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


AUTHORS

Levy DR , Moy A , Apathy N , Adler-Milstein J , Rotenstein L , Nath B , Rosenbloom T , Kannampallil T , Mishuris RG , Alexanian A , Sieja A , Hribar MR , Patel JS , Sinsky C , Melnick ER , . Applied clinical informatics. 2023 10 6; ().

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.



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