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Healthcare Reform, Quality, and Technology: ADHD as a Case Study

  • Attention-Deficit Disorder (R Bussing, Section Editor)
  • Published:
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Abstract

The concepts of healthcare reform and population health are shifting the emphasis from traditional, volume-based care to a model in which value, or quality, predominates. High quality care will be increasingly rewarded, with financial consequences for poor performance. This shift will be accelerated by the use of healthcare technology, a rapidly growing industry with tools ranging from electronic health records to smart phones and web portals. In this article we highlight pertinent legislative reforms followed by a review of technologies that may play a role in the implementation of these reforms. Pediatric Attention Deficit Hyperactivity Disorder is used as an example given the large number of proposed tools for this condition. While the evidence base is weak for some technologies, research regarding web portals is better developed and will be presented as an example of a technology that may allow practitioners and organizations to improve healthcare quality in several dimensions.

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Papers of particular interest, published recently, have been highlighted as: • Of Importance •• Of major importance

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Conflict of Interest

Rebecca A. Baum has received research support from National Institutes of Health (NIH), Centers for Medicare and Medicaid Services, and Medicaid Technical Assistance and Policy Program.

Jeffery N. Epstein has received research support from NIH. He is the developer of the ADHD Internet portal “http://www.myADHDportal.com” and, with his medical institution (Cincinnati Children’s Hospital Medical Center), owns this intellectual property.

Kelly Kelleher has received research support from NIH and Centers for Medicare and Medicaid Services.

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Authors and Affiliations

  1. Department of Pediatrics, Ohio State University College of Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Rebecca A. Baum & Kelly Kelleher

  2. Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave. ML-10006, Cincinnati, OH, 45229-3039, USA

    Jeffery N. Epstein

Authors
  1. Rebecca A. Baum
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  2. Jeffery N. Epstein
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  3. Kelly Kelleher
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Correspondence to Rebecca A. Baum.

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This article is part of the Topical Collection on Attention-Deficit Disorder

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Baum, R.A., Epstein, J.N. & Kelleher, K. Healthcare Reform, Quality, and Technology: ADHD as a Case Study. Curr Psychiatry Rep 15, 369 (2013). https://doi.org/10.1007/s11920-013-0369-0

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  • DOI: https://doi.org/10.1007/s11920-013-0369-0

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