Necessary But Not Sufficient: The HITECH Act and Health Information Technology’s Potential to Build Medical Homes

June 2010
AHRQ Publication No: 10-0080-EF
Prepared For:
Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov

Contract Number: HHSA290200900019I TO2
Submitted By: Mathematica Policy Research 600 Maryland Avenue, SW Suite 550 Washington, DC 20024-2512
Authors: Lorenzo Moreno, Ph.D., Deborah Peikes, Ph.D., Amy Krilla, M.S.W.
Table 3. Medical home principles by HITECH Programs and other legislation that could enable the PCMH model
Medical Home PrincipleHITECH ProgramsOther Legislation
Key: ACO = accountable care organization; CMS = Centers for Medicare & Medicaid Services; HIPAA = Health Insurance Portability and Accountability Act; SHARP = Strategic Health IT Advanced Research Projects.
Patient-centered, whole-person orientation

Comprehensive, team-based care
- SHARP Program
- Curriculum Development Centers
- Community College Consortia to Educate Health IT Professionals
- None
Coordinated care- State Health Information Exchange Program
- Beacon Community Program
- Patient Protection and Affordable Care Act (P.L. 111-148): Federal Coordinated Health Care Office within CMS; Community-based Collaborative Care Network Program; Allows pediatric medical providers to organize as ACOs within Medicare
Continuous access to care- None- None
Systems-based approach to quality and safety- Regional Extension Centers Program
- Beacon Community Program
- State Health Information Exchange Program
- Anti-kickback (Stark) safe-harbor provisions
- Patient Protection and Affordable Care Act (P.L. 111-148): Innovation Center within CMS; Community-based Collaborative Care Network Program
- Extension of HIPAA provisions
- SHARP Program
- HIPAA
- Beacon Community Program
- SHARP Program
- Patient Protection and Affordable Care Act (P.L. 111-148): National Prevention, Health Promotion, and Public Health Council
- Task forces on Clinical Preventive Services and Community Preventive Services