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Nursing Homes - Health Information Technology Toolkit
Nursing homes with robust e-health and health information technology (HIT) capabilities will improve the quality of patient care, in the delivery of health care overall, while positively impacting the organization’s bottom line. Key to this success is the use of a comprehensive electronic health record (EHR) system.
Nursing homes can use Stratis Health’s Health Information Technology Toolkit for Nursing Homes to implement a comprehensive EHR system, overhaul existing systems, or acquire individual HIT applications. The toolkit can help nursing homes effectively engage in e-health activities by optimizing the use of an EHR and facilitating information sharing through health information exchange (HIE) and other forms of HIT.
The tools focus on e-health functionality, people, policy, and processes for success in the nursing home environment. They can help you plan and make the right choices for your nursing home to achieve success in today’s health care environment. The toolkit consists of seven stages categorized into three main sections.
The toolkit has three experience levels. Read through all the tools to understand how you should be planning your future actions to establish an enabling IT platform with interoperable EHR and effective HIE—and to know what your competition may be striving for.
Understand and determine your nursing home’s current level of experience with HIT and e-health projects. Develop an organizational strategy for advancing e-health based on using all of the tools for your agency’s experience level. Complete lower levels before proceeding to the next higher level. Construct your own timeline based on the applications, technology, and operational activities being undertaken. Each tool indicates how long it takes to implement.
The Assess section provides tools to kick off the e-health planning process. The tools in this section include surveys, inventories, and assessments of your staff's current attitudes toward information technology, computer skills, and technical infrastructure. Use these tools to assess your organization's readiness for an e-health project.View/Hide the 1.1 Assess tools
The Plan section tools provide a basis for planning a successful e-health project. Many HIT vendors do not support planning, instead relying on the organization for the majority of planning. Investing the time and resources up front will mean spending less time and resources during implementation--and will reap greater value.View/Hide the 1.2 Plan tools
The Select section provides the foundation for a solid HIT selection process by helping you understand the marketplace and conduct all aspects of vendor selection and contracting. The extent to which you need to review the marketplace depends on your overall IT strategy. If you are part of a corporate structure, the selection process may be performed for you. However, the assessment, planning, implementation, maintain, and optimize tools still will be important for you to use.View/Hide the 1.3 Select tools
The Implement section builds upon the previous tools to help you address the specific application, technology, and operational elements that have been acquired and will now be implemented. These tools help with the tactical issues to be addressed in any implementation, including sample project plans, issues logs, training plans, and testing plans.View/Hide the 2.1 Implement tools
2.2 Effective Use
The Utilize - Effective Use section provides examples of how tools may be used for specific types of implementations. This set of tools provides tips for workflow and process improvement for various types of applications, such as for document management, physician documentation and e-prescribing use, electronic medication administration record (EMAR), assessment completion, point-of-care charting, etc. Resources to support quality measurement reporting are also included.View/Hide the 2.2 Effective Use tools
The Exchange - Readiness section provides tools to help evaluate your readiness for participating in an health information exchange (HIE) and to help you understand the goals and governance in HIE organizations.View/Hide the 3.1 Readiness tools
The Exchange - Interoperate section provides tools to help you pursue HIE participation, including tools to understand interoperability, HIE architectures, and to prepare for residents' or their families' use of personal health records (PHR).View/Hide the 3.2 Interoperate Use tools
In an effort to improve the quality of the toolkit, we are seeking your feedback. The toolkit documents are marked as “Working Draft” while we enhance the documents. Please send your feedback for improvements to the toolkits to HITtoolkits@stratishealth.org.
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