The Agency for Healthcare Research and Quality (AHRQ) has created an On-Time Pressure Ulcer Prevention program to help nursing homes with electronic medical records reduce the occurrence of in-house pressure ulcers. Pressure ulcers remain a serious problem in nursing homes despite regulatory and market approaches to encourage prevention and treatment. AHRQ estimates that the median annual nursing home pressure ulcer prevalence was 7.5 percent in 2009, with associated costs of $3.3 billion annually. The goal is to improve clinical decision-making by helping clinical staff identify residents at risk for four costly adverse events that residents may face—e.g., pressure ulcers, pressure ulcers that are not healing appropriately, falls, and avoidable hospitalizations—and to help them make decisions on interventions that help prevent these adverse events. Generally, a nursing home works on one adverse event at a time. With On-Time, specialized clinical reports are developed from the EMR to provide clinical staff with the information needed to prevent adverse events in a timely manner.
A copy of the On-Time program and additional information can be found here.