title: Adoption factors associated with electronic health record among long-term care facilities: a systematic review.
abstract: OBJECTIVE
  The Health Information Technology for Economic and Clinical Health (HITECH) Act created incentives for adopting electronic health records (EHRs) for some healthcare organisations, but long-term care (LTC) facilities are excluded from those incentives. There are realisable benefits of EHR adoption in LTC facilities; however, there is limited research about this topic. The purpose of this systematic literature review is to identify EHR adoption factors for LTC facilities that are ineligible for the HITECH Act incentives.
  
  
  METHODS
  We conducted systematic searches of Cumulative Index of Nursing and Allied Health Literature (CINAHL) Complete via Ebson B. Stephens Company (EBSCO Host), Google Scholar and the university library search engine to collect data about EHR adoption factors in LTC facilities since 2009.
  
  
  METHODS
  Search results were filtered by date range, full text, English language and academic journals (n=22).
  
  
  METHODS
  Multiple members of the research team read each article to confirm applicability and study conclusions.
  
  
  METHODS
  Researchers identified common themes across the literature: specifically facilitators and barriers to adoption of the EHR in LTC.
  
  
  RESULTS
  Results identify facilitators and barriers associated with EHR adoption in LTC facilities. The most common facilitators include access to information and error reduction. The most prevalent barriers include initial costs, user perceptions and implementation problems.
  
  
  CONCLUSIONS
  Similarities span the system selection phases and implementation process; of those, cost was the most common mentioned. These commonalities should help leaders in LTC facilities align strategic decisions to EHR adoption. This review may be useful for decision-makers attempting successful EHR adoption, policymakers trying to increase adoption rates without expanding incentives and vendors that produce EHRs.
authors: Texas State University, San Marcos, Texas, USA.
authors: Clemens Scott
authors: http://orcid.org/0000-0002-7636-1086
authors: CS
authors: Kruse
authors: Texas State University, San Marcos, Texas, USA.
authors: Michael
authors: M
authors: Mileski
authors: Texas State University, San Marcos, Texas, USA.
authors: Vyachelslav
authors: V
authors: Alaytsev
authors: Texas State University, San Marcos, Texas, USA.
authors: Elizabeth
authors: E
authors: Carol
authors: Texas State University, San Marcos, Texas, USA.
authors: Ariana
authors: A
authors: Williams
mesh_terms: D001292:Attitude to Computers; D004059:Diffusion of Innovation; D057286:Electronic Health Records; D006801:Humans; D008134:Long-Term Care
keywords: HEALTH SERVICES ADMINISTRATION & MANAGEMENT
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