Electronic Information Systems Use for Patient Care in U.S. Nursing Homes

Electronic Information Systems Use for Patient Care in U.S. Nursing Homes: Data from the 2004 National Nursing Home Survey William S. Pearson, Ph.D. National Center for Health Statistics Hyattsville, MD Executive Order 13335 ~ Most Americans to have electronic health records by 2014. Benefits of Health Information Technology    Improving Patient Safety through reduction in medical errors. Reducing costs through avoiding costly duplicate testing. Increased quality of care through enhanced communication among providers.  Department of Health and Human Services – Health IT Initiative http://www.dhhs.gov/healthinformationtechnology/ 2004 National Nursing Home Survey  Survey Questions No information in Previous Surveys (1985, 1997, 1999)  New Question for 2004:  Does this facility use an Electronic Information System for any of the following? Survey Questions             Admission, Discharge, Transfer Physician Orders Medication Orders, Drug Dispensing Laboratory/Procedures Information Patient Medical Records Medication Administration Information Minimum Data Set Dietary Daily Personal Care by Nursing Assistants Billing/Finance Staffing/Scheduling Information Human Resources/Personnel Information Percent Distribution of U.S. Nursing Homes Using an Electronic Information System for Patient Care: 2004 Not Using EIS for Patient Care 20% Using EIS for Patient Care 80% Percentages of Nursing Homes Using Electronic Information Systems (EIS) for Patient Care by Specific Use: U.S. 2004 Percent of US Nursing Homes 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 47.2% 51.1% 48.4% 41.4% 38.1% 51.2% 17.5% in g ec or ds E ) es s es or d D is pe ns nt N ot (C P ur tR ec ce d R ie n rd er s/ P tio st a ry er E D ru st ra at P O rd O rd er dm hy si ci ra to O io n io n La bo ca t P ed i M M ed i ca t Specific Use of EIS D ai ly N ur s an ry A in g s/ in i A ss i D ie g nt ta r ro n y N ot e O s Characteristics of facilities with EIS Percent Distribution of Use of Electronic Information Systems for Patient Care by Facility Characteristics: US, 2004 Use Do Not Use Member of a Chain Medicare Certified Ownership Status Yes Yes Private, for profit Others 3-50 51-100 101+ Northeast Midwest South West 53.0% 92.0% 59.5% 40.5% 50.4% 87.4% 63.0% 37.0% Bed Size 15.0% 38.5% 46.5% 13.0% 34.2% 36.0% 16.8% 21.7% 40.0% 38.3% 20.9% 39.6% 31.7% 7.8% Region MSA Status Metropolitan Micropolitan Neither 56.5% 23.1% 20.4% 56.5% 18.3% 25.2% Future Direction   For current survey, look at outcomes of patients comparing those in facilities with EIS v. those in facilities without EIS. Revision of EIS questions for the next NNHS.