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This paper provides an overview of Health Information Technology (HIT) adoption and utilization in long-term and post-acute care (LTPAC) settings. This study found that LTPAC have adopted electronic health records (EHRs) to support clinical and business needs. Interoperable exchange of health information however is not routine or widely used. LTPAC providers utilize their EHR, but modernization remain slow without focused policy levers. Despite barriers, there are opportunities for emerging policies to support interoperability in LTPAC. This research was conducted under contract #HHSP233201500039I between HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Research Triangle Institute. Additional research in this area is available at the ASPE Long-Term Services & Supports/Long-Term Care page.

In 2022, an ad hoc committee of the National Academies of Sciences, Engineering, and Medicine (NASEM) along with Collaborative member Greg Alexander, published a landmark report which examined how our nation delivers, finances, regulates, and measures the quality of nursing home care.

LTPAC Health IT Collaborative member Greg Alexander was a key member of the team that explored the differences in potentially avoidable/unavoidable hospital transfers in a retrospective analysis of Interventions to Reduce Acute Care Transfers (INTERACT) Acute Transfer Tools (ACTs) completed by advanced practice registered nurses (APRNs) working in the Missouri Quality Improvement (QI) Initiative (MOQI).