Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity

Theresa Cullen, Jan Flowers, Thomas D. Sequist, Howard Hays, Paul Biondich, Maia Z. Laing

Research output: Contribution to journalArticle

Abstract

The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.

Original languageEnglish (US)
Pages (from-to)891-894
Number of pages4
JournalJournal of the American Medical Informatics Association : JAMIA
Volume26
Issue number8-9
DOIs
StatePublished - Aug 1 2019

Fingerprint

Medical Informatics
North American Indians
United States Indian Health Service
Biomedical Technology Assessment
Vulnerable Populations
Ethnic Groups
Health Equity
Alaska Natives
Morbidity
Delivery of Health Care
Costs and Cost Analysis
Mortality
Health

Keywords

  • equity
  • health
  • health information technology
  • Indians
  • North American

ASJC Scopus subject areas

  • Health Informatics

Cite this

Envisioning health equity for American Indian/Alaska Natives : a unique HIT opportunity. / Cullen, Theresa; Flowers, Jan; Sequist, Thomas D.; Hays, Howard; Biondich, Paul; Laing, Maia Z.

In: Journal of the American Medical Informatics Association : JAMIA, Vol. 26, No. 8-9, 01.08.2019, p. 891-894.

Research output: Contribution to journalArticle

Cullen, Theresa ; Flowers, Jan ; Sequist, Thomas D. ; Hays, Howard ; Biondich, Paul ; Laing, Maia Z. / Envisioning health equity for American Indian/Alaska Natives : a unique HIT opportunity. In: Journal of the American Medical Informatics Association : JAMIA. 2019 ; Vol. 26, No. 8-9. pp. 891-894.
@article{b0224136447a404aa823f600cf33834b,
title = "Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity",
abstract = "The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.",
keywords = "equity, health, health information technology, Indians, North American",
author = "Theresa Cullen and Jan Flowers and Sequist, {Thomas D.} and Howard Hays and Paul Biondich and Laing, {Maia Z.}",
year = "2019",
month = "8",
day = "1",
doi = "10.1093/jamia/ocz052",
language = "English (US)",
volume = "26",
pages = "891--894",
journal = "Journal of the American Medical Informatics Association : JAMIA",
issn = "1067-5027",
publisher = "Oxford University Press",
number = "8-9",

}

TY - JOUR

T1 - Envisioning health equity for American Indian/Alaska Natives

T2 - a unique HIT opportunity

AU - Cullen, Theresa

AU - Flowers, Jan

AU - Sequist, Thomas D.

AU - Hays, Howard

AU - Biondich, Paul

AU - Laing, Maia Z.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.

AB - The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.

KW - equity

KW - health

KW - health information technology

KW - Indians

KW - North American

UR - http://www.scopus.com/inward/record.url?scp=85071351003&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85071351003&partnerID=8YFLogxK

U2 - 10.1093/jamia/ocz052

DO - 10.1093/jamia/ocz052

M3 - Article

C2 - 31329880

AN - SCOPUS:85071351003

VL - 26

SP - 891

EP - 894

JO - Journal of the American Medical Informatics Association : JAMIA

JF - Journal of the American Medical Informatics Association : JAMIA

SN - 1067-5027

IS - 8-9

ER -