The Use of Electronic Health Information Systems in Home Care

Abstract

Electronic health information systems (EHIS) containing standardized assessment data (e.g., RAI-Home Care, Outcome and Assessment Information Set [OASIS]) hold considerable promise, but their potential has yet to be fully realized. Literature was searched for strategies on implementing and using EHIS, including barriers and facilitators of their use in home care. Results of this review will be discussed in terms of their implications for the future development and use of EHIS in home care, and for future research.

Challenges and Facilitators to Adoption of a Point-of-Care Electronic Health Record in Home Care

“…Another aspect of organizational support for the EHR implementation was training, which was consistent with Stolee's (2010) literature review findings. Adequate staff training and support in hospital settings enabled users to gain proficiency with the system often resulting in improved productivity (Campbell, Hong, Mori, Osterweil, & Guise, 2008).…”

“…Home care clinicians have few opportunities to learn from their colleagues about new and faster ways to use the EHR to get their work done. Consistent with Stolee's (2010) recommendations, ongoing mandatory training would benefit the clinicians using the EHR.…”

“…Without dependable hardware and field support, when the hardware is unusable, clinicians' workload increases (e.g., transcribing paper notes and driving their laptop to the tech support site) and their efficiency decreases causing dissatisfaction with the EHR. Where we expected the portable technology to be a facilitator to adoption (Stolee, 2010), we found that less than reliable hardware coupled with needed but unavailable field support resulted in the hardware being an EHR adoption challenge.…”

“…In a recent literature review, the few empirical studies were qualitative involving home care clinicians focus groups (Stolee, 2010). The review identified the following most common barriers to adoption: implementation cost, training, and lack of user acceptance.…”

Information and Communication Technology in the Role of Information System of Healthcare Facility in the Slovak Republic

“…These factors are the innovation source (Archer et al 2011;Boonstra and Broekhuis 2010;Sharon Ross and Venkatesh 2016), evidence of strength and quality (Boonstra and Broekhuis 2010;Benavides-Vaello et al 2013;Broens et al 2007;Demaerschalk et al 2009;Fontaine et al 2010;Stolee et al 2010;Sharon Ross and Venkatesh 2016) …”