Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings

Deborah R. Levy; Amanda J. Moy; Nate Apathy; Julia Adler-Milstein; Lisa Rotenstein; Bidisha Nath; S. Trent Rosenbloom; Thomas Kannampallil; Rebecca G. Mishuris; Aram Alexanian; Amber Sieja; Michelle R. Hribar; Jigar S. Patel; Christine A. Sinsky; Edward R. Melnick

doi:10.1055/a-2187-3243

Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings

Deborah R. Levy, Amanda J. Moy, Nate Apathy, Julia Adler-Milstein, Lisa Rotenstein, Bidisha Nath, S. Trent Rosenbloom, Thomas Kannampallil, Rebecca G. Mishuris, Aram Alexanian, Amber Sieja, Michelle R. Hribar, Jigar S. Patel, Christine A. Sinsky, Edward R. Melnick

Research output: Contribution to journal › Article › peer-review

Abstract

Precise, reliable, valid metrics that are cost-effective and require reasonable implementation time and effort are needed to drive electronic health record (EHR) improvements and decrease EHR burden. Differences exist between research and vendor definitions of metrics. Process We convened three stakeholder groups (health system informatics leaders, EHR vendor representatives, and researchers) in a virtual workshop series to achieve consensus on barriers, solutions, and next steps to implementing the core EHR use metrics in ambulatory care. Conclusion Actionable solutions identified to address core categories of EHR metric implementation challenges include: (1) maintaining broad stakeholder engagement, (2) reaching agreement on standardized measure definitions across vendors, (3) integrating clinician perspectives, and (4) addressing cognitive and EHR burden. Building upon the momentum of this workshop’s outputs offers promise for overcoming barriers to implementing EHR use metrics.

Original language	English
Pages (from-to)	944-950
Number of pages	7
Journal	Applied clinical informatics
Volume	14
Issue number	5
DOIs	https://doi.org/10.1055/a-2187-3243
State	Published - Jul 19 2023

Keywords

ambulatory care
audit logs
data validation and verification
electronic health records and systems
facilitators and barriers
metrics
primary care
use, administration, and maintenance

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Levy, D. R., Moy, A. J., Apathy, N., Adler-Milstein, J., Rotenstein, L., Nath, B., Rosenbloom, S. T., Kannampallil, T., Mishuris, R. G., Alexanian, A., Sieja, A., Hribar, M. R., Patel, J. S., Sinsky, C. A., & Melnick, E. R. (2023). Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings. Applied clinical informatics, 14(5), 944-950. https://doi.org/10.1055/a-2187-3243

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title = "Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings",

abstract = "Precise, reliable, valid metrics that are cost-effective and require reasonable implementation time and effort are needed to drive electronic health record (EHR) improvements and decrease EHR burden. Differences exist between research and vendor definitions of metrics. Process We convened three stakeholder groups (health system informatics leaders, EHR vendor representatives, and researchers) in a virtual workshop series to achieve consensus on barriers, solutions, and next steps to implementing the core EHR use metrics in ambulatory care. Conclusion Actionable solutions identified to address core categories of EHR metric implementation challenges include: (1) maintaining broad stakeholder engagement, (2) reaching agreement on standardized measure definitions across vendors, (3) integrating clinician perspectives, and (4) addressing cognitive and EHR burden. Building upon the momentum of this workshop{\textquoteright}s outputs offers promise for overcoming barriers to implementing EHR use metrics.",

keywords = "ambulatory care, audit logs, data validation and verification, electronic health records and systems, facilitators and barriers, metrics, primary care, use, administration, and maintenance",

author = "Levy, {Deborah R.} and Moy, {Amanda J.} and Nate Apathy and Julia Adler-Milstein and Lisa Rotenstein and Bidisha Nath and Rosenbloom, {S. Trent} and Thomas Kannampallil and Mishuris, {Rebecca G.} and Aram Alexanian and Amber Sieja and Hribar, {Michelle R.} and Patel, {Jigar S.} and Sinsky, {Christine A.} and Melnick, {Edward R.}",

note = "Publisher Copyright: {\textcopyright} 2023. The Author(s).",

year = "2023",

month = jul,

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doi = "10.1055/a-2187-3243",

language = "English",

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Levy, DR, Moy, AJ, Apathy, N, Adler-Milstein, J, Rotenstein, L, Nath, B, Rosenbloom, ST, Kannampallil, T, Mishuris, RG, Alexanian, A, Sieja, A, Hribar, MR, Patel, JS, Sinsky, CA & Melnick, ER 2023, 'Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings', Applied clinical informatics, vol. 14, no. 5, pp. 944-950. https://doi.org/10.1055/a-2187-3243

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T1 - Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care

T2 - Virtual Consensus Conference Proceedings

AU - Levy, Deborah R.

AU - Moy, Amanda J.

AU - Apathy, Nate

AU - Adler-Milstein, Julia

AU - Rotenstein, Lisa

AU - Nath, Bidisha

AU - Rosenbloom, S. Trent

AU - Kannampallil, Thomas

AU - Mishuris, Rebecca G.

AU - Alexanian, Aram

AU - Sieja, Amber

AU - Hribar, Michelle R.

AU - Patel, Jigar S.

AU - Sinsky, Christine A.

AU - Melnick, Edward R.

PY - 2023/7/19

Y1 - 2023/7/19

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ER -

Identifying and Addressing Barriers to Implementing Core Electronic Health Record Use Metrics for Ambulatory Care: Virtual Consensus Conference Proceedings

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