Abstract
For this issue, I am highlighting 5 articles chosen to reflect different aspects of our field of biomedical and health informatics as well as different types of Journal of the American Medical Informatics Association (JAMIA) articles. The topical editorial, which focuses on ClinicalTrials.gov, is provided by long-time Associate Editor Betsy Humphreys.1 Informaticians are keenly aware of differences in information technology (IT) maturity in various healthcare implementations and the importance of considering the stage of IT maturity when examining the relationship between IT and health processes and outcomes at setting, provider, and patient levels within and across organizations. Alexander et al2 describe the development of a nursing home IT Maturity Staging Model designed to capture stages of IT maturity. The focus of Phase I was to develop a preliminary model. Phase II involved three rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of Phase I model. The model evolved from 5 to 7stages. The stages of the final model range from Stage 0 (non existent IT solutions or electronic medical record) to Stage 6 (use of data by nursing home resident and/or resident representative to generate clinical data and drive self-management).
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