Assessment of eHealth capabilities and utilization in residential care settings

Towne, Samuel D.; Lee, Shinduk; Li, Yajuan; Smith, Matthew Lee

doi:10.1177/1460458215610895

Cited by 9 publications

(19 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…About 33% of the facilitators were captured with six themes. The themes organizational structure/culture 3,4,18,21,25,28,29 was observed seven times. These articles expressed issues such as the organization characteristics such as bed size, location, ownership, office or hospital based, system affiliation, or a flexible organization culture that enabled HIE.…”

Section: Results Of Individual Studiesmentioning

confidence: 98%

“…7,11 Others pointed out that LTC organizations often do not have the budget for either the acquisition or upkeep costs that are required for such an IT implementation. 4,5 Organizational structure was observed in 9 of the 44 occurrences (20%). 2,4,5,9,18,21,22,26Ã We did combine organizational culture issues along with organizational structure.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…24 Six articles pointed out a perception of inefficiencies that HIE would cause their organization. 2,4,8,9,19,26 These articles discussed a misalignment of workflows, 9,26 a communication barrier, 5,8,19 and overburdened staff which would serve as barriers to their adoption of HIE. 31 These represented 14% of all occurrences of barriers listed in the literature.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…Our literature search narrowed 210 results down to 22 by assessing each for suitability to our research objective. [2][3][4][5][6][7][8][9][18][19][20][21][22][23][24][25][26][27][28][29][30] We excluded 16 results because they were outside our target date range of 2010 to 2017. Another 157 results were excluded when we used the filters of English-only, full-text, and academic journals.…”

Section: Study Selectionmentioning

confidence: 99%

See 3 more Smart Citations

Untitled

2018

Appl Clin Inform

View full text Add to dashboard Cite

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.

show abstract

Section: Results Of Individual Studiesmentioning

confidence: 98%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

See 2 more Smart Citations

Untitled

2018

Appl Clin Inform

View full text Add to dashboard Cite

show abstract

“…During these transitions, communication must occur at multiple levels to ensure a smooth transition for both patient and receiving organization, smooth transfer of records between organizations, maximization of outcomes, a minimization of length of stay, and, if possible, a reduction of readmissions to care within 30 or 60 days. 3 4 Inefficiencies during transfer can cause unnecessary rehospitalization as well as more complicated medical outcomes. 4 Care transitions are often complicated with lack of interoperability of record systems, high utilization at either end, and possibly the patient's reduced ability to participate in the communication portion of the transition of care.…”

Section: Background and Significancementioning

confidence: 99%

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

et al. 2018

View full text Add to dashboard Cite

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.

show abstract

Health Information Exchange

Qian

2021

Encyclopedia of Gerontology and Population Aging

View full text Add to dashboard Cite

Assessment of eHealth capabilities and utilization in residential care settings

Cited by 9 publications

References 26 publications

Untitled

Untitled

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

Health Information Exchange

Contact Info

Product

Resources

About