Nursing Home Information Technology (IT): Optimal Medication and Care Delivery (Utah)
We implemented a health information technology (health IT) system with added best-practices decision support modules in seven nursing homes and evaluated the impact on care processes, resident health outcomes, and staff efficiency and satisfaction.
The study: 1. Led a collaborative partnership to analyze and redesign clinical workflow, integrated research-based best practices into daily work using health IT to improve clinical practices, and sustain measurable improvements in health outcomes. 2. Implemented and used health IT to improve clinical practice via user-friendly technology coupled with intensive workflow analysis and redesign, comprehensive documentation, compilation of summary information by resident or resident population, adherence to clinical guidelines, accurate and timely medication administration, and ongoing review and changes to resident plan of care to meet resident needs based on best practices. 3. Impacted resident health outcomes by integrating research-based best practices into daily work using health IT. Comprehensive evaluation addressed: a. What is the impact of health IT on resident clinical outcomes: fewer pressure ulcers, fewer hospitalizations, and less use of restraints? b. What is the impact of health IT on preventable adverse events: less weight loss, less decline in ADLs, fewer adverse drug events? 4. Distill and summarize lessons learned about what is critical for successful implementation of health IT in nursing homes, including facilitators, barriers, and strategies to address them.