between LTPAC and acute care settings.
Moreover, they are working to provide
value to LTPAC organizations through
reduced staff time, improved clinical decision making, improved patient satisfaction
and decreased costs.
VIVIAN’S CONTINUITY OF CARE
In our earlier example of Vivian, HIE use
could make it easier for hospital staff to see
her allergies immediately. Likewise, HIE
use could make Vivian’s transition of care
back to the SNF one that preserves her safety by having good visibility into the medications Vivian is taking, and the medical tests
she had done during her hospital stay. This
exchange of data using the CCD is certainly
not complete, but this information will help
to protect Vivian from exposure to potentially life-threatening allergens, allow her
medication reconciliation to include any
new regimen from the hospital, and allow
members of the care team to be reminded
that Vivian had a recent hip fracture, is
recovering from pneumonia, all while
managing diabetes. HIE is the catalyst for
allowing Vivian to maintain continuity of
care, in a more efficient and effective way
through her care transitions.
Best practices and everyday use of HIE
are still evolving. It is imperative to continue to evaluate how best to promote continuity of care in LTPAC settings. Going forward, continuity of care will rely on health
information exchange to enable quality for
older adults in long term care settings.
I want to thank Ms. Jennifer Staley for her
assistance in the literature searches for this
Rebecca A. Meehan is an Assistant Professor of
Health Informatics in the School of Library and
Information Science at Kent State University in
Kent, Ohio. She earned a doctorate in gerontology
and medical sociology from Case Western Reserve
University. Having worked as an applied social
scientist in healthcare settings, and as a senior user
experience researcher for the software industry, she
now teaches usability and human factors in health
informatics and health information systems at Kent
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