Subscribe to RSS

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
Funding This work was supported by the American Medical Association Practice Transformation Initiatives (contract number 19449). 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, Connecticut (CIN-13-407). E.R.M. reports receiving grants from the National Institute on Drug Abuse and the Agency for Healthcare Research and Quality unrelated to this work.

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.
Keywords
audit logs - metrics - electronic health records and systems - data validation and verification - ambulatory care/primary care - facilitators and barriers - use, administration, and maintenanceNote
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.
Protection of Human and Animal Subjects
No human subjects were involved in this work.
Publication History
Received: 19 July 2023
Accepted: 30 September 2023
Accepted Manuscript online:
06 October 2023
Article published online:
29 November 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany