This study considered how to evaluate the business case for the use of health information technology in post-acute and long-term care settings. Effective application of health information technology is increasingly viewed as a way to promote quality and cost-effective care. Accelerating the adoption of this technology requires an understanding of its costs and benefits and knowledge of who incurs these costs and benefits. Policy makers, payers, providers, and others need this information. This study included a review of the literature and discussions with technical experts. The study developed three alternative evaluation designs that could be used to assess the business case for health information technology in post-acute and long-term care settings.
The study identified: (1) some health information technology uses that are particularly relevant in nursing home and home health settings; (2) categories into which various types of health information technology costs could be placed; (3) types of benefits and costs that may result from using health information technology; (4) factors to consider in determining who incurs these costs and benefits; and (5) alternative designs for assessing the business case for health information technology in post-acute and long-term care settings, and the strengths and limitations of the various designs. The contractor recommended that a smaller retrospective study be conducted that would include 10-20 nursing homes or home health settings. This approach could make needed qualitative and quantitative information about health information technology costs and benefits available quickly and keep study costs low.
Report Title: Evaluation Design of the Business Case of Health Information Technology in Long-Term Care: Project Summary. http://aspe.hhs.gov/daltcp/reports/2006/BCfinal.htm
Agency Sponsor: ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Jennie Harvell, 202-690-6443
Performer: Booz Allen Hamilton
PIC ID: 8331