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DETERMINANTS OF SUCCESSFUL AGING: DEVELOPING AN INTEGRATED RESEARCH AGENDA FOR THE 21ST CENTURY

Christopher M. Callahan, MD; Colleen A. McHorney, PhD; and Cynthia D. Mulrow, MD, MSc, Editors

Using Information Technology To Improve the Health Care of Older Adults

Michael Weiner, MD, MPH; Christopher M. Callahan, MD; William M. Tierney, MD; J Marc Overhage, MD; Burke Mamlin, MD; Paul R. Dexter, MD; and Clement J. McDonald, MD

2 September 2003 | Volume 139 Issue 5 Part 2 | Pages 430-436

The high burden of illness and frailty common among our growing population of older adults often results in fragmentation of care across providers and health care systems, increasing the complexity and costs of caring for these patients. Information technology offers one way to meet this challenge. Scientists at the Regenstrief Institute have more than a quarter-century of experience in using medical informatics to support clinicians in the day-to-day care of older adults. Their research has progressed through several evolutionary cycles, beginning with the acquisition of relevant data and moving to studies of the most efficient and effective mechanisms that bring information to bear at the time of clinical decision making. Information technology designed with the input of the end user has the greatest promise of changing provider behavior because it balances technological challenges with the cultural context of the practice environment. One topic of active research is information technology to support transitions of care among sites and providers. These transitions place older adults at increased risk for avoidable illness, death, and health care costs. Information systems that improve communication among providers during these transitions have the potential to improve safety and reduce costs.

Author and Article Information

From Indiana University Center for Aging Research, Regenstrief Institute, Indiana University, and Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana.

Grant Support: In part by contract N01-LM-9-3542 from the National Library of Medicine.

Potential Conflicts of Interest: None disclosed.

Requests for Single Reprints: Michael Weiner, MD, MPH, Indiana University Center for Aging Research, Regenstrief Institute, 1050 Wishard Boulevard, 6th Floor, Indianapolis, IN 46202-2872; e-mail, mw{at}cogit.net.

Current Author Addresses: Drs. Weiner, Callahan, Overhage, Mamlin, Dexter, and McDonald: Regenstrief Institute, 1050 Wishard Boulevard, Indianapolis, IN 46202-2872.

Dr. Tierney: Indiana University, 1001 West 10th Street, OPW M200, Indianapolis, IN 46202.

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