Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Apr 1;46(4):15-20.
doi: 10.3928/00989134-20200303-02.

Exploring Resident Care Information Technology Use and Nursing Home Quality

Exploring Resident Care Information Technology Use and Nursing Home Quality

Kimberly R Powell et al. J Gerontol Nurs. .

Abstract

A wide array of sophisticated information technology (IT) systems are being used in nursing home (NH) resident care to improve quality. The purpose of the current study was to explore differences in NH IT sophistication, a comprehensive measure of adoption, used in resident care processes based on facility characteristics over 4 consecutive years and to examine the impact on select long-stay NH quality measures. Results indicate IT systems used in resident care are becoming increasingly sophisticated. NH bed size, type of ownership, and location were significant predictors of IT score in areas related to resident care. Results also suggest that as electronic clinical processes and documents increase (e.g., incident reporting, nursing flowsheets, care planning) in resident care, more falls with injury are detected. Continued assessments of NH IT sophistication are important as the impact of technology on quality continues to be evaluated. [Journal of Gerontological Nursing, 46(4), 15-20.].

PubMed Disclaimer

Figures

Figure 1:
Figure 1:
A Conceptual Model to test Nursing Home IT Sophistication and Quality Measures

References

    1. Alexander GL, DeRoche CB, Powell K, Mosa AS, Popejoy LS, and Koopman R. (in press 2020). Forecasting Content and Stage in a Nursing Home Information Technology Maturity Instrument Using a Delphi Method. Journal of Medical Systems. DOI : 10.1007/s10916-020-1528-6. - DOI - PubMed
    1. Alexander GL, & Madsen R. (2018). A national report of nursing home quality and information technology: Two-year trends. Journal of Nursing Care Quality, 33(3), 200. doi:10.1097/NCQ.0000000000000328. - DOI - PMC - PubMed
    1. Alexander GL, Madsen R, Herrick S, and Russell B. (2008). IT Sophistication in Nursing Homes. In Henrickson K, Battles JB, Keyes MA, et al. Eds. Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 4: Technology and Medication Safety). Rockville, MD:Agency for Healthcare Research and Quality. Available from: https://www.ncbi.nlm.nih.gov/books/NBK43764/. - PubMed
    1. Alexander GL, Madsen R, Deroche CB, Alexander R, & Miller E. (2019). Ternary trends in nursing home information technology and quality measures in the united states. Journal of Applied Gerontology. doi:10.1177/0733464819862928. - DOI - PMC - PubMed
    1. Alexander GL, Madsen RW, Miller EL, Schaumberg MK, Holm AE, Alexander RL, … Gugerty B. (2017). A national report of nursing home information technology: Year 1 results. J Am Med Inform Assoc, 24(1), 67–73. doi:10.1093/jamia/ocw051. - DOI - PMC - PubMed