Health Information Technology Challenges and Innovations in Long-Term Care

2021 ◽  
Author(s):  
Christine E. Kistler ◽  
Sheryl Zimmerman ◽  
Saif Khairat
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Long Term Care ◽  
Term Care

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: A systematic review

2020 ◽  
pp. 1-14
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Rohan Syal ◽  
Lauren MacNeil ◽  
Edward Chabarria ◽  
...  
Keyword(s):  
Systematic Review ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Long Term Care ◽  
New Technologies ◽  
Term Care ◽  
Care Facilities ◽  
Reduced Risk

BACKGROUND: The prevalence of health information technology (HIT) as an adjunct to increase safety and quality in healthcare applications is well known. There is a relationship between the use of HIT and safer-prescribing practices in long-term care. OBJECTIVE: The objective of this systematic review is to determine an association between the use of HIT and the improvement of prescription administration in long-term care facilities. METHODS: A systematic review was conducted using the MEDLINE and CINAHL databases. With the use of certain key terms, 66 articles were obtained. Each article was then reviewed by two researchers to determine if the study was germane to the research objective. If both reviewers agreed with using the article, it became a source for our review. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. RESULTS: The researchers identified 14 articles to include in a group for analysis from North America, Europe, and Australia. Electronic health records and electronic medication administration records were the two most common forms of technological interventions (6 of 14, 43%). Reduced risk, decreased error, decreased missed dosage, improved documentation, improved clinical process, and stronger clinical focus comprised 92% of the observations. CONCLUSIONS: HIT has shown beneficial effects for many healthcare organizations. Long-term care facilities that implemented health information technologies, have shown reductions in adverse drug events caused by medication errors overall reduced risk to the organization. The implementation of new technologies did not increase the time nurses spent on medication rounds.

scholarly journals Advancing health information technology roadmaps in long term care

2020 ◽  
Vol 136 ◽  
pp. 104088
Author(s):  
Gregory L. Alexander ◽  
Andrew Georgiou ◽  
Kevin Doughty ◽  
Andrew Hornblow ◽  
Anne Livingstone ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Long Term Care ◽  
Term Care

The Impact of Certification on Healthcare Information Technology Use

2011 ◽  
pp. 360-373
Author(s):  
Neset Hikmet ◽  
Anol Bhattacherjee
Keyword(s):  
Information Technology ◽  
User Satisfaction ◽  
Long Term Care ◽  
Healthcare Information Technology ◽  
Healthcare Organizations ◽  
Term Care ◽  
Healthcare Information ◽  
Care Facilities ◽  
Healthcare Administrators

This study examines the effects of certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and user satisfaction with such usage. Using survey data collected from healthcare administrators in a nation-wide sample of 347 hospitals and long-term care facilities, we provide evidence that certifications do indeed enhance HIT usage and user satisfaction, at least within specialized user groups such as healthcare administrators. We further demonstrate that this increase in HIT usage due to certifications increases with facility size and is more prominent for larger hospitals than for smaller long-term care facilities, though the same cannot be said of user satisfaction. Our study suggests that certifications can be used as a valuable tool for motivating HIT usage, while also drawing attention to an under-examined area of HIT research.

The Impact of Professional Certifications on Healthcare Information Technology Use

2011 ◽  
pp. 1646-1656
Author(s):  
Neset Hikmet ◽  
Anol Bhattacherjee
Keyword(s):  
Information Technology ◽  
User Satisfaction ◽  
Long Term Care ◽  
Healthcare Information Technology ◽  
Healthcare Organizations ◽  
Term Care ◽  
Healthcare Information ◽  
Care Facilities ◽  
Healthcare Administrators

This study examines the effects of professional certifications such as JCAHO on healthcare information technology (HIT) usage in healthcare organizations and user satisfaction with such usage. Using survey data collected from healthcare administrators in a nation-wide sample of 347 hospitals and long-term care facilities, we provide evidence that professional certifications do indeed enhance HIT usage and user satisfaction, at least within specialized user groups such as healthcare administrators. We further demonstrate that this increase in HIT usage due to professional certifications increases with facility size and is more prominent for larger hospitals than for smaller long-term care facilities, though the same cannot be said of user satisfaction. Our study suggests that professional certifications can be used as a valuable tool for motivating HIT usage, while also drawing attention to an under-examined area of HIT research.

scholarly journals Effects of health information technology on patient outcomes: a systematic review

2015 ◽  
Vol 23 (5) ◽  
pp. 1016-1036 ◽  
Author(s):  
Samantha K Brenner ◽  
Rainu Kaushal ◽  
Zachary Grinspan ◽  
Christine Joyce ◽  
Inho Kim ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Clinical Decision ◽  
Cochrane Library ◽  
Health It ◽  
Term Care ◽  
Safety Outcomes

Abstract Objective To systematically review studies assessing the effects of health information technology (health IT) on patient safety outcomes. Materials and Methods The authors employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement methods. MEDLINE, Cumulative Index to Nursing Allied Health (CINAHL), EMBASE, and Cochrane Library databases, from 2001 to June 2012, were searched. Descriptive and comparative studies were included that involved use of health IT in a clinical setting and measured effects on patient safety outcomes. Results Data on setting, subjects, information technology implemented, and type of patient safety outcomes were all abstracted. The quality of the studies was evaluated by 2 independent reviewers (scored from 0 to 10). A total of 69 studies met inclusion criteria. Quality scores ranged from 1 to 9. There were 25 (36%) studies that found benefit of health IT on direct patient safety outcomes for the primary outcome measured, 43 (62%) studies that either had non-significant or mixed findings, and 1 (1%) study for which health IT had a detrimental effect. Neither the quality of the studies nor the rate of randomized control trials performed changed over time. Most studies that demonstrated a positive benefit of health IT on direct patient safety outcomes were inpatient, single-center, and either cohort or observational trials studying clinical decision support or computerized provider order entry. Discussion and Conclusion Many areas of health IT application remain understudied and the majority of studies have non-significant or mixed findings. Our study suggests that larger, higher quality studies need to be conducted, particularly in the long-term care and ambulatory care settings.

scholarly journals Promises and Pitfalls of Health Information Technology for Home- and Community-Based Services

2020 ◽  
pp. 073346482094136
Author(s):  
Sangeeta C. Ahluwalia ◽  
Esther Friedman ◽  
Daniel Siconolfi ◽  
Debra Saliba ◽  
Jessica Phillips ◽  
...  
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Service Agency ◽  
Community Based ◽  
Incentive Program ◽  
Services And Supports ◽  
Consumer Advocates ◽  
Community Based Services

Background: Health information technology (HIT) use in home- and community-based services (HCBS) has been hindered by inadequate resources and incentives to support modernization. We sought to understand the ways the Medicaid Balancing Incentive Program (BIP) facilitated increased use of HIT to increase access to HCBS. Method: Qualitative analysis of interviews with 30 Medicaid administrators, service agency providers, and consumer advocates. Results: Although stakeholders perceived several benefits to greater HIT use, they highlighted critical challenges to effective adoption within the long-term services and supports (LTSS) system, including lack of extant expertise/knowledge about HIT, the limited reach of HIT among rural and disabled beneficiaries, burdensome procurement processes, and the ongoing resources required to maintain up-to-date HIT solutions. Conclusion: The structural reforms required by BIP gave states an opportunity to modernize their HCBS systems through use of HIT. However, barriers to HIT adoption persist, underscoring the need for continued support as part of future rebalancing efforts.

Health Information Technology and Diabetes Management: A Review of Motivational and Inhibitory Factors

2020 ◽  
Vol 16 ◽  
Author(s):  
Zari Dehnavi ◽  
Haleh Ayatollahi ◽  
Morteza Hemmet ◽  
Rowshanak Abbasi
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Diabetes Management ◽  
Training System ◽  
Diabetic Patients ◽  
Technical Problems ◽  
Factors Influencing ◽  
Inhibitory Factors

Background: Health information technology helps patients to take better care of themselves and improves health status of patients with chronic diseases, such as diabetes. Objective: This study aimed to identify factors influencing the use of health information technology in diabetes management. Methods: This was a review study conducted in 2019. To obtain the related articles, databases including Scopus, Web of Science, Proquest and PubMed were searched and the time frame was between 2010 and 2018. Initially, 1159 articles were retrieved and after screening 28 articles were selected to be included in the study. Results: Factors influencing the use of health information technology in diabetes management could be divided into the motivational and inhibitory factors and each of them could be categorized into five groups of organizational, technical, economic, individual and ethical/legal factors. The motivational factors included training, system ease of use, economic support, having computer literacy, and maintaining privacy and confidentiality. The inhibitory factors included a lack of long-term planning, technical problems, inadequate financial resources, old age, and concerns over confidentiality issues. Conclusion: Identifying motivational and inhibitory factors can help to make better use of technology for diabetes management. This approach, in turn, can improve the acceptability of the technology and saves cost, reduces long-term complications of diabetes, and improves quality of life in diabetic patients.

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