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Diabetes Prevention, Health Information Technology, and Meaningful Use

Challenges and Opportunities
  • Faraz S. Ahmad
    Correspondence
    Address correspondence to: Faraz S. Ahmad, MD, Hospital of the University of Pennsylvania, 3400 Spruce St., 100 Centrex, Philadelphia PA 19104
    Affiliations
    Center for Healthcare Improvement and Patient Safety, the Center for Therapeutic Effectiveness Research, the Philadelphia VA Medical Center, Philadelphia, Pennsylvania

    Perelman School of Medicine, University of Pennsylvania, the Philadelphia VA Medical Center, Philadelphia, Pennsylvania
    Search for articles by this author
  • Thomas Tsang
    Affiliations
    Strategy and Business Development, Health Information Partnerships, Merck Pharmaceuticals, Boston, Massachusetts
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      Abstract

      The U.S. health system has historically been poorly equipped to confront the growing impact of diabetes on the nation's health. The Affordable Care Act legislates a number of new strategies—such as innovative payment and delivery models and increased public health funding—intended to improve diabetes prevention and care quality. Health information technology (IT) is often cited as a critical part of these strategies. Through the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the federal government has been supporting the rapid adoption of health IT, and more specifically of electronic health records (EHRs) through the Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program. Health IT has the potential to contribute to diabetes prevention and improved quality of care, but the evidence supporting its benefits is mixed. This article provides a brief overview of the CMS EHR Incentive Program and meaningful-use criteria. Then it examines health IT strategies for diabetes prevention in the context of current evidence and identifies areas of needed research and innovation.
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