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308502
Do service innovations influence the adoption of Electronic Health Records? New evidence from long-term care sector
Wednesday, November 19, 2014
: 11:30 AM - 11:50 AM
He Zhu, MA
,
College of Public Health, University of Nebraska Medical Center, Omaha, NE
Soumitra S Bhuyan, MBBS, MPH
,
Health Services Research & Administration, University of Nebraska Medical Center, Omaha, NE
Yang Wang, MHEM
,
Health Services Research, Administration & Policy, University of Nebraska Medical Center, Omaha, NE
Aastha Chandak, Btech
,
Health Services Research and Administration, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Objective: The objective of the study is to explore the relationship between the organizational service innovations and the adoption of EHRs in residential care facilities (RCFs). Methods: We used a cross-sectional study design to analyze data for 2,302 facilities from the 2010 National Survey of Residential Care Facilities (NSRCF) from the Centers for Disease Control and Prevention (CDC). The conceptual framework was adapted from an IT implementation model developed by Kwon and Zmud (1990) to understand the adoption of health information systems in an organization. Measures of organizational service innovations included provision of skilled nursing care and medication management. All the bivariate associations were tested using chi-square test. Weighted multivariate logistic regressions were used to determine the organizational service innovation factors that were significantly associated with adoption of EHRs in the RCFs. Results: In 2010, about 17.4% (446) of the RCFs reported to use EHRs. In the multivariate analysis, the odds of EHR adoption in RCFs were higher for those facilities, which provided nursing care (OR: 1.398, 95% CI: 1.079-1.812) and offered medication management (OR: 1.371, 95% CI: 1.008-1.865). Among the control variables, facility size, chain affiliation, ownership types, Medicaid certification, chain affiliation, and ownership type are significantly associated with adoption of EHRs. Conclusions: Organizations adopt technology or service innovations to gain competitive advantages. Our findings suggested that RCFs proving skilled nursing services and medication management are more likely to adopt EHRs. The U.S. healthcare delivery system is moving towards accountable care organizations and bundle payment, which may drive the organizations to adopt EHRs and diversify their services.
Learning Areas:
Administration, management, leadership
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Learning Objectives:
Assess the adoption of Electronic Health Records in Residential Care Facilities;Examine the relationship between service innovations and adoption of Electronic Health Records
Keyword(s): Long-Term Care, Information Technology
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am a PhD student in a college of public health, and I also serve as a research assistant. I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
