EHRs in Underserved Settings
Most studies of EHRs have looked and inpatient and well resourced settings. While little has been published about EHRs in underserved populations, implementation is proceeding rapidly and with high expectations for these installations to improve quality and reduce disparities.
Underserved populations are defined as populations that have fewer providers and worse health outcomes and are designated by the Federal Government (see http://bhpr.hrsa.gov/shortage/muaguide.htm ). They are served by a safety-net of Federally-qualified health centers (FQHCs), HIV grant programs, free clinics, and hospitals, many funded by the Health Resources and Services Administration (HRSA).
EHR adoption in the 1100 FQHCs has been strongly encouraged by the Government. Survey's by the National Association of Community Health Centers in 2008 showed that 49% of the
Adoption in underserved pops NACHC studies
Differences from other adoptions
Federal support and mu applies to these providers as well Feds very strongly encouraging adoption of certified EHRs. Hrsa ohit/OHITQ Underserved in ARRA -in RECs
Resources HRSA home page - http://www.hrsa.gov/index.html HRSA's Office of Health IT and Quality - http://www.hrsa.gov/healthit/index.html A National Survey of Health Information Technology (HIT) Adoption in Federally Qualified Health Centers. NACHC, 2008. - http://www.nachc.org/Health%20Information%20Technologies%20(HIT).cfm
Submitted by Jeff Weinfeld