Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report. Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report : Table 2

01/05/2010

: Table 2

DimensionLevel a:Paper SystemLevel b:Electronic Storage and Access within Facility/NetworkLevel c:Point of Care Data InputLevel d:Integrated Systems (Facility/Health Network)Level e:Electronic Information Exchange (External)
Information InputClinical and clerical staff handwrite or type notes, use hard copy formsClerical and/or clinical staff enter handwritten or typed information electronically at central workstation -- no point of care data inputClinical staff enter information electronically at point of care (when relevant) -- using kiosk, laptop, PDA, bar code readerClinical staff enter information electronically at point of care (when relevant) -- using kiosk, laptop, PDA, bar code readerClinical staff enter information electronically at point of care (when relevant) -- using kiosk, laptop, PDA, bar code reader
StorageInformation stored in hard copy onlyInformation stored electronicallyInformation stored electronicallyInformation stored electronicallyInformation stored electronically
AccessAll staff receive information by hard copy“Anywhere/ anytime” electronic access for authorized staff (onsite, remote)“Anywhere/ anytime” electronic access for authorized staff (onsite, remote)“Anywhere/ anytime” electronic access for authorized staff (onsite, remote)“Anywhere/ anytime” electronic access for authorized staff (onsite, remote)
Internal System IntegrationNo electronic systemNot integrated with other clinical or administrative record components or software systems within the facilityNot integrated with other clinical or administrative record components or software systems within the facilityIntegrated electronic functions within facility information exchange (e.g., medication orders populate MAR) accomplished by a) single software product that includes multiple functions or b) interfaces built between unique products or systemsIntegrated electronic functions within facility. Information exchange (e.g., medication orders populate MAR) accomplished by a) single software product that includes multiple functions or b) interfaces built between unique products or systems
Information Exchange (External)Hard copy information exchange with outside providers and contractors (e.g., unaffiliated physician group, hospital, pharmacy), including fax, e-mail, mailHard copy information exchange with outside providers and contractors, including fax, e-mail, mailHard copy information exchange with outside providers and contractors, including fax, e-mail, mailHard copy information exchange with outside providers and contractors, including fax, e-mail, mailElectronic information exchange with outside providers, contractors with or without use of standards. One-way or two-way information transmission between facility and external systems. Ex: Hospital data populates or can be pulled in to facility health record, facility order entry system transmits and/or receives data to/from pharmacy order/distribution system