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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