Sinclair School of Nursing, University of Missouri, Columbia, Missouri, USA.
College of Nursing, University of Tennessee, Knoxville, Tennessee, USA.
J Am Med Inform Assoc. 2019 Jun 1;26(6):495-505. doi: 10.1093/jamia/ocz006.
We describe the development of a nursing home information technology (IT) maturity model designed to capture stages of IT maturity.
This study had 2 phases. The purpose of phase I was to develop a preliminary nursing home IT maturity model. Phase II involved 3 rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of the nursing home IT maturity model proposed in phase I.
All participants (n = 31) completed Delphi rounds 1-3. Over the 3 Delphi rounds, the nursing home IT maturity staging model evolved from a preliminary, 5-stage model (stages 1-5) to a 7-stage model (stages 0-6).
Using innovative IT to improve patient outcomes has become a broad goal across healthcare settings, including nursing homes. Understanding the relationship between IT sophistication and quality performance in nursing homes relies on recognizing the spectrum of nursing home IT maturity that exists and how IT matures over time. Currently, no universally accepted nursing home IT maturity model exists to trend IT adoption and determine the impact of increasing IT maturity on quality.
A 7-stage nursing home IT maturity staging model was successfully developed with input from a nationally representative sample of U.S. based nursing home experts. The model incorporates 7-stages of IT maturity ranging from stage 0 (nonexistent IT solutions or electronic medical record) to stage 6 (use of data by resident or resident representative to generate clinical data and drive self-management).
我们描述了一个养老院信息技术（IT）成熟度模型的开发，旨在捕捉 IT 成熟度的各个阶段。
本研究分为两个阶段。第一阶段的目的是开发一个初步的养老院 IT 成熟度模型。第二阶段涉及三轮专家养老院管理人员德尔菲问卷调查，以评估第一阶段提出的养老院 IT 成熟度模型的有效性。
所有参与者（n=31）都完成了德尔菲 1-3 轮。经过三轮德尔菲调查，养老院 IT 成熟度分期模型从一个初步的 5 阶段模型（阶段 1-5）演变为一个 7 阶段模型（阶段 0-6）。
利用创新的 IT 来改善患者的治疗效果已成为医疗保健领域的一个广泛目标，包括养老院。了解养老院 IT 成熟度与质量绩效之间的关系，需要认识到养老院 IT 成熟度的范围以及 IT 随时间的发展。目前，没有普遍接受的养老院 IT 成熟度模型来衡量 IT 的采用趋势，并确定 IT 成熟度的提高对质量的影响。
通过美国具有代表性的养老院专家样本的输入，成功开发了一个 7 阶段的养老院 IT 成熟度分期模型。该模型包含 7 个阶段的 IT 成熟度，从第 0 阶段（不存在 IT 解决方案或电子病历）到第 6 阶段（使用居民或居民代表的数据生成临床数据并驱动自我管理）。
