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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 2 of 2 Research Studies DisplayedEnyioha C, Khairat S, Kistler CE
Adoption of electronic health records by practices of nursing home providers and Wi-Fi availability in nursing homes.
This study evaluated the rate of electronic health record (EHR) adoption by nursing homes (NHs) and nursing home providers and Wi-Fi availability in nursing homes by geographical region. The authors conducted a cross-sectional survey on a convenience sample of NH primary care providers (PCPs) serving 867 NHs recruited from the Medefield Primary Care research panel. They also sought to evaluate the proportion of NHs with Wi-Fi access. The states were categorized into four geographical locations: Midwest, Northeast, South, and West. Participants included a total of 515 physicians, 209 nurse practitioners, and 143 physician assistants. Mean age of participants was 49 years, 56% were male, and 76% white. The mean number of days per week participants worked in a NH was 1.8 and number of hours per week 32.3. Overall, 89.4% reported EHR adoption in their practice, and 73.2% reported Wi-Fi presence in their primary NH. The three most EHRs were EpicCare Ambulatory (24.0%), Vitera (20.4%), and eClinicalWorks (14.4%) Wi-Fi access was highest in the Northeast (78.1%) and lowest in the West (63.9%). Rates of EHR adoption was also highest in the Northeast (94.5%). These differences may help explain continued deficiencies in care coordination between NH and other sites of clinical care.
AHRQ-funded; HS024519.
Citation: Enyioha C, Khairat S, Kistler CE .
Adoption of electronic health records by practices of nursing home providers and Wi-Fi availability in nursing homes.
J Am Med Dir Assoc 2021 Feb;22(2):475-76. doi: 10.1016/j.jamda.2020.09.028..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Nursing Homes, Long-Term Care
Alexander GL, Powell KR, Deroche CB
An evaluation of telehealth expansion in U.S. nursing homes.
This study contains the results of a national survey about telehealth use reported in a random sample of US nursing homes. The sample includes 664 nursing homes that completed surveys about information technology maturity from January 2019 to August 4, 2020. Differences in nursing home telehealth use was examined prior to and after telehealth expansion. A cumulative telehealth score was calculated using survey data from 6 questions about the expansion of telehealth use (score range 0-42). Larger metropolitan nursing homes had greater telehealth use. Ownership type had little effect. Nursing home telehealth use postexpansion used telehealth applications for resident evaluation 11.24 times more than pre-expansion. A wide range of telehealth use was reported, with approximately 16% having no telehealth use and 5% having the maximum amount of telehealth use. Mean telehealth use scores reported by the majority of these nursing homes were on the lower end of the range. However, increasing use will most likely continue due to the current pandemic.
AHRQ-funded; HS022497.
Citation: Alexander GL, Powell KR, Deroche CB .
An evaluation of telehealth expansion in U.S. nursing homes.
J Am Med Inform Assoc 2021 Feb 15;28(2):342-48. doi: 10.1093/jamia/ocaa253..
Keywords: Nursing Homes, Long-Term Care, Telehealth, Health Information Technology (HIT)