Building consensus toward a national nursing home information technology maturity model. (19th March 2019)

• Record Type: Journal Article
• Authors: Alexander, Gregory L; Powell, Kimberly; Deroche, Chelsea B; Popejoy, Lori; Mosa, Abu Saleh Mohammad; Koopman, Richelle; Pettit, Lorren; Dougherty, Michelle
• Is Part Of: Journal of the American Medical Informatics Association. Volume 26:Number 6(2019)
• Page Start: 495
• Page End: 505
• Publication Date: 2019-03-19
• Subjects: nursing homes -- information technology -- informatics -- technology assessment -- healthcare surveys; Medical informatics -- Periodicals; Information Services -- Periodicals; Medical Informatics -- Periodicals; Médecine -- Informatique -- Périodiques; Informatica; Geneeskunde; Informatique médicale; Computer network resources; Electronic journals; 610.285
• DOI: 10.1093/jamia/ocz006
• Languages: English
• ISSNs: 1067-5027

Abstract

Abstract: Objectives: We describe the development of a nursing home information technology (IT) maturity model designed to capture stages of IT maturity. Materials and Methods: This study had 2 phases. The purpose of phase I was to develop a preliminary nursing home IT maturity model. Phase II involved 3 rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of the nursing home IT maturity model proposed in phase I. Results: All participants (n = 31) completed Delphi rounds 1-3. Over the 3 Delphi rounds, the nursing home IT maturity staging model evolved from a preliminary, 5-stage model (stages 1-5) to a 7-stage model (stages 0-6). Discussion: Using innovative IT to improve patient outcomes has become a broad goal across healthcare settings, including nursing homes. Understanding the relationship between IT sophistication and quality performance in nursing homes relies on recognizing the spectrum of nursing home IT maturity that exists and how IT matures over time. Currently, no universally accepted nursing home IT maturity model exists to trend IT adoption and determine the impact of increasing IT maturity on quality. Conclusions: A 7-stage nursing home IT maturity staging model was successfully developed with input from a nationally representative sample of U.S. based nursing home experts. The model incorporates 7-stages of IT maturity ranging from stage 0 (nonexistent IT solutions or electronic medical record) to stage 6 (use of data by resident or resident representative to generate clinical data and drive self-management).