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AJPH First Look, published online ahead of print Oct 27, 2005
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December 2005, Vol 95, No. 12 | American Journal of Public Health 2173-2179
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.052985

RACE, GENETICS, AND HEALTH DISPARITIES

Information Technology as a Tool to Improve the Quality of American Indian Health Care

Thomas D. Sequist, MD, MPH, Theresa Cullen, MD, MS and John Z. Ayanian, MD, MPP

Thomas D. Sequist and John Z. Ayanian are with the Department of Health Care Policy, Harvard Medical School, and the Division of General Medicine, Brigham and Women’s Hospital, Boston, Mass. Theresa Cullen is with the Office of Information Technology, Indian Health Service, Tucson, Ariz.

Correspondence: Requests for reprints should be sent to Thomas D. Sequist, MD, MPH, Brigham and Women’s Hospital, Division of General Medicine, 1620 Tremont St, Boston, MA 02120 (e-mail: tsequist{at}partners.org).

The American Indian/Alaska Native population experiences a disproportionate burden of disease across a spectrum of conditions. While the recent National Healthcare Disparities Report highlighted differences in quality of care among racial and ethnic groups, there was only very limited information available for American Indians. The Indian Health Service (IHS) is currently enhancing its information systems to improve the measurement of health care quality as well as to support quality improvement initiatives.

We summarize current knowledge regarding health care quality for American Indians, highlighting the variation in reported measures in the existing literature. We then discuss how the IHS is using information systems to produce standardized performance measures and present future directions for improving American Indian health care quality.




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