Adoption of Health Information Technology Among US Nursing Facilities

Vest, Joshua R.; Jung, Hye–Young; Wiley, Kevin; Kooreman, Harold E.; Pettit, Lorren; Unruh, Mark Aaron

doi:10.1016/j.jamda.2018.11.002

Cited by 47 publications

(40 citation statements)

References 31 publications

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“…Similarly, PE firms can bring capital to improve nursing homes’ health information technology (IT) infrastructure, an area in which they have lagged behind other health care professionals, facilities, and systems. 16 Patients in nursing homes are often exposed to fragmented and poorly coordinated care, 17 , 18 which can potentially be improved by increasing health IT capabilities. Moreover, proponents note that the nursing home industry has a history of poor regulatory compliance 19 and that PE firms can use their management expertise, health IT, and legal resources to improve compliance.…”

Section: Introductionmentioning

confidence: 99%

Comparative Performance of Private Equity–Owned US Nursing Homes During the COVID-19 Pandemic

et al. 2020

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Key Points Question Compared with other nursing homes, are private equity (PE)–owned nursing homes associated with better or worse coronavirus disease 2019 (COVID-19) outcomes? Findings In this cross-sectional study of 11 470 US nursing homes, there were no statistically significant differences in staffing levels, COVID-19 cases or deaths, or deaths from any cause between PE nursing homes and facilities with other ownership types. Compared with PE, all other ownership types were more likely to have at least a 1-week supply of N95 masks and medical gowns. Meaning In this study, PE-owned nursing homes performed comparably with for-profit and nonprofit nursing homes based on COVID-19 cases and deaths and deaths by any cause but had less personal protective equipment than other nursing homes.

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Section: Introductionmentioning

confidence: 99%

Comparative Performance of Private Equity–Owned US Nursing Homes During the COVID-19 Pandemic

et al. 2020

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“…Such literature has also drawn attention to major organisational barriers that mitigate successful implementation and outcomes from innovation [24]. Similarly, literature from Information Systems and Healthcare Information Management fields have also pointed to the importance of organisational environments and system readiness (especially interoperability, [25]) for new information systems. Such literature has demonstrated that small organsations face greater barriers, and communication with front line leaders have a positive influence on diffusion and adoption [26,27].…”

Section: Introductionmentioning

confidence: 99%

Implementing a digital patient feedback system: an analysis using normalisation process theory

Ong

Hodgson

Small

et al. 2020

BMC Health Serv Res

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Background: Patient feedback in the English NHS is now widespread and digital methods are increasingly used. Adoption of digital methods depends on socio-technical and contextual factors, alongside human agency and lived experience. Moreover, the introduction of these methods may be perceived as disruptive of organisational and clinical routines. The focus of this paper is on the implementation of a particular digital feedback intervention that was co-designed with health professionals and patients (the DEPEND study). Methods: The digital feedback intervention was conceptualised as a complex intervention and thus the study focused on the contexts within which it operated, and how the different participants made sense of the intervention and engaged with it (or not). Four health care sites were studied: an acute setting, a mental health setting, and two general practices. Qualitative data was collected through interviews and focus groups with professionals, patients and carers. In total 51 staff, 24 patients and 8 carers were included. Forty-two observations of the use of the digital feedback system were carried out in the four settings. Data analysis was based on modified grounded theory and Normalisation Process Theory (NPT) formed the conceptual framework. Results: Digital feedback made sense to health care staff as it was seen as attractive, fast to complete and easier to analyse. Patients had a range of views depending on their familiarity with the digital world. Patients mentioned barriers such as kiosk not being visible, privacy, lack of digital know-how, technical hitches with the touchscreen. Collective action in maintaining participation again differed between sites because of workload pressure, perceptions of roles and responsibilities; and in the mental health site major organisational change was taking place. For mental health service users, their relationship with staff and their own health status determined their digital use. Conclusion: The potential of digital feedback was recognised but implementation should take local contexts, different patient groups and organisational leadership into account. Patient involvement in change and adaptation of the intervention was important in enhancing the embedding of digital methods in routine feedback. NPT allowed for a indepth understanding of actions and interactions of both staff and patients.

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“…In light of the semantic variations and inconsistent definitions of related phenomena, scholars have pointed to the need for further work to examine this construct and its measurement [47][48][49]. The lack of measurements also implies that there are few studies that provide empirically tested claims regarding the effect of an organization's ICs on HIT adoption or quality [49,50].…”

Section: Hit Quality and Innovation Capabilitiesmentioning

confidence: 99%

The Effect of Innovation Capabilities of Health Care Organizations on the Quality of Health Information Technology: Model Development With Cross-sectional Data

Esdar¹,

Hübner²,

Thye³

et al. 2021

JMIR Med Inform

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Background Large health organizations often struggle to build complex health information technology (HIT) solutions and are faced with ever-growing pressure to continuously innovate their information systems. Limited research has been conducted that explores the relationship between organizations’ innovative capabilities and HIT quality in the sense of achieving high-quality support for patient care processes. Objective The aim of this study is to explain how core constructs of organizational innovation capabilities are linked to HIT quality based on a conceptual sociotechnical model on innovation and quality of HIT, called the IQHIT model, to help determine how better information provision in health organizations can be achieved. Methods We designed a survey to assess various domains of HIT quality, innovation capabilities of health organizations, and context variables and administered it to hospital chief information officers across Austria, Germany, and Switzerland. Data from 232 hospitals were used to empirically fit the model using partial least squares structural equation modeling to reveal associations and mediating and moderating effects. Results The resulting empirical IQHIT model reveals several associations between the analyzed constructs, which can be summarized in 2 main insights. First, it illustrates the linkage between the constructs measuring HIT quality by showing that the professionalism of information management explains the degree of HIT workflow support (R²=0.56), which in turn explains the perceived HIT quality (R²=0.53). Second, the model shows that HIT quality was positively influenced by innovation capabilities related to the top management team, the information technology department, and the organization at large. The assessment of the model’s statistical quality criteria indicated valid model specifications, including sufficient convergent and discriminant validity for measuring the latent constructs that underlie the measures of HIT quality and innovation capabilities. Conclusions The proposed sociotechnical IQHIT model points to the key role of professional information management for HIT workflow support in patient care and perceived HIT quality from the viewpoint of hospital chief information officers. Furthermore, it highlights that organizational innovation capabilities, particularly with respect to the top management team, facilitate HIT quality and suggests that health organizations establish this link by applying professional information management practices. The model may serve to stimulate further scientific work in the field of HIT adoption and diffusion and to provide practical guidance to managers, policy makers, and educators on how to achieve better patient care using HIT.

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Adoption of Health Information Technology Among US Nursing Facilities

Cited by 47 publications

References 31 publications

Comparative Performance of Private Equity–Owned US Nursing Homes During the COVID-19 Pandemic

Comparative Performance of Private Equity–Owned US Nursing Homes During the COVID-19 Pandemic

Implementing a digital patient feedback system: an analysis using normalisation process theory

The Effect of Innovation Capabilities of Health Care Organizations on the Quality of Health Information Technology: Model Development With Cross-sectional Data

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