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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedAlexander GL, Madsen R, Deroche CB
Ternary trends in nursing home information technology and quality measures in the United States.
This survey investigated whether improvements in nursing home information technology (NH IT) increases quality measures. Nursing home administrators were surveyed from 2014 to 2017. Nine dimensions/domains and total IT sophistication were measured. A total of 815 Year 1 surveys were completed. It was found that for every 10 units increase in administrative activity of IT use, a decrease of 1.3% occurred in the percentage of low-risk long-stay residents with bowel or bladder incontinence.
AHRQ-funded; HS022497.
Citation: Alexander GL, Madsen R, Deroche CB .
Ternary trends in nursing home information technology and quality measures in the United States.
J Appl Gerontol 2020 Oct;39(10):1134-43. doi: 10.1177/0733464819862928..
Keywords: Nursing Homes, Health Information Technology (HIT), Quality Measures, Quality Improvement, Long-Term Care, Quality of Care
Powell KR, Alexander GL. KR, Alexander GL
Qualitative validation of the nursing home IT maturity staging model.
The goal of the current study was to qualitatively explore issues of validity, specificity, and sensitivity regarding the nursing home (NH) information technology (IT) maturity survey and staging model. Participants who completed the NH IT maturity survey were recruited during pilot testing of the survey and staging model. Cognitive interviewing was used to collect qualitative data.
AHRQ-funded; HS022497.
Citation: Powell KR, Alexander GL. KR, Alexander GL .
Qualitative validation of the nursing home IT maturity staging model.
AHRQ-funded; HS022497..
Keywords: Nursing Homes, Long-Term Care, Health Information Technology (HIT), Research Methodologies
Powell KR, Deroche CB, Carnahan EJ
Exploring resident care information technology use and nursing home quality.
The purpose of this study was to explore differences in nursing home (NH) information technology (IT) sophistication used in resident care processes based on facility characteristics over 4 consecutive years and to examine the impact on select long-stay NH quality measures. Results indicated that IT systems used in resident care are becoming increasingly sophisticated, with NH bed size, type of ownership, and location being significant predictors of IT score. Results also suggested that as electronic clinical processes and documents increase, more falls with injury were detected.
AHRQ-funded; HS022497.
Citation: Powell KR, Deroche CB, Carnahan EJ .
Exploring resident care information technology use and nursing home quality.
J Gerontol Nurs 2020 Apr;46(4):15-20. doi: 10.3928/00989134-20200303-02..
Keywords: Elderly, Health Information Technology (HIT), Nursing Homes, Long-Term Care
Alexander GL, Deroche C, Powell K
Forecasting content and stage in a nursing home information technology maturity instrument using a Delphi method.
This paper reports the development and testing of a new instrument measuring nursing home information technology maturity and stage of maturity. Findings showed that over 11% of the content items were at the highest maturity stage, which are reflected in nursing homes that have technology available for residents or their representatives and are used extensively in resident care. An instrument to assess nursing home IT maturity and stage of maturity has important implications for understanding health service delivery systems, regulatory efforts, patient safety and quality of care.
AHRQ-funded; HS022497.
Citation: Alexander GL, Deroche C, Powell K .
Forecasting content and stage in a nursing home information technology maturity instrument using a Delphi method.
J Med Syst 2020 Feb 5;44(3):60. doi: 10.1007/s10916-020-1528-6..
Keywords: Nursing Homes, Health Information Technology (HIT), Long-Term Care, Healthcare Delivery