Robert J. Rosati, Ph.D. Center for Home Care Policy & Research Visiting Nurse Service of New York

1. Using Technology to Improve Transitions in Long-Term CareBuilding Bridges: Making a Difference inLong-Term Care2007 Policy SeminarAcademyHealthWashington, D.C. Robert J. Rosati, Ph.D. Center for Home Care Policy & Research Visiting Nurse Service of New York

2. Potential Solutions • Regional Health Information Organizations (RHIO) • Point to Point Connection between providers • Combining RHIO and Point to Point approaches

3. RHIO Approach Emergency Room Hospital Central Data Repository or Record Locator Service Nursing Home Ambulatory Center Physician’s Office Home Health Care Agency Data Exchange

4. Example of Point to Point Approach: e-transition Model Patient/Caregiver e-transitions Community-Based Physician HHA Clinical Record System Data Exchange Two-Way Communication Triggers and EP Orders Hospital-Based Providers HHA Field Nurse/ Therapist

5. Challenges to Implementing and Using Technology • Identifying the important information to communicate • Interoperability • Costs of developing systems • Involving providers

6. Keys to Expanding the Use of Technology in LTC Transitions • More funding to build systems that focus on LTC • Technology needs to be comprehensive • Reimburse providers for time spent using technology • Demonstrate a direct link to quality – More research • Hold organizations accountable – P4P tied to technological investments