Impact of Nursing Home Leadership Care Environments and Health Information Technology on Outcomes of Residents with Alzheimer's Disease and Related Dementias (ADRD)

The study has three specific aims: 1) To provide comprehensive assessments of HIT maturity and Nurse Practitioner (NP) care environments in 1400 nursing homes (NHs) with dementia residents, linking survey data to national NH data. 2) To examine the impact of NH HIT maturity and NP care environments on differences in outcomes (hospitalizations, emergency department visits) for residents with dementia, linking surveys to resident-level Medicare claims data. 3) To explore facilitators and barriers for achieving improved outcomes from the perspectives of 70 NH administrators and 70 NPs through key informant interviews, representing various HIT maturity and care environments.