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William S. Pearson, Ph.D. National Center for Health Statistics Hyattsville, MD

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.

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William S. Pearson, Ph.D. National Center for Health Statistics Hyattsville, MD

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  1. 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

  2. Executive Order 13335 ~ Most Americans to have electronic health records by 2014.

  3. 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/

  4. 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?

  5. 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

  6. 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%

  7. 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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