Electronic Information Systems Use for Patient Care in U.S. Nursing Homes: Data from the 2004 National Nursing Home Survey William S. Pearson, Ph.D. National Center for Health Statistics Hyattsville, MD

Executive Order ~ Most Americans to have electronic health records by 2014.

Benefits of Health Information Technology Improving Patient Safety through reduction in medical errors. Reducing costs through avoiding costly duplicate testing. Increased quality of care through enhanced communication among providers.  Department of Health and Human Services – Health IT Initiative

2004 National Nursing Home Survey Survey Questions  No information in Previous Surveys (1985, 1997, 1999)  New Question for 2004: Does this facility use an Electronic Information System for any of the following?

Admission, Discharge, Transfer Physician Orders Medication Orders, Drug Dispensing Laboratory/Procedures Information Patient Medical Records Medication Administration Information Minimum Data Set Dietary Daily Personal Care by Nursing Assistants Billing/Finance Staffing/Scheduling Information Human Resources/Personnel Information Survey Questions

Characteristics of facilities with EIS Percent Distribution of Use of Electronic Information Systems for Patient Care by Facility Characteristics: US, 2004 UseDo Not Use Member of a ChainYes 53.0%50.4% Medicare CertifiedYes 92.0%87.4% Ownership StatusPrivate, for profit 59.5%63.0% Others 40.5%37.0% Bed Size %21.7% %40.0% %38.3% RegionNortheast 13.0%20.9% Midwest 34.2%39.6% South 36.0%31.7% West 16.8%7.8% MSA StatusMetropolitan 56.5%56.5% Micropolitan 23.1%18.3% Neither 20.4%25.2%

Future Direction For current survey, look at outcomes of patients comparing those in facilities with EIS v. those in facilities without EIS. Revision of EIS questions for the next NNHS.