system costs. Population health informatics • American Hospital Association: The AHA and hospitals must advocate for the development of datasets that allow providers to understand the full picture of care delivery. • S. J. Crane, E. E. Tung, G. J. Hanson, et al. (2010). Use of an electronic administrative database to identify older community dwelling adults at high-risk for hospitalization or emergency department visits: the elders risk assessment index. BMC health services research, 10, 338 • S. J. Atlas, R. W. Grant, W. T. Lester, et al. (2011). A cluster-randomized trial of a primary care informatics-based system for breast cancer screening. Journal of general internal medicine, 26(2), 154-61 • Bajorek, P. Magin, S. Hilmer, I. Krass (2014). A cluster-randomized controlled trial of a computerized antithrombotic risk assessment tool to optimize stroke prevention in general practice: a study protocol. BMC health services research, 14, 55 • P. Colais, N. Agabiti, D. Fusco, et al. (2013). Inequality in 30-day mortality and the wait for surgery after hip fracture: the impact of the regional healthcare evaluation program in Lazio (Italy). International journal for quality in healthcare, 25(3), 239-47 Addressing the Health Needs of an Aging America | 38 Addressing the Health Needs of an Aging America | 39 • Willis, M. Davies, T. Yates, K. Khunti (2012). Primary prevention of cardiovascular disease using validated risk scores: a systematic review. Journal of the Royal Society of Medicine, 105(8), 348-56 Standards, uniformity, and connectivity • Society for Post-Acute and Long-Term Care Medicine: Dedicated to Long Term Care Medicine investigate the current availability of and work with appropriate stakeholders to help develop ideal bidirectional electronic message and document exchanges (i.e., communicating electronically among nursing homes and other community healthcare providers) for use in post-acute and long-term care (PA/LTC) settings; • American Hospital Association: Create data-sharing mechanisms among the Medicare and Medicaid programs, health plans, providers and other government programs to collect, analyze and report data in a timely manner to support care • American Urological Association: Oppose or defer implementation of ICD-10 • AHIP: Develop and implement a national roadmap for HIT that ultimately would lead to adoption of uniform national standards that allow for interoperable electronic communication across the healthcare system. • AHIP: Prioritize the development and adoption of uniform measures and advance electronic data collection to support reporting. • AHIP: States should take advantage of the “qualified entities” under the Availability of Medicare Data for Performance Measurement program to link Medicare, Medicaid, and commercial claims data ...We recommend developing mechanisms for providing this information in a way that avoids adding unnecessary costs to the healthcare system, protects patient privacy, enables consistent analytic results, and allows for the data aggregation to evolve with changes in payment models and methodologies • American Hospital Association: The regulation also should include additional flexibility, such as allowing hospitals to share hardware or completely subsidize connectivity and software. • American Hospital Association: Require in contracts with vendors that they become CORE-certified. • Bipartisan Policy Center: support of electronic capture of data for measurement through the use of common standards • American Hospital Association: the AHA continues to press for a resolution and recommends the creation of a national unique identifier system to connect records and ensure that hospitals and physicians have the best information available when providing care for each patient. • American Hospital Association: The AHA supports HIEs and will work with state hospital associations to ensure that federal efforts do not unintentionally result in state-level systems that cannot be connected. • American Hospital Association: The AHA continues to advocate for a uniform system of identification in order to streamline supply chain efficiencies, reduce costs and improve patient safety. Addressing the Health Needs of an Aging America