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Skilled nursing facilities (SNFs) need tailored digital transformation strategies and investment to improve care for older adults. Policy and financial support are crucial for integrating health information technology (IT) and achieving age-friendly digital health.

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Area of Science:

  • Health Informatics
  • Geriatric Care
  • Health Policy

Background:

  • Skilled nursing facilities (SNFs) and post-acute care providers have lagged in adopting health information technology (IT) despite significant public and private investment.
  • Limited internal resources and capacity hinder SNFs' digital transformation, potentially marginalizing their role in age-friendly, high-value care.
  • The current digital infrastructure in SNFs is insufficient for an evolving healthcare landscape.

Purpose of the Study:

  • To propose an action agenda for age-friendly digital transformation in SNFs.
  • To highlight the critical role of interoperability in enabling seamless electronic health information exchange for care coordination.
  • To analyze the current state of SNF digitization within the context of health IT policy advancements.

Main Methods:

  • Policy analysis of health IT advancements over the past decade.
  • Characterization of the current digitization status in SNFs.
  • Discussion of implementation considerations and strategies for practice change.

Main Results:

  • SNFs have been largely excluded from the benefits of IT investments, leading to underdeveloped digital capabilities.
  • Interoperability is identified as a foundational element for digital transformation, essential for care coordination and informed decision-making.
  • Ongoing policy work and strategic implementation are necessary to address SNFs' digitization needs.

Conclusions:

  • Meaningful progress in SNF digitization requires tailored policy, financial investment, and scalable best practices.
  • An age-friendly digital transformation agenda is proposed to bridge the gap between current IT capabilities and future needs.
  • Addressing policy and practice levels can ensure SNFs and older adults benefit equitably from digital health advancements.