Toward a National Health Information Infrastructure: A Key Strategy for Improving Quality in Long-Term Care. F. The MDS in Relation to the NHII


There are few indications that the evolution of federally required documents such as the MDS is being discussed in the context of a national health information infrastructure development. As observed by the IOM in its report entitled, Leadership by Example: Coordinating Government Roles in Improving Health Care Quality, "Growing evidence supports the conclusion that automated clinical information and decision support systems are critical to addressing the nation's health care quality gap.… Although it may be possible in the short run … to rely on medical record abstraction … greater computerization of clinical information will be required over the long run to sustain performance measurement, apply it to a broader range of conditions, and decrease the associated administrative burden on providers."30

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