AHRQ February 12, 2019
Bob McNellis M.P.H., P.A.

The meeting took place nearly 15 years ago, but I still remember vividly the bold declaration by a former Congressional leader advocating for technological reforms in healthcare.

“Paper kills!” he warned. “Paper records are an utterly irrational national security risk.”

A few days earlier, the violent winds and rain of Hurricane Katrina had roared over the Gulf Coast. Flooding destroyed the health records of thousands of patients. Security concerns about paper-based records reached a fever pitch.

In some ways, it was a turning point. The anguishing loss of irreplaceable personal health care information turned what had been a murmur into a shout: No more delays — it was time for widespread use of electronic health records (EHRs).

Back then, as...

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