Use of Electronic Documentation for Quality Improvement in Hospice

Little evidence exists about the use of electronic documentation (ED) in hospice and its relationship to quality improvement (QI) practices. The purposes of this study were to (1) estimate the prevalence of ED use in hospice, (2) identify organizational characteristics associated with use of ED, and (3) determine whether quality measurement practices differed based on documentation format (electronic vs nonelectronic). Surveys concerning the use of ED for QI practices and the monitoring of quality-related care and outcomes were collected from 653 hospices. Users of ED were able to monitor a wider range of quality-related data than users of non-ED. Quality components such as advanced care planning, cultural needs, experience during care of the actively dying, and the number/types of care being delivered were more likely to be documented by users of ED. Use of ED may help hospices monitor quality and compliance.

[1]  Barbara Cherry,et al.  Factors Affecting Electronic Health Record Adoption in Long‐Term Care Facilities , 2008, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[2]  D. Meier,et al.  The national agenda for quality palliative care: the National Consensus Project and the National Quality Forum. , 2007, Journal of pain and symptom management.

[3]  P. Shekelle,et al.  Systematic Review: Impact of Health Information Technology on Quality, Efficiency, and Costs of Medical Care , 2006, Annals of Internal Medicine.

[4]  H. Bauchner,et al.  Use of an electronic medical record improves the quality of urban pediatric primary care. , 2003, Pediatrics.

[5]  Arun Vishwanath,et al.  Article Health Informatics Journal ••••• , 2022 .

[6]  Margaret O'Connor,et al.  A means to an end: a web-based client management system in palliative care , 2009, Health Informatics J..

[7]  Dennis Lee,et al.  A Point of Care Clinical Documentation System for Hospice Care Providers , 2006, Journal of Medical Systems.

[8]  Majd Alwan,et al.  Use of health information technology in home health and hospice agencies: United States, 2007 , 2010, J. Am. Medical Informatics Assoc..

[9]  W. Pearson,et al.  Use of computerized medical records in home health and hospice agencies: United States, 2000. , 2006, Vital and health statistics. Series 13, Data from the National Health Survey.

[10]  Terhilda Garrido,et al.  Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study , 2005, BMJ : British Medical Journal.

[11]  J. Teno,et al.  Family evaluation of hospice care: results from voluntary submission of data via website. , 2005, Journal of pain and symptom management.

[12]  B. Turner,et al.  A system of electronic records developed by a children's hospice. , 2007, International journal of palliative nursing.

[13]  W. Gibler,et al.  What aspects of hospital culture influence quality? , 2007, Critical pathways in cardiology.

[14]  Craig E. Kuziemsky,et al.  Model Formulation: An Interdisciplinary Computer-based Information Tool for Palliative Severe Pain Management , 2008, J. Am. Medical Informatics Assoc..

[15]  A. Abernethy,et al.  Hospices' preparation and practices for quality measurement. , 2010, Journal of pain and symptom management.

[16]  George Demiris,et al.  Hospice staff attitudes towards telehospice , 2004, The American journal of hospice & palliative care.

[17]  B. Clarridge,et al.  Validation of Toolkit After-Death Bereaved Family Member Interview. , 2001, Journal of pain and symptom management.

[18]  Hhs Centers for Medicare Medicare Services.  Medicare and Medicaid programs: hospice conditions of participation. Final rule. , 2008, Federal register.

[19]  T. Bodenheimer.  Coordinating care--a perilous journey through the health care system. , 2008, The New England journal of medicine.

[20]  Hospice.  National Consensus Project for Quality Palliative Care: Clinical Practice Guidelines for quality palliative care, executive summary. , 2004, Journal of palliative medicine.

[21]  Sowmya R. Rao,et al.  Electronic health records in ambulatory care--a national survey of physicians. , 2008, The New England journal of medicine.

[22]  Frederick Bloom,et al.  Employing the Electronic Health Record to Improve Diabetes Care: A Multifaceted Intervention in an Integrated Delivery System , 2008, Journal of General Internal Medicine.