does DAZN’s live sports streaming service cost?Unlike many of his recent bouts, Golovkin will no longer appear on pay-per-view. Instead, his fights will be available to all DAZN subscribers at no extra charge. In addition, GGG Promotions will present two cards per year on DAZN beginning in 2020. Golovkin’s fights will be available in all DAZN markets, in addition to his native home of Kazakhstan.