Exploring technology adoption in the case of the Patient-Centered Medical Home

• We explore the determinants of health information technologies.
• Case of Patient Centered Medical Home was explored.
• Structural Equation Modeling was used to identify the multivariate dynamics.

It has been shown that the use of Health Information Technology (HIT) is associated with reduced cost and increased quality of care. This paper examined the use of registries in Patient Centered Medical Home (PCMH) practices. A survey questionnaire was sent to a nationwide group of clinics certified for being a PCMH. They were asked to provide information about their payer mix, implementation barriers, registry implementation, registry use, and clinic satisfaction. The survey instrument was validated by an expert panel which included practitioners and researchers. Statistical methods including Structured Equation Modeling were used for analysis and to test the research hypotheses. The results of the analysis show that indeed payer mix, in particular Medicare and private insurance, has a significant relationship with level of registry implementation.