Demonstrating the impact of HIT in Latino communities

Research shows mixed evidence in technology adoption among providers who care for underserved groups as compared to other providers. Some work suggests that Federally Qualified Health Centers (FQHCs) have relatively robust adoption of EHRs due to the Health Center Controlled Networks (HCCNs) program and other initiatives. The two case studies that will be discussed are “Using telepsychiatry for the treatment of depression in underserved Hispanics” and “Using health IT to improve quality, coordination, and access for rural and migrant populations.” Both of these case studies are part of the nine case studies for the congressionally mandated report, “Understanding the Impact of Health IT on Underserved Communities and those with Health Disparities.” Findings include: 1. Culturally and linguistically congruent liaisons can facilitate acceptance of health information technology (health IT). 2. Telepsychiatry can be embraced and accepted by patients who are limited-technology users. 3. Telepsychiatry improves access to mental health services and can improve quality of care. 4. Integrating IT into a broader system of clinic and provider function provides essential support for buy-in and sustainability. And 1. Multimedia strategies using new mobile tools or educational videos integrated with EHRs can overcome patient literacy and language barriers. 2. Strong leadership and committed staff are important to sustaining a health IT program. 3. Innovative customization of systems to meet the unique needs of providers who care for the underserved encourages buy-in. 4. Quality reporting directed at providers can lead to improved patient outcomes. 5. Data integration with internal and external sources improves efficiency.