title: Developing a comprehensive electronic health record to enhance nursing care coordination, use of technology, and research.
abstract: As in acute care, use of health information technology in long-term care holds promise for increased efficiency, better accuracy, reduced costs, and improved outcomes. A comprehensive electronic health record (EHR), which encompasses all health care measures that clinicians want to use-both standard health care assessments and those acquired through emerging technology-is the key to improved, efficient clinical decision making. New technologies using sensors to passively monitor older adults at home are being developed and are commercially available. However, integrating the clinical information systems with passive monitoring data so that clinical decision making is enhanced and patient records are complete is challenging. Researchers at the University of Missouri (MU) are developing a comprehensive EHR to: (a) enhance nursing care coordination at TigerPlace, independent senior housing that helps residents age in place; (b) integrate clinical data and data from new technology; and (c) advance technology and clinical research.
authors.affiliation: Sinclair School of Nursing, University of Missouri, Columbia, Missouri 65279, USA. rantzm@missouri.edu
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Rantz
authors.forename: Marjorie
authors.initials: M
authors.lastname: Skubic
authors.forename: Greg
authors.initials: G
authors.lastname: Alexander
authors.forename: Mihail
authors.initials: M
authors.lastname: Popescu
authors.forename: Myra A
authors.initials: MA
authors.lastname: Aud
authors.forename: Bonnie J
authors.initials: BJ
authors.lastname: Wakefield
authors.forename: Richelle J
authors.initials: RJ
authors.lastname: Koopman
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Miller
mesh_terms: D000368:Aged; D040561:Assisted Living Facilities; D016494:Computer Security; D003266:Continuity of Patient Care / Q000458:organization & administration*; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D004059:Diffusion of Innovation; D057286:Electronic Health Records / Q000458:organization & administration*; D005851:Geriatric Nursing / Q000458:organization & administration; D006801:Humans; D020407:Internet / Q000458:organization & administration; D008498:Medical Record Linkage; D008923:Missouri; D018670:Monitoring, Ambulatory / Q000451:nursing*; D009737:Nursing Records; D010347:Patient Care Planning / Q000458:organization & administration*; D018511:Systems Integration; D013673:Technology Assessment, Biomedical; D014584:User-Computer Interface