The article by Dr Marilyn Rantz and colleagues on the impact of the Electronic Medical
Record (EMR) in nursing homes is timely as health information technology (HIT) diffuses
into the long-term care setting. The authors point out that implementation of bedside
EMR in the nursing facility setting is not cost neutral and that increased costs are
attributable to ongoing hardware and software expenses, continual technical support
for the EMR, and constant staff orientation rather than to increased direct care staffing
or increased staff turnover.
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They suggest that EMR use is associated with improved performance on selected quality
indicators and that care can be enhanced even more with on-site consultation by nurses
with graduate education in nursing and expertise in gerontology.
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References
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- Effect of computerized provider order entry with clinical decision support on adverse drug events in the long term care setting.J Am Geriatr Soc. 2008; 56: 2225-2233
- Computerized clinical decision support during medication ordering for long term care residents with renal insufficiency.J Am Med Inform Assoc. 2009; 16: 480-485
- Development and pilot testing of computerized order entry algorithms for geriatric problems in nursing homes.J Am Geriatr Soc. 2009; 57: 1644-1653
- What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?.J Am Med Inform Assoc. 2009; 16: 531-538
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AMDA Policy Advisor March 2010. Available at: http://www.amda.com/members/publications/hpa/2010_03.cfm?token=ciQSv8fP9jkjRo6xiJ4XkEC1n626m4b5yzlmoDhKS4. Accessed April 15, 2010.
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© 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
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- Cost, Staffing and Quality Impact of Bedside Electronic Medical Record (EMR) in Nursing HomesJournal of the American Medical Directors AssociationVol. 11Issue 7
- PreviewThere is growing political pressure for nursing homes to implement the electronic medical record (EMR) but there is little evidence of its impact on resident care. The purpose of this study was to test the unique and combined contributions of EMR at the bedside and on-site clinical consultation by gerontological expert nurses on cost, staffing, and quality of care in nursing homes.
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