Appl Clin Inform 2021; 12(02): 251-258
DOI: 10.1055/s-0041-1726032
Case Report

Defining Data Migration Across Multidisciplinary Ambulatory Clinics Using Participatory Design

Brianne MacKenzie
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
,
Gabriel Anaya
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
,
Jinwei Hu
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
,
Arlen Brickman
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
,
Peter L. Elkin
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
2  Department of Veterans Affairs, Western New York, Buffalo, United States
,
Mandip Panesar
1  Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States
3  Erie County Medical Center, Buffalo, New York, United States
› Author Affiliations

Abstract

Objective This study aimed to develop an institutional approach for defining data migration based on participatory design principles.

Methods We outline a collaborative approach to define data migration as part of an electronic health record (EHR) transition at an urban hospital with 20 ambulatory clinics, based on participatory design. We developed an institution-specific list of data for migration based on physician end-user feedback. In this paper, we review the project planning phases, multidisciplinary governance, and methods used.

Results Detailed data migration feedback was obtained from 90% of participants. Depending on the specialty, requests for historical laboratory values ranged from 2 to as many as 145 unique laboratory types. Lookback periods requested by physicians varied and were ultimately assigned to provide the most clinical data. This clinical information was then combined to synthesize an overall proposed data migration request on behalf of the institution.

Conclusion Institutions undergoing an EHR transition should actively involve physician end-users and key stakeholders. Physician feedback is vital for developing a clinically relevant EHR environment but is often difficult to obtain. Challenges include physician time constraints and overall knowledge about health information technology. This study demonstrates how a participatory design can serve to improve the clinical end-user's understanding of the technical aspects of an EHR implementation, as well as enhance the outcomes of such projects.

Protection of Human and Animal Subjects

Institutional Review Board approval was obtained. This work did not involve any interventions in human or animal subjects.


Supplementary Material



Publication History

Received: 16 August 2020

Accepted: 27 January 2021

Publication Date:
31 March 2021 (online)

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