Case Studies of Electronic Health Records in Post-Acute and Long-Term Care

This study focused on electronic health records (EHRs) and information systems used to exchange clinical information across providers. The only clinical information systems that were identified that exchanged information across settings that include PAC/LTC providers were health delivery systems that were highly integrated either because of their geographic location (large, rural health systems) or financial structure. Sites selected for this study were sites that used EHRs in the course of providing care and also used their EHRs to exchange clinical information with other health care providers. To learn more about the most advanced EHR systems in PAC/LTC, case studies were conducted at four sites with connectivity to acute hospitals, pharmacies, and/or ambulatory care. The goal was to examine and describe sites representing the various PAC/LTC settings, and organizational and payment arrangements. [138 PDF pages]