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 journalArticlepeer-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 languageEnglish
Pages (from-to)944-950
Number of pages7
JournalApplied clinical informatics
Volume14
Issue number5
DOIs
StatePublished - 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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