Advancing Health Information Technology Maturity in Nursing Homes for Value-Based Care

This study updated an existing health information technology maturity and staging model for nursing homes to support alignment with value-based care. Using a five-round Delphi process (November 2023-July 2024), 22 national long-term care health information technology experts reviewed and refined a validated model of 183 items across 27 content areas. Consensus-based revisions resulted in a streamlined model with 142 items across 21 content areas organised into four domains: resident care, nursing care, clinical support, and administrative activities. Most items (86%) were assigned to Stage 4 or higher, indicating readiness for bi-directional data exchange and resident-centred data use. The revised model provides an expert-informed, policy-relevant framework to guide nursing home health information technology development and value-based care readiness by 2030.