Nursing Information Flow in Long-Term Care Facilities

Wei, Qiang; Courtney, Karen L.

doi:10.1055/s-0038-1642609

Cited by 9 publications

(15 citation statements)

References 33 publications

(65 reference statements)

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“…The status of EHR implementation in LTC facilities varies throughout the country with HIEs lagging even further behind. 37 Significant research has been conducted on hospital readmissions from the LTC setting, but not enough research has been conducted on successful mechanisms to prevent readmissions. 38 Future research should focus on the need to increase financial incentives for LTC facilities to implement HIE mechanisms, as well as the actuarial effect of readmissions on LTC facilities as financial penalties become more stringent.…”

Section: Resultsmentioning

confidence: 99%

The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review

et al. 2018

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Background Legislation aimed at increasing the use of a health information exchange (HIE) in healthcare has excluded long-term care facilities, resulting in a vulnerable patient population that can benefit from the improvement of communication and reduction of waste. Objective The purpose of this review is to provide a framework for future research by identifying themes in the long-term care information technology sector that could function to enable the adoption and use of HIE mechanisms for patient handoff between long-term care facilities and other levels of care to increase communication between providers, shorten length of stay, reduce 60-day readmissions, and increase patient safety. Methods The authors conducted a systematic search of literature through CINAHL, PubMed, and Discovery Services for Texas A&M University Libraries. Search terms used were (“health information exchange” OR “healthcare information exchange” OR “HIE”) AND (“long term care” OR “long-term care” OR “nursing home” OR “nursing facility” OR “skilled nursing facility” OR “SNF” OR “residential care” OR “assisted living”). Articles were eligible for selection if they were published between 2010 and 2017, published in English, and published in academic journals. All articles were reviewed by all reviewers and literature not relevant to the research objective was excluded. Results Researchers selected and reviewed 22 articles for common themes. Results concluded that the largest facilitator and barrier to the adoption of HIE mechanisms is workflow integration/augmentation and the organizational structure/culture, respectively. Other identified facilitator themes were enhanced communication, increased effectiveness of care, and patient safety. The additional barriers were missing/incomplete data, inefficiency, and market conditions. Conclusion The long-term care industry has been left out of incentives from which the industry could have benefited tremendously. Organizations that are not utilizing health information technology mechanisms, such as electronic health records and HIEs, are at a disadvantage as insurers switch to capitated forms of payment that rely on reduced waste to generate a profit.

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Section: Resultsmentioning

confidence: 99%

The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Untitled

2018

Appl Clin Inform

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Background Legislation aimed at increasing the use of a health information exchange (HIE) in healthcare has excluded long-term care facilities, resulting in a vulnerable patient population that can benefit from the improvement of communication and reduction of waste. Objective The purpose of this review is to provide a framework for future research by identifying themes in the long-term care information technology sector that could function to enable the adoption and use of HIE mechanisms for patient handoff between long-term care facilities and other levels of care to increase communication between providers, shorten length of stay, reduce 60-day readmissions, and increase patient safety. Methods The authors conducted a systematic search of literature through CINAHL, PubMed, and Discovery Services for Texas A&M University Libraries. Search terms used were ("health information exchange" OR "healthcare information exchange" OR "HIE") AND ("long term care" OR "long-term care" OR "nursing home" OR "nursing facility" OR "skilled nursing facility" OR "SNF" OR "residential care" OR "assisted living"). Articles were eligible for selection if they were published between 2010 and 2017, published in English, and published in academic journals. All articles were reviewed by all reviewers and literature not relevant to the research objective was excluded. Results Researchers selected and reviewed 22 articles for common themes. Results concluded that the largest facilitator and barrier to the adoption of HIE mechanisms is workflow integration/augmentation and the organizational structure/culture, respectively. Other identified facilitator themes were enhanced communication, increased effectiveness of care, and patient safety. The additional barriers were missing/incomplete data, inefficiency, and market conditions. Conclusion The long-term care industry has been left out of incentives from which the industry could have benefited tremendously. Organizations that are not utilizing health information technology mechanisms, such as electronic health records and HIEs, are at a disadvantage as insurers switch to capitated forms of payment that rely on reduced waste to generate a profit.

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“…[1][2][3] However, a major shortcoming of such methods is the difficulties in identifying all requirements prior to system development. 4 Information is an essential element in IS development 5 ; therefore, information flow analysis has been applied in the health care field for identifying clinical information requirements. Patient flow analysis (PFA) is a flow mapping technique centered on patients for identifying patient flow and improving the care process.…”

Section: Background and Significancementioning

confidence: 99%

“…Their method allows visualization of the interaction of information between related health care providers; however, it does not focus on plotting the health care workflow. Another model was developed by Wei and Courtney, 5 who applied information flow to identify information management functions, information sets, nursing processes, and care collaboration required by registered nurses (RNs) in LTC services. Their approach clearly maps the RN workflow and the actions of the related service providers, but it is limited in that the information requirements are centered on RNs.…”

Section: Background and Significancementioning

confidence: 99%

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

et al. 2021

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Background Long-term care (LTC) services are a professional service-driven (PSD) system; to deliver appropriate care services to residents, health care providers first need to collect appropriate patient data and make a professional assessment. A well-designed LTC information system should therefore consider the information requirements of multidisciplinary health care providers to adequately support their care services. Objectives This study proposed a modified service blueprint—the PSD service blueprint—for visualizing interdisciplinary service providers' input and output information requirements, which correspond to their service activities. Methods The PSD service blueprint comprises five layers and seven elements. We also present a case study to illustrate the blueprint's application to daily LTC services. Results Our proposed approach could clearly illustrate the daily care activities, service providers (main actors), actors' input and output information, and suggestions for LTC information system–related applications. Conclusion The proposed PSD service blueprint can not only gather interdisciplinary LTC service providers' information system requirements but also act as a mapping tool for visualizing the care service process.

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Nursing Information Flow in Long-Term Care Facilities

Cited by 9 publications

References 33 publications

The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review

The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review

Untitled

Daily Care Information System Requirements: Professional Service-Driven Service Blueprint Approach

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