Electronic health record (EHR) systems improve clinical decision making, health information
exchange, and quality improvement.
1
,2
Federal policies encourage EHR adoption through Meaningful Use programs. However,
most of these policies target acute and primary care.
3
,4
Lacking incentives, nursing homes (NHs) historically lagged behind outpatient clinics
and hospitals in EHR adoption.
5
Recent studies suggest increased rate of EHR adoption by NHs, ranging from 40% to
84%.
2
,6
Furthermore, NH primary care providers (PCPs) often use different EHRs from the NH
themselves, which have their own EHR adoption struggles.
7
,8
Because NH practice is only a proportion of work time for many NH PCPs,
9
studies of NH EHR fail to capture EHR adoption among NH PCPs' medical practice. Ideally,
NH PCPs could access wireless Internet (Wi-Fi) for secure usage of their personal
EHR in NH settings. Although the rise in EHR adoption by NH has been documented by
several studies,
2
,6
to our knowledge, no studies assessing NH PCPs' EHR adoption or the availability
of Wi-Fi in NH exist.To read this article in full you will need to make a payment
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References
- A report of information technology and health deficiencies in U.S. nursing homes.J Patient Saf. 2017 May 30; (28562423. [Epub ahead of print])
- Implementation of electronic health records in U.S. nursing homes.Comput Inform Nurs. 2017; 35: 417-424
- Facility characteristics associated with the use of electronic health records in residential care facilities.J Am Med Inform Assoc. 2013; 20: 787-791
- Medicare and Medicaid programs; Electronic Health Record Incentive Program. Final Rule.Fed Regist. 2010; 75: 44313-44588
- Organizational characteristics and the adoption of electronic health records among nursing homes in one southern state.J Appl Gerontol. 2020; (733464820906685. [Epub ahead of print])
- Adoption of health information technology among US nursing facilities.J Am Med Dir Assoc. 2019; 20: 995-1000.e4
- Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings.Health Aff. 2014; 33: 1672-1679
- Physician and practice-level drivers and disparities around meaningful use progress.Health Serv Res. 2017; 52: 244-267
- Nursing home physician specialists: A response to the workforce crisis in long-term care.Ann Intern Med. 2009; 150: 411-413
- Factors influencing family physician adoption of electronic health records (EHRs).J Am Board Fam Med. 2013; 26: 388-393
Article info
Publication history
Published online: October 29, 2020
Footnotes
This work was supported by the Agency for Healthcare Research and Quality (Grant R01HS024519). The sponsor was not involved in the design, methods, subject recruitment, data collection, analysis, or preparation of the paper.
The authors declare no conflicts of interest.
Identification
Copyright
© 2020 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
