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dc.contributor.authorSubramanian, Sujha
dc.contributor.authorHoover, Sonja
dc.contributor.authorGilman, Boyd H.
dc.contributor.authorField, Terry S.
dc.contributor.authorMutter, Ryan
dc.contributor.authorGurwitz, Jerry H.
dc.date2022-08-11T08:09:22.000
dc.date.accessioned2022-08-23T16:28:36Z
dc.date.available2022-08-23T16:28:36Z
dc.date.issued2007-09-01
dc.date.submitted2009-09-25
dc.identifier.citationJ Am Geriatr Soc. 2007 Sep;55(9):1451-7.
dc.identifier.issn0002-8614
dc.identifier.pmid17915344
dc.identifier.pmid17915344
dc.identifier.urihttp://hdl.handle.net/20.500.14038/37055
dc.description.abstractNursing homes are the setting of care for growing numbers of our nation's older people, and adverse drug events are an increasingly recognized safety and quality concern in this population. Health information technology, including computerized physician/provider order entry (CPOE) with clinical decision support (CDS), has been proposed as an important systems-based approach for reducing medication errors and preventable drug-related injuries. This article describes the costs and benefits of CPOE with CDS for the various stakeholders involved in long-term care (LTC), including nurses, physicians, the pharmacy, the laboratory, the payer (e.g., the insurer), nursing home residents, and the LTC facility. Critical barriers to adoption of these systems are discussed, primarily from an economic perspective. The analysis suggests that multiple stakeholders will incur the costs related to implementation of CPOE with CDS in the LTC setting, but the costs incurred by each may not be aligned with the benefits, which may present a major barrier to broad adoption. Physicians and LTC facilities are likely to bear a large burden of the costs, whereas residents and payers will enjoy a large portion of the benefits. Consideration of these costs and benefits suggests that financial incentives to physicians and facilities may be necessary to encourage and accelerate widespread use of these systems in the LTC setting.
dc.language.isoen_US
dc.publisherBlackwell Science
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17915344&dopt=Abstract">Link to article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1111/j.1532-5415.2007.01304.x
dc.subjectAdverse Drug Reaction Reporting Systems
dc.subjectAssisted Living Facilities
dc.subjectCost-Benefit Analysis
dc.subjectDecision Support Systems, Clinical
dc.subjectHumans
dc.subjectLong-Term Care
dc.subjectMedical Order Entry Systems
dc.subjectOrganizational Innovation
dc.subjectUnited States
dc.subjectHealth Services Research
dc.subjectMedicine and Health Sciences
dc.titleComputerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.
dc.typeJournal Article
dc.source.journaltitleJournal of the American Geriatrics Society
dc.source.volume55
dc.source.issue9
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/meyers_pp/44
dc.identifier.contextkey1016849
html.description.abstract<p>Nursing homes are the setting of care for growing numbers of our nation's older people, and adverse drug events are an increasingly recognized safety and quality concern in this population. Health information technology, including computerized physician/provider order entry (CPOE) with clinical decision support (CDS), has been proposed as an important systems-based approach for reducing medication errors and preventable drug-related injuries. This article describes the costs and benefits of CPOE with CDS for the various stakeholders involved in long-term care (LTC), including nurses, physicians, the pharmacy, the laboratory, the payer (e.g., the insurer), nursing home residents, and the LTC facility. Critical barriers to adoption of these systems are discussed, primarily from an economic perspective. The analysis suggests that multiple stakeholders will incur the costs related to implementation of CPOE with CDS in the LTC setting, but the costs incurred by each may not be aligned with the benefits, which may present a major barrier to broad adoption. Physicians and LTC facilities are likely to bear a large burden of the costs, whereas residents and payers will enjoy a large portion of the benefits. Consideration of these costs and benefits suggests that financial incentives to physicians and facilities may be necessary to encourage and accelerate widespread use of these systems in the LTC setting.</p>
dc.identifier.submissionpathmeyers_pp/44
dc.contributor.departmentDepartment of Medicine, Division of Geriatric Medicine
dc.contributor.departmentMeyers Primary Care Institute


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