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The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review

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...

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Autores principales: Kruse, Clemens Scott, Marquez, Gabriella, Nelson, Daniel, Palomares, Olivia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170191/
https://www.ncbi.nlm.nih.gov/pubmed/30282094
http://dx.doi.org/10.1055/s-0038-1670651
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author Kruse, Clemens Scott
Marquez, Gabriella
Nelson, Daniel
Palomares, Olivia
author_facet Kruse, Clemens Scott
Marquez, Gabriella
Nelson, Daniel
Palomares, Olivia
author_sort Kruse, Clemens Scott
collection PubMed
description 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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spelling pubmed-61701912019-10-01 The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review Kruse, Clemens Scott Marquez, Gabriella Nelson, Daniel Palomares, Olivia Appl Clin Inform 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. Georg Thieme Verlag KG 2018-10 2018-10-03 /pmc/articles/PMC6170191/ /pubmed/30282094 http://dx.doi.org/10.1055/s-0038-1670651 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Kruse, Clemens Scott
Marquez, Gabriella
Nelson, Daniel
Palomares, Olivia
The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title_full The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title_fullStr The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title_full_unstemmed The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title_short The Use of Health Information Exchange to Augment Patient Handoff in Long-Term Care: A Systematic Review
title_sort use of health information exchange to augment patient handoff in long-term care: a systematic review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170191/
https://www.ncbi.nlm.nih.gov/pubmed/30282094
http://dx.doi.org/10.1055/s-0038-1670651
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