Health Information Technologies: Which Nursing Homes Adopted Them?

24 Pages Posted: 26 Feb 2016

See all articles by Ning Zhang

Ning Zhang

University of Massachusetts Amherst

Susan F. Lu

Purdue University - Krannert School of Management

Biao Xu

Nanjing University

Bingxiao Wu

Rutgers University

Rosa Rodriguez-Monguio

University of Massachusetts

Jerry Gurwitz

University of Massachusetts Worcester - University of Massachusetts Medical School

Date Written: February 23, 2016

Abstract

Purpose of the study: Long term care facilities have lagged heavily behind other health providers in adopting health information technology (IT). This paper examines the facility characteristics that are associated with health IT adoption.

Design and Methods: This study is a secondary data analysis of information gathered between 2005 and 2011 about nursing facility characteristics contained in the Online Certification & Reporting (OSCAR) files and information about health IT adoption in each nursing home contained in the Healthcare Information and Management Systems Society (HIMSS) Analytics Database. Multivariate regression analysis is conducted.

Results: Nursing homes with licensed nursing staff levels above the state average were 20% more likely to adopt computer-provided order entry (CPOE) than homes with licensed nursing staff below average. Resident resources (more Medicare-paid patients and fewer Medicaid patients) were positively correlated to health IT adoption, particularly to a clinical data repository (CDR), clinical decision support systems (CDSS), and an order entry (OE) system. Other characteristics, including chain affiliation, ownership and market competition, are also related to some health IT adoption within nursing homes.

Implication: Nursing homes with more personnel or resident resources are more likely to adopt health IT. Other factors such as market competition are also important predictors. Future research is needed to examine what factors motivate nursing homes to adopt health IT.

Keywords: health information technology; nursing home; long term care; quality of care

JEL Classification: I1

Suggested Citation

Zhang, Ning and Lu, Susan Feng and Xu, Biao and Wu, Bingxiao and Rodriguez-Monguio, Rosa and Gurwitz, Jerry, Health Information Technologies: Which Nursing Homes Adopted Them? (February 23, 2016). Available at SSRN: https://ssrn.com/abstract=2737195 or http://dx.doi.org/10.2139/ssrn.2737195

Ning Zhang (Contact Author)

University of Massachusetts Amherst ( email )

Department of Operations and Information Managemen
Amherst, MA 01003
United States

Susan Feng Lu

Purdue University - Krannert School of Management ( email )

1310 Krannert Building
West Lafayette, IN 47907-1310
United States

HOME PAGE: http://https://sites.google.com/site/susanluhome/home

Biao Xu

Nanjing University ( email )

Nanjing, Jiangsu 210093
China

Bingxiao Wu

Rutgers University ( email )

75 Hamilton St
New Brunswick, NJ 08901
United States
8479120795 (Phone)

Rosa Rodriguez-Monguio

University of Massachusetts ( email )

Department of Operations and Information Managemen
Amherst, MA 01003
United States

Jerry Gurwitz

University of Massachusetts Worcester - University of Massachusetts Medical School ( email )

55 Lake Avenue North
Worcester, MA 01655
United States

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