This research paper will examine the factors that impact racially and ethnically diverse communities' perceptions of the use of health information exchanges and electronic health records and the barriers that impact their use . Healthcare organizations must now utilize electronic data by developing and purchasing multiple financial information systems. The use of computers and information systems impacts all areas of healthcare, healthcare is now provided more in outpatient settings which require advanced technological development. The purpose of this type of care is to provide care to patients who come to doctors for medical procedures, services and tests that are performed on the patient without an overnight stay. Outpatient Services Outpatient services have developed new diagnostic and therapeutic procedures, surgeries are less invasive, and shorter-acting anesthetics have dramatically reduced recovery times. Now some outpatient physicians have expanded their capacity to perform outpatient diagnostic, therapeutic and surgical services. The cost of obtaining this type of technology has become more feasible and cost-effective. Prior authorization policies for hospital admission and close monitoring during hospitalization have discouraged prolonged hospital stays. Due to the growth of managed care and the consolidation of large, hospital-centric institutions, physicians have lost control over the delivery of medical care. Now more doctors are starting specialized outpatient care centers and are able to perform more procedures in less time while earning higher incomes. Many of the outpatient clinics are located in the suburbs because patients tend to like the feeling of being at home. They don't like the feeling of being institutionalized and prefer to be alone. There are many advantages to using outpatient services because they generally cost less. Initially, health insurance coverage for these types of services was limited. This changed in the mid-1980s, when Medicare replaced the cost-plus system with a prospective payment system to reimburse inpatient hospital services. This system was based on diagnosis-related groups that provided fixed case-based payments to hospitals. The outpatient sector was unlimited, so hospitals began shortening hospital stays to provide outpatient care. In 2000, Medicare implemented a reimbursement for outpatient services called the Ambulatory Prospective Payment System for hospital outpatient departments and home health resource groups for the home health car. This is for health with cost and stress containment, less hospitalization. Outpatient services are offered in many different facilities. Most are connected to hospitals or other medical facilities. They range from several surgical centers, laboratory centers and physical therapy centers. There are also specialized centers such as orthopedics, chemotherapy, outpatient surgery, renal dialysis and cardiology. Some examples of these services are mental health counseling and weight loss centers for wellness and prevention services. As well as laboratory centers like LabCorp, which perform laboratory tests ordered by doctors. Physiotherapy and medications