This study describes nursing homes' use of Minimum Data Set (MDS) software and identifies features that are available in the most commonly used software packages. Data came from the On-line Survey, Certification and Reporting system and a national survey of nursing home administrators (N = 2,899) conducted in 2005. Results show that 2,397 (82.7%) of nursing homes used third-party MDS software, and more than 85% of those facilities purchased the software from one of five vendors. Advanced features in the software were available to most (87% to 98%) of the facilities; however, most features were not being used all the time. Findings are instructive in showing the use of health information technology in nursing homes. Nursing homes are often viewed as technologically impaired. With respect to MDS software, many nursing homes are using quite advanced health information technology.
American Health Information Management Association. (2005). A road map for health IT in long-term care. Chicago: Author.
2.
Anderson, S., & Wittwer, W. (2004). Using bar-code point-of-care technology for patient safety. Journal of Healthcare Quality, 26(6), 5-11.
3.
Banaszak-Holl, J., Zinn, J.S., & Mor, V. (1996). The impact of market and organizational characteristics on nursing care facility service innovation: A resource dependency perspective . Health Services Research, 31(1), 97-117.
4.
Baron, R.J., Fabens, E.L., Schiffman, M., & Wolf, E. (2005). Electronic health records: Just around the corner? Or over the cliff?Annals of Internal Medicine, 143(3), 222-226.
5.
Bates, D.W., Cohen, M., Leape, L.L., Overhage, J.M., Shabot, M.M., & Sheridan, T. (2001). Reducing the frequency of errors in medicine using information technology. Journal of the American Medical Informatics Association, 8(4), 299-308.
6.
Bates, D.W., Leape, L.L., Cullen, D.J., Laird, N., Petersen, L.A., Teich, J.M., et al. (1998). Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Journal of the American Medical Association, 280(15), 1311-1316.
7.
Bates, D.W., Teich, J.M., Lee, J., Seger, D., Kuperman, G.J., Ma'Luf, N., et al. (1999). The impact of computerized physician order entry on medication error prevention. Journal of the American Medical Informatics Association, 6(4), 313-321.
8.
Berger, L. (2006, January 13). Information technology feature: The IT payback. McKnight's Long-Term Care News, pp. 34-37.
9.
Carter, M.W., & Porell, F.W. (2003). Variations in hospitalization rates among nursing home residents: The role of facility and market attributes. Gerontologist, 43(2), 175-191.
10.
Castle, N.G. (2001). Administrator turnover and quality of care in nursing homes. Gerontologist, 41(6), 757-767.
11.
Centers for Medicare and Medicaid Services. ( 2007). CMS forms Retrieved April 30, 2007, from http://www.cms.hhs.gov/CMSForms/CMSForms/
12.
Donoghue, C. (2006). The percentage of beds designated for Medicaid in American nursing homes and nurse staffing ratios. Journal of Health & Social Policy, 22(1), 19-28.
13.
General Accounting Office. (2004). HHS's efforts to promote health information technology and legal barriers to its adoption. Washington, DC: Author.
14.
Hamilton, B. (2006). Evaluation design of the business case of health information technology in long-term care (Final report). Baltimore: Centers for Medicare and Medicaid Services .
15.
Harrington, C. (2005). Quality of care in nursing home organizations: Establishing a health services research agenda. Nursing Outlook , 53(6), 300-304.
16.
Harrington, C., Woolhandler, S., Mullan, J., Carrillo, H., & Himmelstein, D.U. (2001). Does investor ownership of nursing homes compromise the quality of care? American Journal of Public Health, 91(9), 1452-1455.
17.
Harrington, C., Zimmerman, D., Karon, S.L., Robinson, J., & Beutel, P. (2000). Nursing home staffing and its relationship to deficiencies. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55(5), S278-S287.
18.
Hillmer, M.P., Wodchis, W.P., Gill, S.S., Anderson, G.M., & Rochon, P.A. (2005). Nursing home profit status and quality of care: Is there any evidence of an association? Medical Care Research & Review, 62(2), 139-166.
19.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for 21st century. Washington, DC: National Academy Press .
20.
Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (1999). To err is human: Building a safer human system. Washington, DC: National Academy Press.
21.
Kramer, A., Bennett, R., Fish, R., Lin, C.T., Floersch, N., Conway, K., et al. (2004). Case studies of electronic health records in post-acute and long-term care. Washington, DC: U.S. Department of Health and Human Services.
22.
McKnight's LTC News. (2000, July). 2000 software. McKnight's Long-Term Care News, p. 24.
23.
McKnight's LTC News. (2004, July). 2004 software. McKnight's Long-Term Care News, p. 28.
24.
McKnight's LTC News. (2005, July). 2005 software. McKnight's Long-Term Care News, p. 43.
25.
Mor, V., Berg, K., Angelelli, J., Gifford, D., Morris, J., & Moore, T. (2003). The quality of quality measurement in U.S. nursing homes. Gerontologist, 43(2), 37-46.
26.
Nahm, E.S., Mills, M.E., & Feege, B. (2006). Long-term care information systems: An overview of the selection process. Journal of Gerontological Nursing , 32(6), 32-38.
27.
O'Neill, C., Harrington, C., Kitchener, M., & Saliba, D. (2003). Quality of care in nursing homes: An analysis of relationships among profit, quality, and ownership. Medical Care, 41(12), 1318-1330.
28.
Ossip-Klein, D.J., Karuza, J., Tweet, A., Howard, J., Obermiller-Powers, M., Howard, L., et al. (2002). Benchmarking implementation of a computerized system for long-term care. American Journal of Medical Quality , 17(3), 94-102.
29.
Poon, E.G., Jha, A.K., Christino, M., Honour, M.M., Fernandopulle, R., Middleton, B., et al. (2006). Assessing the level of healthcare information technology adoption in the United States: A snapshot. BMC Medical Informatics & Decision Making, 6, 1.
30.
Stead, W.W., Kelly, B.J., & Kolodner, R.M. (2005). Achievable steps toward building a national health information infrastructure in the United States . Journal of the American Medical Informatics Association , 12(2), 113-120.
31.
Straker, J. (1999). Reliability of OSCAR occupancy, census, and staff data: A comparison with the Ohio Department of Health annual survey of long-term care facilities. Oxford, OH: Scripps Gerontology Center.
32.
Wald, H., & Shojania, K.G. (2001). Incident reporting. In K. G. Shojania, B. W. Ducan, K. M. McDonald, & R. M. Wachter (Eds.), Making health care safer: A critical analysis of patient safety practices (pp. 41-47). Rockville, MD: Agency for Healthcare Research and Quality .
33.
Wolff, D.S., & Sydor, K. (1999). Information systems strategy development and implementation: A nursing home perspective. Journal of Healthcare Information Management, 13(1), 29-40.
34.
Wunderlich, G.S., & Kohler, P.O. (2001). Improving the quality of long-term care: 4. Information systems for monitoring Quality. Washington, DC: National Academy Press.
35.
Zuber, R.F. (2002). Electronic clinical records: What do regulators want? Home Healthcare Nurse, 20(1), 14-17.
