Appl Clin Inform 2023; 14(01): 11-15
DOI: 10.1055/a-1976-2052

Reflections on the Documentation Burden Reduction AMIA Plenary Session through the Lens of 25 × 5

Deborah R. Levy
1   Department of Veterans Affairs, Pain Research, Multimorbidities, and Education (PRIME) Center, VA-Connecticut, United States
2   Yale University School of Medicine, New Haven, Connecticut, United States
Elizabeth A. Sloss
3   College of Nursing, University of Utah, Salt Lake City, Utah, United States
David Chartash
4   Center for Medical Informatics, Yale University School of Medicine, New Haven, Connecticut, United States
Sarah T. Corley
5   MITRE Corporation, Center for Government Effectiveness and Modernization, Center Office, McLean, Virginia, United States
Rebecca G. Mishuris
6   Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
S. Trent Rosenbloom
7   Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States
Victoria L. Tiase
8   Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, United States
› Author Affiliations
Funding D.R.L. is supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Academic Affiliations, Office of Research and Development, with resources and the use of facilities at the VA Connecticut Healthcare System, West Haven, CT. Work by E.A.S. was supported by the National Institute of Nursing Research of the National Institutes of Health under award number: T32NR013456. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have no additional conflicts of interest, financial or otherwise, to disclose.


Documentation burden, defined as the excessive effort expended on health care documentation, is associated with a number of adverse outcomes, including clinician burnout, reduced quality of medical care, and disruption of clinical data contained in the electronic health record. With the growing concern for the wellness of the clinical workforce, documentation burden is receiving national attention. The American Medical Informatics Association (AMIA) has taken the lead by establishing the 25 × 5 Task Force (“Task Force”) in December 2021, which aims to reduce clinician documentation burden to 25% of the current state in the coming 5 years. Aligned with the timing of the Task Force launch, the AMIA Clinical Informatics Conference (CIC) 2022 co-chairs, Rosemary Kennedy (Connect America) and Paul Fu (City of Hope), conceptualized an opening plenary panel in a “fireside chat” format focused on clinical documentation burden. In this editorial, the authors describe the panel discussion, identify key themes from the panel, and offer recommendations to address documentation burden. The proceedings of the AMIA CIC 2022 Fireside Chat serve as an opportunity to acknowledge those who are engaged and passionate about addressing documentation burden from the vantage point of different stakeholders and institutions.


The contents of this manuscript represent the view of the authors and do not necessarily reflect the position or policy of the U.S. Department of Veterans Affairs or the United States Government.

Publication History

Received: 19 August 2022

Accepted: 06 November 2022

Accepted Manuscript online:
10 November 2022

Article published online:
04 January 2023

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