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 journalReview article


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
Issue number8-9
StatePublished - Apr 17 2019


  • Equity
  • Health
  • Health information technology
  • Indians
  • North American

ASJC Scopus subject areas

  • Health Informatics

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