Patient Outcomes Could Improve by Preparing Nursing Homes for Health Information Exchange

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When comparison adults send between nursing homes and hospitals, emasculate and misleading communication between a organizations can impede studious care. Now, a group of MU researchers is operative to urge patients’ health outcomes by augmenting efficient, secure communication between nursing homes and hospitals regulating an electronic communication complement called a health information sell (HIE).

“The sell of accurate, finish and timely information between hospitals and nursing homes can be difficult when comparison adults send from one place to another,” pronounced Greg Alexander, associate highbrow in a MU Sinclair School of Nursing and lead researcher of this study. “Ultimately, we wish to promote a approach for staff members to promulgate safely and firmly about patients’ health. We wish to prepared nursing homes to promulgate outwardly as good as internally so that caring transitions uniformly and patients have improved health outcomes.”

Alexander and his colleagues assessed a HIE willingness of 16 nursing homes, that concerned evaluating a wireless Internet capabilities of a comforts and other existent infrastructure, such as computers, scanners and copiers. With appropriation from a U.S. Centers for Medicare and Medicaid Services, a researchers helped a comforts squeeze a infrastructure they lacked so they would be prepared to exercise a technology. The researchers afterwards conducted 32 hours of clinical observation, 68 site visits and 230 interviews to investigate how staff integrated a record and HIE into their workflow.

The researchers found that all a nursing homes used record to support studious care, either by tracking dietary needs and drugs or to finish other executive activities; however, many of a record was used to promulgate patients’ information within a nursing home rather than to promulgate with outmost units, such as hospitals or off-site pharmacies. Many nursing homes did use record to finish tasks, such as gripping lane of patients’ drugs or scheduling appointments, though these systems mostly were separate. The researchers resolved that many nursing homes indispensable additional technological and tellurian resources to build and exercise an effective HIE network.

“Our idea was to rise a some-more integrated complement by providing an information sell that could be used by all stakeholders concerned in studious care,” Alexander said. “We wish to build a network by identifying pivotal players and their needs.”

Alexander and his colleagues identified areas many constituent to studious caring and how record can promote those tasks. Using diagrams, a researchers grown visible representations of a communication upsurge and how record could streamline and confederate existent processes.

In a subsequent proviso of a project, a researchers will weigh either HIE doing improves communication about proprietor caring and how clinicians and other staff feel about integrating a HIE into their workflow, Alexander said. More specifically, a researchers wish to yield a resource for nursing homes and hospitals to share studious information and medical papers firmly by a health information exchange, Alexander said.

The study, “Preparing Nursing Homes for a Future of Health Information Exchange,” was published in Applied Clinical Informatics. Study co-authors embody MU researchers Marilyn Rantz, Colleen Galambos, Amy Vogelsmeier, Marcia Flesner and Lori Popejoy.

Alexander is a co-principal questioner on a $14.8 million extend from a U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services aimed during shortening avoidable re-hospitalizations among nursing home residents. One idea of a plan is to raise staff communication by record and improved information exchange. Insights gained from this plan could yield a inhabitant indication for comparison caring and significantly revoke inhabitant health caring spending.

Source: University of Missouri