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Health Data Sharing in US Nursing Homes: A Mixed Methods Study.

Kimberly R Powell1, Chelsea B Deroche1, Gregory L Alexander1

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|April 1, 2020
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Summary

Many nursing homes have electronic health records, but less than half can exchange health data. Leaders perceive benefits like improved care but face system and privacy challenges.

Keywords:
Nursing homehealth information exchangeinformation technologyolder adults

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Area of Science:

  • Health Informatics
  • Geriatric Care
  • Health Services Research

Background:

  • The increasing digitization of healthcare necessitates understanding data sharing capabilities in nursing homes.
  • Nursing homes play a critical role in post-acute care and require seamless data exchange with other facilities.

Purpose of the Study:

  • To assess the current health data sharing capabilities within nursing homes.
  • To explore nursing home leaders' perceptions regarding data sharing with external health facilities, residents, and family members.

Main Methods:

  • A mixed-methods approach was employed, combining secondary analysis of a national survey (n=815) with semistructured interviews (n=12).
  • Quantitative analysis used descriptive statistics and regression models to examine data sharing capabilities against nursing home characteristics.
  • Qualitative data from interviews were analyzed using content analysis to understand leaders' perceptions.

Main Results:

  • Nearly all surveyed nursing homes (95%) utilize electronic medical records, yet only 46% possess health information exchange capabilities.
  • Metropolitan nursing homes demonstrated significantly higher odds (2.53 times) of having health information exchange capability compared to those in small towns.
  • Key challenges identified include system variances, privacy concerns, and organizational hurdles, while benefits include improved communication and care planning.

Conclusions:

  • Despite widespread adoption of electronic records, significant gaps exist in nursing home health data sharing capabilities.
  • Addressing barriers such as system interoperability and privacy concerns is crucial for successful implementation.
  • Stakeholders should proactively mitigate challenges and leverage benefits to enhance care coordination through data sharing in nursing homes.