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1. 22. Some successes and failures with long-term care data systems: the Rhode Island experience.

Author

Scott HD, Allison-Cooke S, Laufer D, and Thornberry H

Subjects
Chronic Disease, Home Care Services, Hospitals, Psychiatric, Hospitals, Special, Humans, Nursing Homes, Population Surveillance, Rhode Island, Information Services, Long-Term Care
Abstract

A project by Rhode Island Health Services Research (SEARCH) to develop, adapt, and improve data systems in several Rhode Island long-term care settings includes skilled nursing and intermediate care facilities, two chronic care hospitals, mental health institutions, and home health agencies. A successful medical review system was developed for Medicaid nursing home patients which is now a program funded by the state, as well as a good abstracting system for the two chronic hospitals. Also, steps were taken to correct omissions and inaccuracies found in mental health data used in the Multi-State Information System (MSIS), and to modify a limited management information system used by home health agencies. In retrospect, the project would have been better served had it attempted to be less comprehensive and instead focused its resources in areas of high visibility and unequivocal public concern. The approach would have given the state population-based information of much greater power than is currently available, despite the recognized successes of the project in the nursing home and chronic hospital areas.

Published
1976
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2. 22. Some Successes and Failures with Long-Term Care Data Systems

Author

Laufer D, Scott Hd, Thornberry H, and Allison-Cooke S

Subjects
Hospitals, Psychiatric, Gerontology, Population, Hospitals, Special, Nursing, Information system, Humans, Medicine, education, Information Services, Chronic care, education.field_of_study, business.industry, Public Health, Environmental and Occupational Health, Health services research, Rhode Island, Home Care Services, Long-Term Care, Mental health, Nursing Homes, Management information systems, Long-term care, Population Surveillance, Chronic Disease, business, Medicaid
Abstract

A project by Rhode Island Health Services Research (SEARCH) to develop, adapt, and improve data systems in several Rhode Island long-term care settings includes skilled nursing and intermediate care facilities, two chronic care hospitals, mental health institutions, and home health agencies. A successful medical review system was developed for Medicaid nursing home patients which is now a program funded by the state, as well as a good abstracting system for the two chronic hospitals. Also, steps were taken to correct omissions and inaccuracies found in mental health data used in the Multi-State Information System (MSIS), and to modify a limited management information system used by home health agencies. In retrospect, the project would have been better served had it attempted to be less comprehensive and instead focused its resources in areas of high visibility and unequivocal public concern. The approach would have given the state population-based information of much greater power than is currently available, despite the recognized successes of the project in the nursing home and chronic hospital areas.

Published
1976

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