title: Effects of electronic health information technology implementation on nursing home resident outcomes.
abstract: OBJECTIVE
  To examine the effects of electronic health information technology (HIT) on nursing home residents.
  
  
  METHODS
  The study evaluated the impact of implementing a comprehensive HIT system on resident clinical, functional, and quality of care outcome indicators as well as measures of resident awareness of and satisfaction with the technology. The study used a prospective, quasi-experimental design, directly assessing 761 nursing home residents in 10 urban and suburban nursing homes in the greater New York City area.
  
  
  RESULTS
  No statistically significant impact of the introduction of HIT on residents was found on any outcomes, with the exception of a significant negative effect on behavioral symptoms. Residents' subjective assessment of the HIT intervention were generally positive.
  
  
  CONCLUSIONS
  The absence of effects on most indicators is encouraging for the future development of HIT in nursing homes. The single negative finding suggests that further investigation is needed on possible impact on resident behavior.
authors.affiliation: Department of Human Development, MVR Hall, Cornell University, Ithaca, NY 14853, USA. kap6@cornell.edu
authors.forename: Karl
authors.initials: K
authors.lastname: Pillemer
authors.forename: Rhoda H
authors.initials: RH
authors.lastname: Meador
authors.forename: Jeanne A
authors.initials: JA
authors.lastname: Teresi
authors.forename: Emily K
authors.initials: EK
authors.lastname: Chen
authors.forename: Charles R
authors.initials: CR
authors.lastname: Henderson
authors.forename: Mark S
authors.initials: MS
authors.lastname: Lachs
authors.forename: Gabriel
authors.initials: G
authors.lastname: Boratgis
authors.forename: Stephanie
authors.initials: S
authors.lastname: Silver
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Eimicke
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008490:Medical Informatics; D009519:New York City; D009735:Nursing Homes; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D011795:Surveys and Questionnaires