Investing in Post-Acute Care Transitions: Electronic Information Exchange Between Hospitals and Long-Term Care Facilities

LaMantia, 2010, Interventions to improve transitional care between nursing homes and hospitals: A systematic review, J Am Ger Soc, 58, 777, 10.1111/j.1532-5415.2010.02776.x Liu, 2007 King, 2013, The consequences of poor communication during transitions from hospital to skilled nursing facility: A qualitative study, J Am Ger Soc, 61, 1095, 10.1111/jgs.12328 Coleman, 2005, Posthospital medication discrepancies: Prevalence and contributing factors, Arch Intern Med, 165, 1842, 10.1001/archinte.165.16.1842 Boockvar, 2004, Improving the quality of transitional care for persons with complex care needs, J Am Geriatr Soc, 52, 855, 10.1111/j.1532-5415.2004.52230_15.x Mor, 2010, The revolving door of rehospitalization from skilled nursing facilities, Health Affairs, 29, 57, 10.1377/hlthaff.2009.0629 Tilson, 252012 Roy, 2005, Patient safety concerns arising from test results that return after hospital discharge, Ann Intern Med, 143, 121, 10.7326/0003-4819-143-2-200507190-00011 Teno, 2009, Churning: The association between health care transitions and feeding tube insertion for nursing home residents with advanced cognitive impairment, J Palliat Med, 12, 359, 10.1089/jpm.2008.0168 Bennett, 2007 Naylor, 2012, Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults, Health Aff, 31, 1623, 10.1377/hlthaff.2012.0110 Zigmond, 2012, Avoiding the penalty box. New rules on readmissions push hospitals, post-acute providers into closer collaboration, Mod Healthc, 42, 38 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection. Final Rule. Centers for Medicare and Medicaid Services HHS;2015. 0097–6326. Zhang, 2016, Health information technologies: Which nursing homes adopted them?, J Am Med Dir Assoc, 17, 441, 10.1016/j.jamda.2016.02.028 2013 Wolf, 2012, Hospitals ineligible for federal meaningful-use incentives have dismally low rates of adoption of electronic health Records, Health Aff, 31, 505, 10.1377/hlthaff.2011.0351 Wachino, 2016 Arriving at the final sample: 2,745 hospitals from the AHA main file matched with IT supplement data. We then removed 658 hospitals from the analysis that did not respond to any part of the IT supplement survey section on information exchange. Finally, we removed 97 hospitals from the sample that did not have any readmissions data. This left us with a complete dataset of 1,991 hospitals. This number includes the 10 “receive-only” hospitals that were ultimately excluded from analysis. A Summary of Care Record (SCR) contains key data elements, specified in the Meaningful Use certification criteria, that are believed to be necessary for the next care provider to be informed about patient status and prior care received. Health Information Organizations (HIOs) are community-level efforts bring together stakeholders to enable HIE and may include LTC providers; in recent national data collected on HIOs, 40% of operational HIOs reported that they have LTC providers contributing information, and half had LTC providers receiving information. (Source: Painter MW, Jha AK. Health Information Technology in the United States, 2015: Transition to a Post-HITECH World [Executive Summary]. Mathematica Policy Research; 2015.) Cherry, 2011, Experiences with electronic health records: Early adopters in long-term care facilities, Health Care Manage Rev, 36, 265, 10.1097/HMR.0b013e31820e110f Filipova, 2013, Electronic health records use and barriers and benefits to use in skilled nursing facilities, Comput Inform Nurs, 31, 305, 10.1097/NXN.0b013e318295e40e Kruse, 2015, Adoption factors associated with electronic health record among long-term care facilities: a systematic review, BMJ Open, 5, e006615, 10.1136/bmjopen-2014-006615 Degenholtz, 2016, Development of an applied framework for understanding health information technology in nursing homes, J Am Med Dir Assoc, 17, 434, 10.1016/j.jamda.2016.02.002 Buntin, 2010, Health information technology: Laying the infrastructure for national health reform, Health Affairs, 29, 1214, 10.1377/hlthaff.2010.0503 Charles D, King J, Patel V, Furukawa MF. Adoption of electronic health record systems among US non-federal acute care hospitals: 2008-2012. Office of the National Coordinator for Health Information Technology; 2013. Adler-Milstein, 2015, Electronic health record adoption in US hospitals: Progress continues, but challenges persist, Health Aff, 34, 2174, 10.1377/hlthaff.2015.0992 Jha, 2011, Progress toward meaningful use: Hospitals’ adoption of electronic health records, Am J Manage Care, 17, SP117