Black Book Research: Post-Acute Providers Sorely Lacking HIT Capabilities | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Black Book Research: Post-Acute Providers Sorely Lacking HIT Capabilities

November 14, 2017
by Rajiv Leventhal
| Reprints
Click To View Gallery

According to a recent survey, just 19 percent of inpatient post-acute providers have some technological capabilities of EHRs (electronic health records) operational, though that number has increased in the last year.

For the latest research, Black Book surveyed more than 2,000 providers of long-term and post-acute care (nursing homes, hospitals, short-term rehabilitation facilities, home health services, durable medical equipment/DME distributors, skilled nursing and sub-acute facilities, and hospices) to help industry stakeholders identify strategic responses to address the higher growth/demand for post-acute services in the challenging environment of lower fee-for-service reimbursements and impending valued-based payment models from all payers.

Related to EHR adoption, inpatient post-acute providers, overall, responded that 19 percent have some technological capabilities of EHRs operational in Q4 2017, as compared to 15 percent in 2016. Corporate chains and large nonprofit systems reported the highest adoption rates among network post-acute care facilities, nearing 34 percent as compared to 27 percent in 2016.

According to Black Book researchers, “The slow adoption rate and fragmented health IT environments are attributed to the different levels of technology investment and conflicting cultural priorities that prevent all providers from working together in a data-driven harmony.” To this point, 91 percent of post-acute administrators reported having no budgeted funds for technology acquisitions or improvements in this past calendar year of 2017.

“All healthcare organizations must find better ways to manage the patient transition into post-acute processes and keep hospital readmissions in check, and that may fall completely on hospital systems at risk in 2018,” said Doug Brown, managing partner of Black Book Research. “That answer will require the expansion of technology capabilities to connect physician practices, home health agencies, hospices, outpatient settings, skilled nursing facilities, rehabilitation centers, DME firms, and hospitals.”

What’s more, long-term care administrators reported that 86 percent of their facilities are not exchanging health information electronically with referring hospitals, physicians, or home health providers. The far majority (95 percent) of those sharing some records with acute care providers are networked in closed silo health systems EHRs with the long-term care center “The enormous disconnect between the post-acute world and the rest of the continuum is not correcting as hoped,” said Brown. “Finding ways to improve communications between disparate acute care EHRs and post-acute technology is a pressing problem for detached providers.”

Additionally, the Black Book study highlighted that effective post-acute management requires a multidimensional approach that incorporates connectivity between providers, data analytics and clearly defined care coordination responsibilities. However, only 3 percent of inpatient long-term care providers reported having the capabilities of data-driven analytics to lower cost of care, reduce unnecessary hospital readmissions and ensure facilities receive proper reimbursement for the care provided to the patient.

Meanwhile, in Q4 2017, 94 percent of care managers surveyed acknowledged that hospitals send their most complex patients with the highest morbidity to skilled nursing facilities with virtually no communication channels between the SNF and the acute provider.

“Long-term care facilities are still excluded from operating in a deeply connected care continuum due to limited resources and communication channels,” said Brown. “The lack of communication is an extremely expensive problem, especially as hospitals become responsible financially for long-term outcomes and preventable patient readmissions.”

Get the latest information on EHR and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Class Action Lawsuit Claims eClinicalWorks Deficiencies Led to Inaccurate Medical Records

A class action lawsuit filed Thursday in the U.S. District Court in the Southern District of New York alleges that electronic health records vendor eClinicalWorks failed “millions of patients by failing to maintain the integrity of patients’ records.”

HHS Secretary Names Three Members to HIT Advisory Committee

The U.S. Department of Health and Human Services (HHS) Acting Secretary Eric D. Hargan named three members to the Health Information Technology Advisory Committee (HITAC), established by the 21st Century Cures Act.

Survey Gauges Health System Preparedness for Quality Payment Program

A new survey indicates that most healthcare organizations are relying on EHRs and population health management solutions for quality performance management. However, survey respondents also report low satisfaction with these solutions, which puts organizations at risk of falling short of their goals for maximizing payment incentives.

House Committee Examining Personnel and Organizational Changes at HHS Cybersecurity Center

The House Committee on Energy and Commerce is examining whether the U.S. Department of Health and Human Services (HHS) retaliated against two key HHS cybersecurity officials and whether those actions weakened the federal agency’s role in responding to healthcare cybersecurity incidents.

Large Physician Group Joins Michigan’s Growing Statewide HIE Network

Oakland Physician Network Services (OPNS) has joined the Michigan Health Information Network Shared Services (MiHIN), a statewide health information network that continues to grow with now its 13th health information exchange qualified organization.

Survey Indicates Major Jump in Telemedicine Adoption in Past Three Years

A new survey shows broad acceptance of telemedicine services among health care executives and providers compared to just three years ago as 76 percent of healthcare professionals said their organizations currently offer or plan to offer telemedicine services.