We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?
- Authors
Hamann, Darla J; Bezboruah, Karabi C
- Abstract
We examined several outcomes of health information technology utilization in nursing homes and how the processes used to implement health information technology affected these outcomes. We hypothesized that one type of health information technology, electronic medical records, will improve efficiency and quality-related outcomes, and that the use of effective implementation processes and change leadership strategies will improve these outcomes. We tested these hypotheses by creating an original survey based on the case study literature, which we sent to the top executives of nursing homes in seven US states. The administrators reported that electronic medical record adoption led to moderately positive efficiency and quality outcomes, but its adoption was unrelated to objective quality indicators obtained from regulatory agencies. Improved electronic medical record implementation processes, however, were positively related to administrator-reported efficiency and quality outcomes and to decreased deficiency citations at the next regulatory visit to the nursing home. Change leadership processes did not matter as much as technological implementation processes.
- Subjects
UNITED States; CHI-squared test; CONFIDENCE intervals; FACTOR analysis; HEALTH facility administration; HEALTH services administrators; LEADERSHIP; LONG-term health care; MEDICAL quality control; MEDICAL informatics; MULTIVARIATE analysis; NURSING care facilities; HEALTH outcome assessment; QUALITY assurance; REGRESSION analysis; SCALE analysis (Psychology); THEMATIC analysis; ELECTRONIC health records; STATISTICAL models; DESCRIPTIVE statistics
- Publication
Health Informatics Journal, 2020, Vol 26, Issue 3, p2249
- ISSN
1460-4582
- Publication type
Article
- DOI
10.1177/1460458219899556