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

VIEWS: 29 PAGES: 10

									   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%
                                                                     51.1%                                                                                        51.2%
                                                47.2%                                  48.4%
                                  50.0%
                                                                                                           41.4%
                                                                                                                               38.1%
                                  40.0%

                                  30.0%

                                  20.0%                                                                                                          17.5%

                                  10.0%

                                  0.0%
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                                                                                                    Specific Use of EIS
           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        Yes                                53.0%                  50.4%
Medicare Certified       Yes                                92.0%                  87.4%
Ownership Status         Private, for profit                59.5%                  63.0%
                         Others                             40.5%                  37.0%
Bed Size                 3-50                               15.0%                  21.7%
                         51-100                             38.5%                  40.0%
                         101+                               46.5%                  38.3%
Region                   Northeast                          13.0%                  20.9%
                         Midwest                            34.2%                  39.6%
                         South                              36.0%                  31.7%
                         West                               16.8%                  7.8%
MSA Status               Metropolitan                       56.5%                  56.5%
                         Micropolitan                       23.1%                  18.3%
                         Neither                            20.4%                  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.

								
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