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A Report of Information Technology and Health Deficiencies in U.S. Nursing Homes

Alexander, Gregory L. PhD, RN, FAAN*; Madsen, Richard W. PhD

doi: 10.1097/PTS.0000000000000390
Original Article: PDF Only

Objective The aim of the study was to investigate the impact of nursing home (NH) information technology (IT) sophistication on publically reported health safety deficiency scores documented during standard inspections.

Methods The sample included 807 NHs from every U.S. state. A total of 2187 health inspections were documented in these facilities. A national IT sophistication survey describing IT capabilities, extent of IT use, and degree of IT integration in resident care, clinical support, and administrative activities in U.S. NHs was used. The relationship between NH health deficiencies and IT sophistication survey scores was examined, using weighted regression.

Results Controlling for registered nurse hours per resident day, deficiency scores decreased as total IT sophistication increased. Controlling for total IT sophistication score, deficiency scores decreased as registered nurse hours per resident day increased. Ownership status significantly influenced health deficiency scores.

Conclusions These results highlight the necessity to understand benefits of implementing NH IT and demonstrating its impact on patient safety.

From the *University of Missouri, Columbia, Missouri; and †Medical Research Office, University of Missouri, Columbia, Missouri.

Correspondence: Gregory L. Alexander, PhD, RN, FAAN, University of Missouri, S415 Sinclair School of Nursing Columbia, MO 65211 (e-mail:

The authors disclose no conflict of interest.

This project was supported by grant number R01HS022497 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.

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