Transitions From Acute Care to Long-Term Care: Evaluation of the Continued Access Model

Meehan, Rebecca

doi:10.1177/0733464817723565

Cited by 8 publications

(21 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…9 The next barrier mentioned most often was the missing, incomplete, or inaccurate data associated with HIE. 2,3,23,24,27,30 This was found in 6 of the 44 occurrences, or 14%. These articles pointed out the importance of the correct billing codes for prompt reimbursement, and if the data are not accurate or complete in the transfer, then a delay or penalty will follow, and that comorbidities can complicate the codes.…”

Section: Results Of Individual Studiesmentioning

confidence: 96%

“…29 HIE is attributed to improving the effectiveness of care. 2,19,22,24,27 Five articles discussed this attribute. The use of HIE was shown to decrease readmissions and decrease adverse events.…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…19,22,27 Others intimated that HIE allowed more in-depth, long-term views into a patient's history, particularly those with complex care. 2,24 These five occurrences represented 13% of the total occurrences observed. Four articles mentioned that HIE improved their communication both within and external to their own organization.…”

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 4 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: 96%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

See 3 more Smart Citations

Untitled

2018

Appl Clin Inform

View full text Add to dashboard Cite

show abstract

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

Recommended long term care settings following aged care assessments in Australia

Jukić

Temple

2018

PLoS ONE

View full text Add to dashboard Cite

The purpose of this study was to examine the prevalence and correlates of recommended long term care settings following aged care assessments in Australia. Using unique administrative data on 500,000 aged care assessments, we utilized multinomial logistic regression models to estimate the association between characteristics of the individual (their assistance needs, health conditions and demographic characteristics) and the recommended long-term care setting. The vast majority (94%) of recommended long-term care settings were for private residences (54%) or residential care (40%). Persons assessed in a setting other than a private residence were unlikely to have a recommended setting for a private residence. Consistent with the assessors toolkit, assistance needs were strongly associated with long term care recommendations. Results provide strong support for the evidence-based approach of aged care assessments in Australia. Nonetheless, with improvements in administrative data linkages and ongoing policy reforms, further analysis is required to reinforce extant policy guidelines.

show abstract

Transitions From Acute Care to Long-Term Care: Evaluation of the Continued Access Model

Cited by 8 publications

References 26 publications

Untitled

Untitled

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

Recommended long term care settings following aged care assessments in Australia

Contact Info

Product

Resources

About