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dc.contributor.authorKruse, Clemens S. ( Orcid Icon 0000-0002-7636-1086 )
dc.contributor.authorMarquez, Gabriella ( Orcid Icon 0000-0003-4074-3231 )
dc.contributor.authorNelson, Daniel ( Orcid Icon 0000-0002-8898-8281 )
dc.contributor.authorPalomares, Olivia ( )
dc.date.accessioned2019-08-16T15:40:44Z
dc.date.available2019-08-16T15:40:44Z
dc.date.issued2018-10
dc.identifier.citationKruse, C. S., Marquez, G., Nelson, D., & Palomares, O. (2018). The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review. Applied Clinical Informatics, 9(4), 752–771.en_US
dc.identifier.issn1869-0327
dc.identifier.urihttps://digital.library.txstate.edu/handle/10877/8522
dc.description.abstract

Background: Legislation aimed at increasing the use of a health information exchange (HIE) in healthcare has excluded long-term care facilities, resulting in a vulnerable patient population that can benefit from the improvement of communication and reduction of waste.

Objective: The purpose of this review is to provide a framework for future research by identifying themes in the long-term care information technology sector that could function to enable the adoption and use of HIE mechanisms for patient handoff between long-term care facilities and other levels of care to increase communication between providers, shorten length of stay, reduce 60-day readmissions, and increase patient safety.

Methods: The authors conducted a systematic search of literature through CINAHL, PubMed, and Discovery Services for Texas A&M University Libraries. Search terms used were (“health information exchange” OR “healthcare information exchange” OR “HIE”) AND (“long term care” OR “long-term care” OR “nursing home” OR “nursing facility” OR “skilled nursing facility” OR “SNF” OR “residential care” OR “assisted living”). Articles were eligible for selection if they were published between 2010 and 2017, published in English, and published in academic journals. All articles were reviewed by all reviewers and literature not relevant to the research objective was excluded.

Results: Researchers selected and reviewed 22 articles for common themes. Results concluded that the largest facilitator and barrier to the adoption of HIE mechanisms is workflow integration/augmentation and the organizational structure/culture, respectively. Other identified facilitator themes were enhanced communication, increased effectiveness of care, and patient safety. The additional barriers were missing/incomplete data, inefficiency, and market conditions.

Conclusion: The long-term care industry has been left out of incentives from which the industry could have benefited tremendously. Organizations that are not utilizing health information technology mechanisms, such as electronic health records and HIEs, are at a disadvantage as insurers switch to capitated forms of payment that rely on reduced waste to generate a profit.

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dc.formatText
dc.format.extent20 pages
dc.format.medium1 file (.pdf)
dc.language.isoen
dc.publisherThieme Medical Publishersen_US
dc.sourceApplied Clinical Informatics, 2018, Vol. 9, No. 4, pp. 752–771
dc.subjectClinical data
dc.subjectOlder patients
dc.subjectInformation technology
dc.subjectCommunications
dc.subjectHealth information exchangesen_US
dc.titleThe Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Reviewen_US
dc.typepublishedVersion
txstate.documenttypeArticle
dc.rights.holder© Georg Thieme Verlag KG
dc.identifier.doihttps://doi.org/10.1055/s-0038-1670651
dc.rights.licenseCreative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
txstate.departmentHealth Administration


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