# A National Report of Nursing Home Quality Measures and Information Technology

> **NIH AHRQ R01** · COLUMBIA UNIVERSITY HEALTH SCIENCES · 2020 · $305,559

## Abstract

Abstract
In this National Report of Nursing Home Quality Measures and Information Technology, AHRQ will support an
interdisciplinary research team who are already contributing to clinical research in long-term care settings. The
PI is a doctorally-prepared RN and fellow in the American Academy of Nursing with over two decades of work
in diverse projects, settings, and disciplines. Additional leadership includes experts in informatics including
health information technology (IT), long term care, survey methodologies, statistics, and nursing homes have
been assembled to guide this study. The research strategy includes a 4 round Delphi Technique with 30 NH IT
experts to validate a NH IT Maturity survey that includes 29 content areas in resident care, clinical support, and
administrative activities. Delphi experts will help also develop a NH IT maturity staging model based on NH IT
capabilities, extent of IT use, and IT integration. Delphi expert opinion regarding the the NH IT Maturity scale
and staging model will be combined to form a new survey that will be used to measure NH IT Maturity
nationally, in the U.S. The team will conduct a pilot test of the new survey, prior to the national survey, to
examine validity of the instrument. The pilot study will be conducted with 24 respondents who participated in
the initial national NH IT sophistication study. These respondents will be recruited from a pool of 223 NHs
participating in original research with diverse total IT sophistication measures (HIGH, MEDIUM, and LOW).
Once the NH IT Maturity survey is validated, the team will conduct a three-wave, longitudinal, repeated
measures study measuring NH IT Maturity in a national sample of NHs. Methods include an examination of the
relationships between NH IT Maturity and stages of maturity, and nationally-reported, publicly-available NH
Quality Measures available through Nursing Home Compare over three consecutive years. Specific aims are:
1) Create a NH IT maturity survey and maturity staging model using a 4 round Delphi with NH IT experts, 2)
Pilot test the NH IT Maturity Survey and staging model with NH IT experts, 3) Explore NH IT maturity using the
survey and staging model during a 3-year national assessment, and 4) Examine if NH IT maturity is associated
with CMS quality measures in a national sample of NHs over 3 years. The project is highly innovative; national
assessments of NH IT Maturity and maturity stages have not been measured previously or linked with national
NH Quality Measures. This study includes a survey of NH IT Maturity in a nationally representative sample
including 10% of NHs recruited from each state in the United States (N=1,570). Statistical analysis will be done
using the software SAS v9 (SAS Institute Inc., Cary, NC, USA). Since the sampling method involves
stratification by state and since the sampling weights assigned to homes will depend on the number of
respondents within each state, the analysis must take the complex sampli...

## Key facts

- **NIH application ID:** 9980344
- **Project number:** 5R01HS022497-06
- **Recipient organization:** COLUMBIA UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** Gregory L. Alexander
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2020
- **Award amount:** $305,559
- **Award type:** 5
- **Project period:** 2013-09-30 → 2022-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9980344

## Citation

> US National Institutes of Health, RePORTER application 9980344, A National Report of Nursing Home Quality Measures and Information Technology (5R01HS022497-06). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/9980344. Licensed CC0.

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