Abstract
Objectives
(1) To understand the extent to which nursing homes have the capability for data sharing
and (2) to explore nursing home leaders' perceptions of data sharing with other health
care facilities and with residents and family members.
Design
Exploratory, mixed-methods.
Setting and Participants
We conducted a secondary analysis of data from a national survey of nursing home administrative
leaders (n = 815) representing every state in the United States. Next, semistructured
interviews were used to elicit rich contextual information from (n = 12) administrators
from nursing homes with varying data-sharing capabilities.
Methods
We used descriptive statistics along with Rao-Scott chi-square and logistic regression
models to examine the relationship between health data–sharing capabilities and nursing
home characteristics such as location, bed size, and type of ownership. Qualitative
data were analyzed using content analysis.
Results
Of the 815 nursing homes completing the survey, 95% had computerized (electronic)
medical records, and 46% had some capability for health information exchange. Nursing
homes located in metropolitan areas had 2.53 (95% confidence interval = 1.53, 4.18)
times greater odds for having health information exchange capability compared with
nursing homes in small towns. Perceived challenges to health data sharing with residents
and family members and external clinical partners include variance in systems and
software, privacy and security concerns, and organizational factors slowing uptake
of technology. Perceived benefits of health data sharing included improved communication,
improved care planning, and anticipating future demand.
Conclusions and Implications
As health data sharing becomes more ubiquitous in acute care settings, policy makers,
nursing home leaders, and other stakeholders should prepare by working to mitigate
barriers and capitalize on potential benefits of implementing this technology in nursing
homes.
Keywords
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Article info
Publication history
Published online: March 27, 2020
Footnotes
This study was funded by grant R01HS02249 from the Agency for Healthcare Research and Quality (AHRQ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ.
The authors declare no conflicts of interest.
Identification
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© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
