ahrq presentation, tessie guillermo

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    Can Health IT Promote Health Equity andPatient Centered Care?

    AHRQ, AMIA, and Kaiser Permanente Roundtable

    March 7-8, 2011, Washington DC

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    To improve the state of digital divide, weneed to understand its social, cultural,economic and demographic underpinnings.

    -- In Search of Digital Equity:Assessing the Geography of the Digital Divide in California

    Edmund G. Pat Brown Institute of PublicAffairs

    California State University, LosAngeles

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    Community Technology Framework

    Link technology to strategicoutcomes of a long-termplan, initiative or program

    Strategic

    Strategic

    Communities ability to

    leverage technology toachieve desired outcomes

    Community

    Community

    Organizations ability toleverage technology to

    achieve their mission

    Organization

    Organization

    Individual Individuals ability to

    leverage technology to

    improve overall well-being

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    Connecting the Dots

    Bridging the digital

    divide is essential to

    improving health

    disparities because the

    social and economic

    factors are interwoven

    Future relationship

    between technology

    providers and healthproviders will become

    less distinct

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    Access to technology is a pre-requisite to HIT

    Those whoselfreport having adisability, handicap,chronic disease, orwho say they have

    difficulty seeing,hearing, walking, ortalking are less likelythan others to use acomputer, less likelythan others to usethe internet, andless likely to havebroadband at home.

    Public Policy Institute of California

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    Digital Divide and HealthEquity

    Social determinants are similar: Geographic coverage

    Race, ethnicity, language

    Education, income

    Barriers to access and utilization are common:

    Affordability

    Availability

    Appropriateness

    Community based

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    New Technology/New Healthcare

    Smartphone for disease management

    YouTube to view procedures

    Twitter for crowdsourcing

    FaceBook for outreach Google for PHR

    iPad for patient care coordination

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    Tech/Telecom Companies

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    Healthcare Companies

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    Healthcare Innovators

    10

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    Healthcare Innovators

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    Technology Policy = Healthcare Policy

    Universal broadband: National Broadband Plan

    Unbound access to content: Net Neutrality

    Public interest programming: Defunding CPB

    Technology adoption: Broadband Technology OpportunityProgram

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    community

    owned

    wireless

    networks

    Healthcare Innovators

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    Healthcare Innovators

    Youth Radio Eats is a food journal produced by downtown Oakland's

    Youth Radio interns, who work hands-on to make healthy anddelicious food, research community food related actions, and

    explore and produce information about food from a youth

    perspective. Youth Radio Eats also works with community partners

    to provide advocacy, drive policy change, and create lasting

    community changes around how the environment influences healthy

    lifestyles.

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    Cell phone for

    pre-natal

    education

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    Connecting the Dots

    Bridging the digital

    divide is essential to

    improving health

    disparities because the

    social and economic

    factors are interwoven

    Future relationship

    between technology

    providers and healthproviders will become

    less distinct