title: Implementing the IT infrastructure for health reform: adoption of health IT among patient-centered medical home practices.
abstract: While health IT is thought to be critical to the success of new models of care delivery, we know little about the extent to which those pursuing these models are relying on HIT. We studied a large patient-centered medical home (PCMH) demonstration project, a new model of care delivery that has received substantial policy attention, in order to assess which types of HIT were most widely used, and how adoption rates changed over time as PCMH practices matured. We found that clinically-focused HIT tools were both widely adopted, and increasingly adopted, in PCMH practices compared to non-PCMH practices. In contrast, HIT that supports patient-engagement, patient portals and personal health records, was neither in widespread use nor more likely to be adopted over time by PCMH practices compared to other practices. This suggests that these tools may not yet support the types of patient engagement and interactions that PCMH practices seek.
authors.affiliation: School of Information, University of Michigan, Ann Arbor, MI; ; School of Public Health, University of Michigan, Ann Arbor, MI.
authors.forename: Julia
authors.initials: J
authors.lastname: Adler-Milstein
authors.affiliation: School of Public Health, University of Michigan, Ann Arbor, MI.
authors.forename: Genna R
authors.initials: GR
authors.lastname: Cohen
mesh_terms: D057171:American Recovery and Reinvestment Act; D003695:Delivery of Health Care / Q000379:methods; D055695:Electronic Prescribing / Q000706:statistics & numerical data; D018166:Health Care Reform; D055991:Health Records, Personal; D006801:Humans; D008490:Medical Informatics / Q000458:organization & administration / Q000706:statistics & numerical data*; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D018802:Patient-Centered Care / Q000458:organization & administration*; D014481:United States