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A Statewide Assessment of Electronic Health Record Adoption and Health Information Exchange among Nursing Homes
Author(s) -
Abramson Erika L.,
McGinnis Sandra,
Moore Jean,
Kaushal Rainu
Publication year - 2014
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12137
Subject(s) - medicine , health information exchange , electronic health record , nursing , health information technology , logistic regression , descriptive statistics , cross sectional study , data collection , health care , family medicine , nursing homes , health information , statistics , mathematics , pathology , economics , economic growth
Objective To determine rates of electronic health record ( EHR ) adoption and health information exchange ( HIE ) among New York State ( NYS ) nursing homes. Data Sources/Study Setting Primary data collected from a novel survey administered between November 2011 and March 2012 to all NYS nursing homes. Study Design We used a cross‐sectional study design to assess level of EHR implementation, automation of key functionalities, participation in HIE , and barriers to adoption. Data Collection/Extraction Methods We used descriptive statistics to characterize rates of EHR adoption and participation in HIE and logistic regression to identify nursing home characteristics associated with EHR adoption and HIE . Principal Findings We received responses from 375 of 632 nursing homes (59.3 percent). Of respondents, almost one in five ( n = 66, 18.0 percent) reported having a fully implemented and operational EHR and a majority ( n = 192, 54.4 percent) reported electronically exchanging information. Nursing homes with 100–159 beds were significantly less likely than other facilities to have implemented or be in the process of implementing an EHR ( p = .011). Conclusions Our findings present an important systematic look at EHR adoption and HIE by NYS nursing homes. Although the nursing home sector has been reported to lag in health information technology adoption, our results are encouraging. However, they suggest much room for growth and highlight the need for targeted initiatives to achieve more widespread adoption in this important health care sector.