Volume 49 | Number 1pt2 | February 2014

Abstract List

Erika L. Abramson, Sandra McGinnis, Jean Moore Dr.P.H., M.S.N., Rainu Kaushal,


To determine rates of electronic health record () adoption and health information exchange () among New York State () nursing homes.

Data Sources/Study Setting

Primary data collected from a novel survey administered between November 2011 and March 2012 to all nursing homes.

Study Design

We used a cross‐sectional study design to assess level of implementation, automation of key functionalities, participation in , and barriers to adoption.

Data Collection/Extraction Methods

We used descriptive statistics to characterize rates of adoption and participation in and logistic regression to identify nursing home characteristics associated with adoption and .

Principal Findings

We received responses from 375 of 632 nursing homes (59.3 percent). Of respondents, almost one in five ( = 66, 18.0 percent) reported having a fully implemented and operational and a majority ( = 192, 54.4 percent) reported electronically exchanging information. Nursing homes with 100–159 beds were significantly less likely than other facilities to have implemented or be in the process of implementing an ( = .011).


Our findings present an important systematic look at adoption and by nursing homes. Although the nursing home sector has been reported to lag in health information technology adoption, our results are encouraging. However, they suggest much room for growth and highlight the need for targeted initiatives to achieve more widespread adoption in this important health care sector.