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Enhancing nursing home quality through electronic health record implementation
Rohit Pradhan1, Neeraj Dayama2, Michael Morris3
1Texas State University, USA.
Summary
Implementing electronic health records (EHRs) in nursing homes reduced deficiencies by 18%. This technology can improve care quality and financial performance, though government incentives may be needed for adoption.
Area of Science:
- Health Services Research
- Health Informatics
- Gerontology
Background:
- Nursing home (NH) quality of care is a persistent policy concern in the U.S.
- Electronic health record (EHR) adoption in NHs is hindered by costs and limited evidence of impact.
- Donabedian's model provides a framework for assessing healthcare quality.
Purpose of the Study:
- To investigate the relationship between EHR implementation and NH quality.
- To analyze the impact of EHRs on the rate of deficiencies in nursing homes.
Main Methods:
- A survey of 223 federally certified Arkansas NHs in 2018.
- Merging survey data with secondary sources (2008-2020).
- Utilizing pre-post negative binomial panel data regression analysis.
Main Results:
- Nursing homes with EHRs showed an 18% reduction in deficiency rates (IRR=0.82, p=0.035).
- EHR implementation was associated with improved NH quality metrics.
Conclusions:
- EHR implementation positively impacts nursing home quality of care.
- EHRs offer potential for enhancing both care quality and financial outcomes in NHs.
- Financial incentives may be crucial for widespread EHR adoption in nursing homes.
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