Assessing Organizational Readiness for Electronic Health Record Adoption in Long-Term Care Facilities

Assessing Organizational Readiness for Electronic Health Record Adoption in Long-Term Care Facilities
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DOI:
10.3928/00989134-20110831-06
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发表时间:
2011-10-01
影响因子:
1.3
通讯作者:
Cherry, Barbara
Cherry, Barbara
中科院分区:
医学4区
文献类型:
--
作者:
Cherry, Barbara

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支持长期护理(LTC)提供者成功实施电子健康记录(EHR)的方法至关重要,因为他们正在利用通过EHR提高质量、效率和效力的潜力。本文报告了一个准备情况评估工具的开发,以使LTC设施能够衡量其成功实施EHR的能力。通过文献回顾和定性研究开发了用于电子健康记录实施的长期培训准备评估工具,以确定内容效度,然后通过当前研究来评估该工具的内部可靠性。该工具被邮寄给德克萨斯州600个LTC设施的管理员或护理总监,并附有完成调查的说明。回收了93份调查问卷。项目平均分从2.72到5.07,满分为7分(1=强烈不同意,7=强烈同意),州监管支持类别的平均得分最低,而实物工厂要求的得分最高。内部信度的Cronbach‘sα系数为0.95。
Methods to support long-term care (LTC) providers to successfully implement electronic health records (EHR) are vital as they move to leverage the potential for improvements in quality, efficiency, and effectiveness through EHRs. This article reports the development of a readiness assessment tool to allow LTC facilities to measure their capacity for successful EHR implementation. The LTC Readiness Assessment Tool for EHR Implementation was developed through a literature review and qualitative study to establish content validity, followed by the current study to assess the tool's internal reliability. The tool was mailed to administrators or directors of nursing at 600 LTC facilities in Texas with instructions for survey completion. Ninety-three surveys were returned. Item means ranged from 2.72 to 5.07 on a 7-point scale (1 = strongly disagree to 7 = strongly agree), with the category of state regulatory support receiving the lowest mean and physical plant requirements receiving the highest. Internal reliability was supported with a Cronbach's alpha coefficient of 0.95.