title: Aligning health information technologies with effective service delivery models to improve chronic disease care.
abstract: OBJECTIVE
  Healthcare reforms in the United States, including the Affordable Care and HITECH Acts, and the NCQA criteria for the Patient Centered Medical Home have promoted health information technology (HIT) and the integration of general medical and mental health services. These developments, which aim to improve chronic disease care, have largely occurred in parallel, with little attention to the need for coordination. In this article, the fundamental connections between HIT and improvements in chronic disease management are explored. We use the evidence-based collaborative care model as an example, with attention to health literacy improvement for supporting patient engagement in care.
  
  
  METHODS
  A review of the literature was conducted to identify how HIT and collaborative care, an evidence-based model of chronic disease care, support each other.
  
  
  RESULTS
  Five key principles of effective collaborative care are outlined: care is patient-centered, evidence-based, measurement-based, population-based, and accountable. The potential role of HIT in implementing each principle is discussed. Key features of the mobile health paradigm are described, including how they can extend evidence-based treatment beyond traditional clinical settings.
  
  
  CONCLUSIONS
  HIT, and particularly mobile health, can enhance collaborative care interventions, and thus improve the health of individuals and populations when deployed in integrated delivery systems.
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States. Electronic address: abauer1@uw.edu.
authors: Amy M
authors: AM
authors: Bauer
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
authors: Stephen M
authors: SM
authors: Thielke
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
authors: Wayne
authors: W
authors: Katon
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
authors: Jürgen
authors: J
authors: Unützer
authors: Department of Psychiatry, University of California, San Francisco, United States.
authors: Patricia
authors: P
authors: Areán
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D019468:Disease Management; D055317:Evidence-Based Practice; D006801:Humans; D008490:Medical Informatics; D008491:Medical Informatics Applications; D017146:Models, Organizational; D011785:Quality Assurance, Health Care; D014481:United States
keywords: Community health services; Delivery of health care; Health information technology; Mental health services; Patient care management; Primary health care