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.

Grant Number: 
UC1 HS015350
Funding Mechanism: 
Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
AHRQ Funded Amount: 
Principal Investigator: 
Horn, Susan
International Severity Information Systems, Inc
Salt Lake City
Project Dates: 
September 30, 2004 to September 29, 2008
Project Status: 

Project Categories

Type of Health Information Technology: 
Clinical Decision Support (CDS) System
Electronic Medical Record (EMR)/Electronic Health Record (EHR)
Electronic Medication Administration
Care Setting: 
Long-Term Care
Aspect of Care: 
Medication Management
Quality Measurement/Quality Improvement
Target Population: 
Last Modified: August 2015

News and Publications

Horn S. Nursing Home IT: Optimal Medication and Care Delivery - Final Report. (Prepared by International Severity Information Systems, Inc under Grant No. UC1 HS015350). Rockville, MD: Agency for Healthcare Research and Quality, 2009. (PDF, 184.99 KB)
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Project Activities