Evidence map›Paper›PMID 26171073›Full record

ArticleApplied clinical informatics2015

Preparing Nursing Homes for the Future of Health Information Exchange.

G L Alexander, M Rantz, C Galambos, A Vogelsmeier, M Flesner, L Popejoy, J Mueller, S Shumate, M Elvin

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In one paragraph

Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Advancing health information technology roadmaps in long term care.International journal of medical informatics · 2020
    Review
  10. Article
  11. To Text or Not to Text? That is the Question.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Nursing Information Flow in Long-Term Care Facilities.Applied clinical informatics · 2018
    Article
  16. Article
  17. A national report of nursing home information technology: year 1 results.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

G L AlexanderUniversity of Missouri , Columbia, Missouri.
M RantzUniversity of Missouri , Columbia, Missouri.
C GalambosUniversity of Missouri , Columbia, Missouri.
A VogelsmeierUniversity of Missouri , Columbia, Missouri.
M FlesnerUniversity of Missouri , Columbia, Missouri.
L PopejoyUniversity of Missouri , Columbia, Missouri.
J MuellerUniversity of Missouri , Columbia, Missouri.
S ShumatePrimaris , Columbia, Missouri.
M ElvinProfessional Services, Iatric Systems, Inc.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur purpose was to describe how we prepared 16 nursing homes (NHs) for health information exchange (HIE) implementation.

backgroundNH HIE connecting internal and external stakeholders are in their infancy. U.S. initiatives are demonstrating HIE use to increase access and securely exchange personal health information to improve patient outcomes.

methodTo achieve our objectives we conducted readiness assessments, performed 32 hours of clinical observation and developed 6 use cases, and conducted semi-structured interviews with 230 participants during 68 site visits to validate use cases and explore HIE.

resultsAll 16 NHs had technology available to support resident care. Resident care technologies were integrated much more with internal than external stakeholders. A wide range of technologies were accessible only during administrative office hours. Six non-emergent use cases most commonly communicated by NH staff were: 1) scheduling appointments, 2) Laboratory specimen drawing, 3) pharmacy orders and reconciliation, 4) social work discharge planning, 5) admissions and pre-admissions, and 6) pharmacy-medication reconciliation. Emerging themes from semi-structured interviews about use cases included: availability of information technology in clinical settings, accessibility of HIE at the point of care, and policies/procedures for sending/receiving secure personal health information.

conclusionWe learned that every facility needed additional technological and human resources to build an HIE network. Also, use cases help clinical staff apply theoretical problems of HIE implementation and helps them think through the implications of using HIE to communicate about clinical care.

Indexed as

Health Information ExchangeHealth Services AccessibilityHumansInterviews as TopicNursing HomesPoint-of-Care SystemsHealth information exchangehealth information technologylong-term carenursing homeutilization

Identifiers

PMID26171073
PMCPMC4493328

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.