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Evidence of an Emerging Digital Divide Among Hospitals That Care for the Poor
Published: October 26, 2009
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Some hospitals that disproportionately care for poor patients are falling behind in adopting electronic health records (EHRs). Data from a national survey indicate early evidence of an emerging digital divide: U.S. hospitals that provide care to large numbers of poor patients also had minimal use of EHRs. These same hospitals lagged behind others in quality performance as well, but those with EHR systems seemed to have eliminated the quality gap. These findings suggest that adopting EHRs should be a major policy goal of health reform measures targeting hospitals that serve large populations of poor patients.
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- U.S. Hospital Use of Electronic Health Records Abysmally Low (News releases)
- The Use of Electronic Health Records in U.S. Hospitals (Journal articles)
- First Steps to Developing Standardized Quality Performance Measures Based in Electronic Health Records (Grant Results Reports)
- African Americans and Latinos Worry About Confidentiality of Electronic Health Records (Grant Results Reports)
- Bolstering Electronic Health Records at Four Community Health Centers in Chicago with Race, Ethnicity and Language Data (Grant Results Reports)
Listed below is one grant that supported this project.
| Grant | Awarded to | Amount |
|---|---|---|
| Impact of the Premier pay-for-performance program on racial and ethnic disparities in process quality of care, outcomes and access of care |
Harvard University School of Public Health (Boston, MA) ID#: 65460 Ashish K. Jha, M.D., M.P.H. 617-432-5551 ajha@hsph.harvard.edu Arnold M. Epstein, M.D., M.A. 617-432-3415 aepstein@hsph.harvard.edu http://www.hsph.harvard.edu |
Actual award: $399,727 December 2008 to November 2010 |
RWJF may have supported this project with other grants that are not listed.
U.S. Hospital Use of Electronic Health Records Abysmally Low
Publication date:
March 25, 2009
Summary:
Only a tiny fraction of U.S. hospitals have full health information technology (HIT) systems in place to improve how they deliver care, says a new study published in the New England Journal of Medicine.
The Use of Electronic Health Records in U.S. Hospitals
By:
Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR, Ferris TG, Shields A, Rosenbaum S and Blumenthal D
Publication date:
March 26, 2009
Summary:
A small number of U.S. hospitals have adopted electronic health records, between 1.6--8 percent, depending on how an EHR is defined. Policy-makers must address financial and technical barriers to EHR adoption in order to deliver the promises held by EHR systems for...
First Steps to Developing Standardized Quality Performance Measures Based in Electronic Health Records
Publication date:
March 21, 2009
Summary:
Researchers conducted preliminary work to develop a standardized set of EHR-based quality performance measures.
African Americans and Latinos Worry About Confidentiality of Electronic Health Records
Publication date:
Apr 20, 2009
Summary:
Mathematica Policy Research conducted three focus groups with African Americans and Latinos to gauge their knowledge of and thoughts about personal health records.
Bolstering Electronic Health Records at Four Community Health Centers in Chicago with Race, Ethnicity and Language Data
Publication date:
Jul 1, 2009
Summary:
The Health Research and Educational Trust collected and integrated information on patients' race/ethnicity, primary language and socioeconomic status into an electronic health record system, and linked that information with clinical performance measures.
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