The technology challenges facing LTPAC providers and their trading partners mirror the interoperability issues that face the overall health care industry. However, there their manifestation and possible solutions are somewhat unique to this segment. Key technology factors and trends are discussed below.
Abramson, E.L., S. McGinnis, J. Moore, and R. Kaushal. 2014. A statewide assessment of electronic health record adoption and health information exchange among nursing homes. Health Services Research , 49(1 PART 2): 361-72 (accessed November 24, 2014).
Awareness is growing that LTPAC providers play a critical role in care coordination and related payment and delivery system reforms intended to improve quality and reduce costs. Examples include ACOs and other new payment and care delivery models (e.g., PCMHs and health homes), Medicare's hospital readmission policy hospital, and post-acute care b
This section seeks to answer the following research question:
How has the creation, transmission, and receipt of eHIE (including interoperable exchange) at times of transitions in care and during instances of shared care impacted the clinical workflow in the LTPAC settings and that of their clinical trading partners (i.e., physicians, hospita
This section seeks to answer the following research questions:
What types of health information do the LTPAC providers and their trading partners need to support continuity and coordination of care; and how were these information needs identified? What types of information do the LTPAC providers and their trading partners create and transmit?
There is growing awareness that long-term and post-acute care (LTPAC) providers play a critical role in care coordination and related payment and delivery reforms intended to improve quality and reduce costs, such as accountable care organizations (ACOs), hospital and post-acute care bundling, and Medicare's hospital readmission policy. Additional
In this report, we describe findings related to electronic health information exchange (eHIE) involving long-term and post-acute care (LTPAC) providers. These questions cover three general areas: preparing for eHIE between LTPAC providers and their exchange partners, implementing eHIE between LTPAC providers and their exchange partners, and assess
This report provides an overview of current efforts for implementing electronic health information exchange (eHIE) by long-term and post-acute care (LTPAC) providers. The report describes the extent to which LTPAC providers are preparing for and implementing eHIE with their partners and assessing its impact. The report provides a review of the gre
1 Our first question asked respondents to informally "rank" areas that they felt would benefit most from further evaluation. Given our small sample size (N=15) and the expressed sentiment that these areas are interwoven (and therefore difficult to rank), we are able only to make qualitative statements about respondents' responses. [Back to Text]
Ackerman, Michael. Personal interview. 3 May 2000.
Association of Telehealth Service Providers. October 2000. Telemedicine FAQ. Available at: http://www.atsp.org.
Bashshur RL. Rethinking the evaluation and priorities in telemedicine [editorial]. Telemed J. 1998; 4(1):1-4.
Crowe BL. Cost-effectiveness analysis of telemedicine. J Telemed Telec
Thelma Armstrong - Eastern Montana Telemedicine Network
Susan Capalbo - Associate Professor, Dept. of Agricultural Economics, Montana State University, Trace Research Center
Catherine Finley - Health and Human Services Policy Analyst, Southern Governor's Association
Bill Grigsby, Ph.D . - Senior Research Associate, Telemedicine Resear
(This protocol was used as a general guide in conducting site visits to ensure that discussions covered a broad range of issues.)
On what area of evaluation do you think evaluators of telemedicine should be focusing? (Please rank in order of most to least important.)
Quality of care and health outcomes
Elements drawn from the recent literature, including those concurring with the IOM framework and those that may augment the IOM framework, provide an initial understanding of the current state of knowledge regarding evaluation of telemedicine. Based on the recent literature, the IOM framework may be augmented in the following ways. (These are inco