title: Healthcare reform, quality, and technology: ADHD as a case study.
abstract: The concepts of healthcare reform and population health are shifting the emphasis from traditional, volume-based care to a model in which value, or quality, predominates. High quality care will be increasingly rewarded, with financial consequences for poor performance. This shift will be accelerated by the use of healthcare technology, a rapidly growing industry with tools ranging from electronic health records to smart phones and web portals. In this article we highlight pertinent legislative reforms followed by a review of technologies that may play a role in the implementation of these reforms. Pediatric Attention Deficit Hyperactivity Disorder is used as an example given the large number of proposed tools for this condition. While the evidence base is weak for some technologies, research regarding web portals is better developed and will be presented as an example of a technology that may allow practitioners and organizations to improve healthcare quality in several dimensions.
authors.affiliation: Department of Pediatrics, Ohio State University College of Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA. Rebecca.Baum@nationwidechildrens.org
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Baum
authors.forename: Jeffery N
authors.initials: JN
authors.lastname: Epstein
authors.forename: Kelly
authors.initials: K
authors.lastname: Kelleher
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D057286:Electronic Health Records / Q000592:standards*; D018166:Health Care Reform / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D006801:Humans; D058996:Quality Improvement; D011787:Quality of Health Care / Q000458:organization & administration*; D017216:Telemedicine / Q000379:methods* / Q000639:trends