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. 2017 Jan;24(1):67-73.
doi: 10.1093/jamia/ocw051. Epub 2016 Apr 23.

A national report of nursing home information technology: year 1 results

Gregory L Alexander  1 , Richard W Madsen  2 , Erin L Miller  3 , Melissa K Schaumberg  4 , Allison E Holm  5 , Rachel L Alexander  6 , Keely K Wise  7 , Michelle L Dougherty  8 , Brian Gugerty  9
Affiliations

A national report of nursing home information technology: year 1 results

Gregory L Alexander et al. J Am Med Inform Assoc. 2017 Jan.

Abstract

Objective: To provide a report on year 1 results of a national study investigating nursing home information technology (IT) adoption, called IT sophistication.

Methods: A reliable and valid survey was used to measure IT sophistication. The target goal was 10% from each state in the United States, 1570 nursing homes. A random sample of homes from each state was recruited from Nursing Home Compare.

Results: The team reached 2627 nursing home administrators, among whom 1799 administrators agreed to participate and were sent a survey. A total of 815 surveys were completed (45.3% response rate), which was below the goal. Facilities in the participating sample have similar demographic characteristics (ownership, total population in a location, and bed size) to the remaining homes not participating. There are greater IT capabilities in resident care and administrative activities, less in clinical support. The extent of use of these capabilities appears to be highest in administrative activities and lowest in clinical support. IT in resident care appears to be the most integrated with internal and external stakeholders. IT capabilities appear to be greater than IT extent of use in all health domains, with the greatest difference in resident care.

Discussion: National evaluations of nursing home IT are rare. Measuring trends in IT adoption in a nationally representative sample provides meaningful analytics that could be more useful for policy makers and nursing home leaders in the future.

Conclusion: Discovering national baseline assessments is a first step toward recognizing nursing home trends in IT adoption.

Keywords: health information technology; nursing homes; surveys.

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Figures

Figure 1.
Figure 1.
Nursing Homes Participating in IT Sophistication Survey Located by Zip Code
Figure 2.
Figure 2.
National Scores by Health Care Domains and IT Sophistication Dimensions r: Residential care; fun: functional (IT capabilities); c: clinical support; tech: technological (extent of IT use); a: administrative activities; int: integration (degree of IT integration internal and external); + in box plot area denotes mean; *denotes outlier
See this image and copyright information in PMC

References

    1. Department of Health and Human Services. HealthIT.gov. https://www.healthit.gov/policy-researchers-implementers/select-portions... 2012 March 14 [cited October 16, 2015]. https://www.healthit.gov/policy-researchers-implementers/select-portions.... Accessed 04/01/2016.
    1. Matusitz J, Breen GM, Wan T. The use of eHealth services in US nursing homes as an improvement of healthcare delivery to residents. Aging Health. 2013;9(1):25–33.
    1. Nolan RL. Managing the computer resource: a stage hypothesis. Communications of the ACM. 1973;16(7):399–405.
    1. Nolan R. Managing the crises in data processing. Harvard Business Rev. 1979;57(3/4):115–126.
    1. Hollyhead A, Robson A. A little bit of history repeating itself—Nolan's Stages Theory and the modern IS auditor. Inform Syst Audit Control Assoc J. 2012;5:46–49.

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