{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:48:42Z","timestamp":1777852122018,"version":"3.51.4"},"reference-count":51,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T00:00:00Z","timestamp":1580256000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>We examined several outcomes of health information technology utilization in nursing homes and how the processes used to implement health information technology affected these outcomes. We hypothesized that one type of health information technology, electronic medical records, will improve efficiency and quality-related outcomes, and that the use of effective implementation processes and change leadership strategies will improve these outcomes. We tested these hypotheses by creating an original survey based on the case study literature, which we sent to the top executives of nursing homes in seven US states. The administrators reported that electronic medical record adoption led to moderately positive efficiency and quality outcomes, but its adoption was unrelated to objective quality indicators obtained from regulatory agencies. Improved electronic medical record implementation processes, however, were positively related to administrator-reported efficiency and quality outcomes and to decreased deficiency citations at the next regulatory visit to the nursing home. Change leadership processes did not matter as much as technological implementation processes.<\/jats:p>","DOI":"10.1177\/1460458219899556","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T08:44:23Z","timestamp":1580287463000},"page":"2249-2264","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-0672","authenticated-orcid":false,"given":"Darla J","family":"Hamann","sequence":"first","affiliation":[{"name":"St. Cloud State University, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karabi C","family":"Bezboruah","sequence":"additional","affiliation":[{"name":"The University of Texas at Arlington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,29]]},"reference":[{"key":"bibr1-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12137"},{"key":"bibr2-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1177\/0019793916640493"},{"key":"bibr3-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1177\/0898264311408899"},{"key":"bibr4-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.08.002"},{"key":"bibr5-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2009.11.010"},{"key":"bibr6-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igy023.2228"},{"key":"bibr7-1460458219899556","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-11-2011-0118"},{"key":"bibr8-1460458219899556","unstructured":"Kramer A, Richard A, Epstein A, et al. Understanding the costs and benefits of health information technology in nursing homes and home health agencies: case study findings. Denver, CO: University of Colorado, Denver; U. S. 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