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Use of Qualitative Methods and User-Centered Design to Develop Customized Health Information Technology Tools Within Federally Qualified Health Centers to Keep Children Insured

DeVoe, Jennifer MD, DPhil; Angier, Heather MPH; Likumahuwa, Sonja MPH, MID; Hall, Jennifer MPH; Nelson, Christine PhD, RN; Dickerson, Kay BA; Keller, Sara MSW, MPH; Burdick, Tim MD, MS; Cohen, Deborah PhD

Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0000000000000016
Original Articles

Lack of health insurance negatively impacts children's health. Despite federal initiatives to expand children's coverage and accelerate state outreach efforts, millions of US children remain uninsured or experience frequent gaps in coverage. Most current efforts to enroll and retain eligible children in public insurance programs take place outside of the health care system. This study is a partnership between patients' families, medical informaticists, federally qualified health center (FQHC) staff, and researchers to build and test information technology tools to help FQHCs reach uninsured children and those at risk for losing coverage.

Author Information

Family Medicine, Oregon Health & Science University (Drs DeVoe and Cohen and Mss Angier, Likumahuwa, Hall, and Keller); and OCHIN, Inc (Drs DeVoe, Nelson, and Burdick and Ms Dickerson) The authors are grateful to the clinic staff and families who contributed ideas and time to this study.

Correspondence: Heather Angier, MPH, Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239 (

This study was funded by the Patient-Centered Outcomes Research Institute (PCORI), PFA Cycle I Contract (2012), Health Systems.

None of the authors have a conflict of interest to disclose.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins