Health Information Technology in Nursing Homes

Liu, Darren; Castle, Nicholas G.

doi:10.1177/0733464808321887

Cited by 22 publications

(17 citation statements)

References 19 publications

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“…Future work will need to determine the optimum amount of information to be included on any transfer document and the ideal medium – paper or electronic - for its transmission, though electronic means are attractive. Many nursing homes use computers already to track Minimum Data Set figures 17 and may have the ability to implement advanced health information technology to facilitate electronic transfer of patient information. Moreover, the federal government has invested in projects through the National Health Information Network 18 to allow exchange of medical records and there is initial evidence that health information technology may ultimately improve patient safety.…”

Section: Discussionmentioning

confidence: 99%

Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review

LaMantia

Scheunemann²,

Viera

et al. 2010

J American Geriatrics Society

160

128

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Transitions between health care settings are associated with errors in communication of information and treatment plans for frail older patients, but strategies to improve transitional care are lacking. We conducted a systematic review to identify and evaluate interventions which seek to improve communication of accurate and appropriate medication lists and advance directives for elderly patients who transition between nursing homes and hospitals. We searched MEDLINE, ISI Web, and EBSCO Host (from inception to June 2008) for original, English-language research articles reporting interventions to improve communication of medication lists and advance directives. Five studies ultimately met all inclusion criteria. Two described interventions that enhanced transmission of advance directives; two described interventions that improved communication of medication lists; and one intervention addressed both goals. One study was a randomized controlled trial, while remaining studies used historical or no controls. Study results indicate that a standardized patient transfer form may assist with the communication of advance directives and medication lists, and pharmacist-led review of medication lists may help identify omitted or indicated medications on transfer. While preliminary evidence supports adoption of these methods to improve transitions between nursing home and hospital, further research is needed to define target populations and outcomes measures for high quality transitional care.

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Section: Discussionmentioning

confidence: 99%

Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review

LaMantia

Scheunemann²,

Viera

et al. 2010

J American Geriatrics Society

160

128

View full text Add to dashboard Cite

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“…The same 12 IT features were used in a previous study. 9 The IT questions in the survey confirmed that the facility had purchased commercial MDS software and the frequency of use of each feature. All questions regarding frequency of use had a 1 to 10 visual analog rating scale, assigning 1 for minimum usage (ie, not used at all) and 10 for maximum usage (ie, used all the time).…”

Section: Data Sourcementioning

confidence: 93%

“…9 This survey is relatively recent. However, it should be acknowledged that changes in health IT are occurring rapidly and may not be represented in the findings.…”

Section: Data Sourcementioning

confidence: 99%

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Does Use of Advanced Information Technology in Commercial Minimum Data Set Systems Improve Quality of Nursing Home Care?

2010

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Information technology (IT) has been recommended to improve the quality of health care. Nursing homes use very little IT, but they have been required by the federal government to electronically submit resident assessments (via commercial Minimum Data Set [MDS] software). This article examines whether use of the advanced IT features commonly found in commercial MDS software is associated with better quality of care. This study employed a national survey of US nursing home administrators (N = 2397) regarding the use of 12 advanced IT features in commercial MDS software. Overall, the effects of using advanced IT features in commercial MDS software on quality were highly significant (P < .01) when controlling for the prior years quality as well as facility characteristics. Although nursing homes have been slow to adopt IT, the use of the identified IT in MDS software packages appears to offer the promise to improve quality of care.

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“…MDS contains all core items that must be assessed. RAPs are used to form nursing care plans [31], provide diagnostic logic, and help evaluators to confirm the care required by residents, in accordance with the care planning of individual cases [20]. (2) TAI is composed of classification and grading assessment scales, an assessment scale of the required care for the aged, degradation and aging process charts, and a summary table of each unit.…”

Section: Resident-oriented Assessmentmentioning

confidence: 99%

Ensuring Healthcare Services Provision: An Integrated Approach of Resident Contexts Extraction and Analysis via Smart Objects

Hsieh

Hung

Park

et al. 2014

International Journal of Distributed Sensor Networks

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Advances in healthcare applications benefit the scenario of medical service provision for both care staff and medical institution than ever. Following such success, a healthcare system, named RCTC (Resident Classification by Types of Care), which grades individuals in terms of the severity of five functional status assessment aspects: mental, movement, eating, toilet (urination and defecation functions), and medical treatment, was developed in this study. This system is designed based on a conceptual model that follows the assessment/classification/placement sequence for long-term care institutions. It is implemented to deliver appropriate services according to individual needs based on its preprocessing of classification and further reduces the costs of manpower and loading of care staff through the analysis of assessment logs. With this systematic appraisal, this system can not only help care staff determine the needs of residents but also produce personalized health plans (i.e., weekly schedule towards comprehensive assessment and personalized care services). Results of implemented (and in use as well) system have demonstrated the feasibility that it can enhance the quality of care services to residents, working load of care staff, and efficiency of care-related information management for medical institution.

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Health Information Technology in Nursing Homes

Cited by 22 publications

References 19 publications

Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review

Interventions to Improve Transitional Care Between Nursing Homes and Hospitals: A Systematic Review

Does Use of Advanced Information Technology in Commercial Minimum Data Set Systems Improve Quality of Nursing Home Care?

Ensuring Healthcare Services Provision: An Integrated Approach of Resident Contexts Extraction and Analysis via Smart Objects

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