Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016

March 3, 2020

Questions for Christine Caffrey Health Statistician and Lead Author of “Trends in electronic health records use among residential care communities: United States 2012, 2014, and 2016.”

Q: Why did you decide to focus on electronic health records use and support for health information exchange among residential care communities?

CC: Since how health information is organized and shared has the potential to affect the quality and efficiency of care and improve communication and facilitate care coordination, especially during care transitions, we wanted to get a national view of how many residential care communities are using electronic health records and have support for health information exchange.

Also, as the Federal Health IT Strategic Plan 2015–2020, established by the Office of the National Coordinator for Health Information Technology, aims to advance health information technology, it is important to understand trends in EHR use and health information exchange capability over time in various health care sectors, including long-term care settings such as residential care communities.


Q: How did the data vary?

CC: We examined several characteristics of residential care communities to see whether electronic health record use and computerized support for health information exchange with physicians or pharmacies were different over time.  What we found was that the percentage of residential care communities that used electronic health records increased between 2012 and 2016 overall (20% to 26%), and increased for all bed size categories, profit and nonprofit ownership, chain and nonchain affiliation, six out of nine census divisions, and metropolitan and non-metropolitan statistical areas.

Among residential care communities reporting electronic health record use, computerized support for health information exchange with physicians or pharmacies also increased between 2012 and 2016 overall (47.2% to 55.0%), and among communities that had more than 100 beds, were for profit, chain affiliated, located in the East North and East South Central census divisions, and in both metropolitan and non-metropolitan statistical areas.


Q: Can you explain what is considered a residential care community?

CC: Residential care communities provide care to persons who cannot live independently but generally do not require the skilled care provided by nursing homes.

Residential care places are known by different names in different states. We refer to all of these places and others like them as residential care communities.  Just a few terms used to refer to these places are assisted living, personal care, and adult care homes, facilities, and communities; adult family and board and care homes; adult foster care; homes for the aged; and housing with services establishments.


Q: Was there a specific finding in the data that surprised you?

CC: In 2016, electronic health record use was higher in residential care communities in non-metropolitan statistical area (33.0%) compared with residential care communities in metropolitan areas (24.5%).

The percentage of residential care communities with more than 100 beds that used EHRs and had the capability to exchange health information increased from 48.4% in 2012 to 64.9% in 2016.


Q: What is the take home message for this report?

CC: The percentages of residential care communities that use electronic health records and have support for health information exchange with physicians and pharmacies are increasing over time, and the increases vary based on the organizational and geographic characteristics of the residential care communities.


QuickStats: Percentage of Residential Care Communities by U.S. Census Region — National Study of Long-Term Care Providers, 2012–2016

November 2, 2018

During 2012–2016, the percentage of residential care communities located in the West increased from 36.4% to 40.8%.

Throughout the period, a higher percentage of residential care communities were located in the West compared with other regions.

The percentage of residential care communities declined from 30.6% in 2012 to 28% in 2016 in the South and from 10.1% to 8.6% in the Northeast. In the Midwest, the percentage was 22.9% in 2012 and 22.6% in 2016.

Source: National Study of Long-Term Care Providers, 2012–2016 data. https://www.cdc.gov/nchs/nsltcp/index.htm.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6743a7.htm


QuickStats: Percentage of Residential Care Community Residents with a Fall, by Census Region — United States, 2016

September 24, 2018

In 2016, 22% of current residents living in residential care communities had a fall in the past 90 days, representing 175,000 residents in the United States.

By region, 27% of residents living in communities in the Northeast, 23% of residents in Midwest communities, and 20% of residents in communities in the South and West, respectively, had a fall.

A higher percentage of residents in the Northeast had a fall compared with residents in the South and West.

Source: National Study of Long-Term Care Providers, 2016 data. https://www.cdc.gov/nchs/nsltcp/nsltcp_rdc.htm.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6737a6.htm


QuickStats: Percentage of Residential Care Community Residents with an Advance Directive by Census Division — National Study of Long-Term Care Providers, 2016

July 23, 2018

In 2016, 77.9% of residents in residential care communities had an advance directive documented in their files.

By Census division, the highest percentage (87.8%) of residents who had an advance directive were located in the Mountain division, followed by residents in East North Central (83.7%), New England (80.0%), West North Central (78.9%), Pacific (77.6%), South Atlantic (77.4%), East South Central (76.4%), Middle Atlantic (68.8%), and West South Central (64.9%).

Source: National Center for Health Statistics, National Study of Long-Term Care Providers, 2016. https://www.cdc.gov/nchs/nsltcp/index.htm.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6728a7.htm


QuickStats: Percentage of Residential Care Communities That Use Electronic Health Records by Census Region — United States, 2016

July 2, 2018

In 2016, 26% of residential care communities used electronic health records (EHRs).

The percentage that used EHRs was 36% of communities in the Northeast, 41% of communities in the Midwest, 24% of communities in the South, and 17% of communities in the West.

Source: National Study of Long-Term Care Providers, 2016 data. https://www.cdc.gov/nchs/nsltcp/index.htm.

https://www.cdc.gov/mmwr/volumes/67/wr/mm6725a8.htm