Health Information Technology Adoption and Clinical Performance in Federally Qualified Health Centers

Health data warehouse brings transparency and real time intelligence for health services research users

Davlyatov, Ganisher; Borkowski, Nancy; Feldman, Sue; Qu, Haiyan; Burke, Darrell; Bronstein, Janet; Brickman, Andrew Health Information Technology Adoption and Clinical Performance in Federally Qualified Health Centers, Journal for Healthcare Quality: September/October 2020 – Volume 42 – Issue 5 – p 287-293


A national sample (N = 982) of federally qualified health centers (FQHCs) for the period 2011–2016 was examined regarding the relationship between the age and extent of health information technology (HIT) use and clinical performance. We found that each additional year of HIT use was associated with an approximate 4 percent increase in both process and outcome measures of clinical performance. Furthermore, FQHCs that fully adopted HIT had 7 percent higher clinical performance on hypertension control than those that did not adopt HIT. This study’s findings can assist stakeholders to make informed decisions for improving care and sustaining a competitive advantage.


Prescription Drug Monitoring Programs (PDMP) help prevent prescription drug misuse and promote appropriate pain management. Despite these benefits and PDMP mandates in most states, PDMPs face challenges that hinder their success. This paper uses the Delone and McLean Information Success (IS) Model to review the current literature for barriers and facilitators to PDMP quality, use, intention to use and user satisfaction in the United States (U.S.).


Scopus, PubMed and Embase databases were searched due to their relevance to information technology, education and research.


There were 142 and 183 barriers and facilitators, respectively, found in 44 peer reviewed articles. Barriers to PDMP quality, use and user satisfaction include lack of interstate data sharing, access difficulties, lack of time, inability to delegate access, lack of knowledge or awareness of the PMDP, and lack of EHR integration. Facilitators to PDMP quality, use and user satisfaction include interstate data connections, real-time data updates, EHR integration, and access delegation.


PDMP users can use these findings to assess current barriers to PDMP success in the U.S. and draw possible solutions from the list of facilitators. Practitioners should consider the context of their state and organization when determining which facilitators would most promote PDMP IS success. Combining facilitators may be the best route to PDMP IS success in certain situations.