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CIN: Computers, Informatics, Nursing

September 2012, Volume 30 Number 9 , p 454 - 455


  • Gregory L. Alexander PhD, RN, FAAN
  • Susan C. Hull MSN, RN


Engaging patients and families over time and across multiple settings with longitudinal care planning, coordination, and measurement has long challenged the healthcare community. As nurses and informaticists, we are in key positions to contribute to further defining models, standards, and measures as well as innovations through mobile, telemedicine, consumer, and community-based solutions.The Office of the National Coordinator (ONC) for Health Information Technology (HIT) efforts to achieve adoption and information exchange through meaningful use of HIT demonstrate a commitment to addressing these care coordination challenges. For example, stage 2, Meaningful Use regulations, are expected to include an expanded set of measures intended to ensure support for care coordination, including structural measures for care plan goals, patient instructions, and the ability to electronically identify and communicate with healthcare providers. Stage 3, focusing on Advance Care Processes, will likely trigger significant momentum for deeper EHR integration, information exchange, and incorporation of patient-generated data to promote care coordination.Objectives have been outlined by several organizations depending on the clinical setting to meet these goals. For example, in long-term and post-acute care (LTPAC), one objective is to shape the issue of care coordination and define its relationship to clinical workflow. Another is to increase awareness and participation of experts in national efforts leading to standardization, interoperability, and certification of LTPAC technologies to enhance exchange systems and consistency of information provided between clinical settings. In this brief article, we outline important strategies to facilitate care coordination and workflow in LTPAC settings, which can also be used to influence greater IT adoption and understanding of impacts of information exchange systems.Strategies to examine workflow issues as technology is incorporated into LTPAC

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