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Advancing health information technology maturity in nursing homes for value-based care
Alexander, G. L., Longobardi, I., O'Malley, T. A., Flatt, A., Dougherty, M., Klisz-Morton, C., & Caraballo, C. (2026). Advancing health information technology maturity in nursing homes for value-based care. Studies in Health Technology and Informatics, 339, 2-7. https://doi.org/10.3233/SHTI260955
This study updated an existing health information technology maturity and staging model for nursing homes to support alignment with value-based care. Using a five-round Delphi process (November 2023-July 2024), 22 national long-term care health information technology experts reviewed and refined a validated model of 183 items across 27 content areas. Consensus-based revisions resulted in a streamlined model with 142 items across 21 content areas organised into four domains: resident care, nursing care, clinical support, and administrative activities. Most items (86%) were assigned to Stage 4 or higher, indicating readiness for bi-directional data exchange and resident-centred data use. The revised model provides an expert-informed, policy-relevant framework to guide nursing home health information technology development and value-based care readiness by 2030.
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