title: Facility characteristics associated with the use of electronic health records in residential care facilities.
abstract: The integration of electronic health records (EHRs) across care settings including residential care facilities (RCFs) promises to reduce medical errors and improve coordination of services. Using data from the 2010 National Survey of Residential Care Facilities (n=2302), this study examines the association between facility structural characteristics and the use of EHRs in RCFs. Findings indicate that in 2010, only 3% of RCFs nationwide were using an EHR. However, 55% of RCFs reported using a computerized system for one or more (but not all) of the functionalities defined by a basic EHR. Ownership, chain membership, staffing levels, and facility size were significantly associated with the use of one or more core EHR functionalities. These findings suggest that facility characteristics may play an important role in the adoption of EHRs in RCFs.
authors: Florida Policy Exchange Center on Aging, School of Aging Studies, University of South Florida, Tampa, Florida 33612, USA. aholup@mail.usf.edu
authors: Amanda A
authors: AA
authors: Holup
authors: Debra
authors: D
authors: Dobbs
authors: Hongdao
authors: H
authors: Meng
authors: Kathryn
authors: K
authors: Hyer
mesh_terms: D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005160:Facility Design and Construction; D006801:Humans; D016015:Logistic Models; D008484:Medicaid; D010067:Ownership; D012112:Residential Facilities / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States; D000078329:Workforce
keywords: electronic health record; health information technology; long term care; residential care facilities
references: Health Care Manage Rev. 2011 Jan-Mar;36(1):47-57
references: 21157230
references: Ann Pharmacother. 1999 Feb;33(2):149-55
references: 10084408
references: Arch Intern Med. 2007 Jul 9;167(13):1400-5
references: 17620534
references: J Am Med Inform Assoc. 2010 Jul-Aug;17(4):389-95
references: 20595305
references: Gerontologist. 2010 Aug;50(4):509-18
references: 20462932
references: Appl Nurs Res. 2011 Nov;24(4):e45-50
references: 21439787
references: J Am Geriatr Soc. 2003 Apr;51(4):549-55
references: 12657078
references: Vital Health Stat 1. 2011 Nov;(54):1-131
references: 22486061
references: N Engl J Med. 2009 Apr 16;360(16):1628-38
references: 19321858
references: Milbank Q. 2005;83(4):691-729
references: 16279964
references: Health Aff (Millwood). 2011 Mar;30(3):464-71
references: 21383365
references: N Engl J Med. 2008 Jul 3;359(1):50-60
references: 18565855
references: J Am Med Inform Assoc. 2009 Mar-Apr;16(2):179-86
references: 18952930
references: J Appl Gerontol. 2014 Jun;33(4):494-504
references: 24781968
references: Evid Rep Technol Assess (Full Rep). 2006 Apr;(132):1-71
references: 17627328
references: J Am Geriatr Soc. 2005 Jun;53(6):991-6
references: 15935022
references: J Am Med Dir Assoc. 2008 Jul;9(6):414-21
references: 18585643
references: Health Care Manage Rev. 2009 Apr-Jun;34(2):141-51
references: 19322045
references: Health Aff (Millwood). 2005 Sep-Oct;24(5):1281-9
references: 16162574
references: Health Aff (Millwood). 2010 Jan-Feb;29(1):35-43
references: 20048358
references: Gerontologist. 2010 Aug;50(4):426-42
references: 20631035
references: J Am Med Dir Assoc. 2012 May;13(4):355-9
references: 21450253
references: Ann Intern Med. 2006 May 16;144(10):742-52
references: 16702590
references: Arch Intern Med. 2004 Oct 11;164(18):2031-7
references: 15477439
references: J Gerontol B Psychol Sci Soc Sci. 2000 Jan;55(1):S33-40
references: 10728128