Institutional members access full text with Ovid®

Share this article on:

Implementation of a Web-Based System to Improve the Transitional Care of Older Adults

Zamora, Zeke MD; McCall, Brenda BSN, RN; Patel, Laura MD; Biese, Kevin MD; LaMantia, Michael MD; Platts-Mills, Tim MD; Naus, Nelson BS; Jerkewitz, Hans P. BS; Cairns, Charles B. MD; Busby-Whitehead, Jan MD; Kizer, John S. MD

doi: 10.1097/NCQ.0b013e318237af71

We constructed a bidirectional Web-based system to transmit critical patient information in real time between referring nursing homes and a university hospital emergency department (ED) to facilitate the care of patients referred to our ED. Our model was inexpensive, improved measures of information transfer, and increased provider satisfaction.

Department of Emergency Medicine (Drs Biese, Platts-Mills, and Cairns), Informational Services, University of North Carolina Hospital (Messrs Naus and Jerkewitz), and Division of Geriatrics, Department of Medicine (Drs Zamora, Patel, LaMantia, Busby-Whitehead, and Kizer and Ms McCall), University of North Carolina, Chapel Hill, NC.

Correspondence: John S. Kizer, MD, Division of Geriatrics, CB 7550, University of North Carolina, Chapel Hill, NC 27599 (

This project was supported by an Investments for the Future Grant from the University of North Carolina School of Medicine to the Center for Aging and Health.

The authors thank the UNC Hospital IT office, Dr Robert Berger, and Mr John P Kitchack.

The authors declare no conflict of interest.

Published online before print: November 1, 2011.

Accepted September 13, 2011

© 2012 Lippincott Williams & Wilkins, Inc.