CAST has updated its EHR Selection Tool, which is designed to help aging services organizations plan for and choose the best electronic health record (EHR) system for their needs. The updates include updated CAST 7-Stage EHR Adoption Model data that show more providers moving into Stages 3 and 5, a new provider case study, and updated EHR Selection Matrix with a new vendor. 

Updated CAST 7-Stage EHR Adoption Model

The CAST 7-Stage EHR Adoption Model assesses the level of adoption and sophistication of use—not just the overall rate of adoption—of EHRs in long-term and post-acute care (LTPAC). It is a key component of the CAST EHR Selection Matrix. CAST strongly recommends using the model as a guide when selecting, implementing, and maximizing the use of EHRs; training staff; and driving quality improvement initiatives internally and across providers.
This 7-stage model is generic and is based on the types of functionalities, their sophistication and focus, as opposed to rigid specific functions. Because of this approach, the model can be applied to multiple LTPAC settings and business lines. Previous EHR adoption models focused on inpatient hospitals and nursing homes.
The model includes these stages:

  • Stage 7: Interoperability & Health Information Exchange
  • Stage 6: Engagement & Basic Information Exchange
  • Stage 5: External Ancillary Services Integration
  • Stage 4: Advanced EHR (Internal Quality-Focused)
  • Stage 3: Ancillary & Clinical Administration (Non-Integrated)
  • Stage 2: Basic EHR
  • Stage 1: Basic Information System

In the three years since the model was created, CAST has tracked LTPAC EHR vendors’ perspective on which stage best represents the industry’s progress. The figures below represent a weighted average. As you will see, the percentages for Stage 1 and Stage 2 have been dropping, and the percentages for Stage 3 and Stage 5 have been rising over the past three years.

New 2018 Provider EHR Case Study

A new case study, Utilizing Technology to Implement Case Management Best Practices in Post-Acute Care, shows how Marwood Nursing & Rehab applied a case management model of nursing best practices from the acute setting to its rehab unit. The goal was to incorporate the Minimum Data Set (MDS) assessment and Health Maintenance Organization (HMO) insurance criteria into daily resident care while preparing a resident for discharge. 

An integrated solution with PointClickCare, a LeadingAge Gold Partner with CAST Focus, and COMS helped achieve efficient workflows and standardize Marwood's assessment process. With the shift to case management best practices, Marwood experienced dramatic increase staff efficiencies and quality of care. With the integration of COMS into PointClickCare, Warwood was able to build the standardized COMS assessments directly into their workflows. In addition, the Care Oversight and content keeps residents out of the hospital. See all of the CAST EHR case studies.

Updated Selection Matrix

The EHR Selection Matrix now evaluates 21 tools and includes one new vendor, CAST Business Associate Caremerge and its Senior Living EHR.

CAST Technology Selection Tools

The EHR tool is part of a suite of six CAST Technology Selection Tools, which are hands-on resources that help providers understand, plan for, select, implement, and adopt the appropriate technology while advocating for innovative care models.
Each portfolio includes a whitepaper, selection matrix, online selection tool and provider case studies. The additional tools address Telehealth and RPM, Medication Management, Functional Assessment and Activity Monitoring, Shared Care Planning and Coordination, and Social Connectedness and Engagement.

Interested in Seeing a Demo of the Tool and Learning More? 

Then join us at the LTPAC Health IT Summit, June 24-26, in Washington, DC, where CAST will be demonstrating the updated EHR tool and revealing the latest LTPAC EHR sophistication data. Register today!