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ONC has ideas for reducing clinician burden with health IT
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Imoukhuede, Payne named AIMBE Fellows
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Journal of the American Medical Informatics Association found that policy experts underestimated the impact of widespread electronic health record use on clinician burnout at the time of the HITECH Act s passage in 2009.
The retrospective look examined the discussions at the AMIA s 2009 Annual Health Policy Meeting, which focused on the unanticipated consequences that could occur with the large-scale, national implementation of health IT – especially EHRs – following the HITECH Act.
That policy meeting included many fellows from the American College of Medical Informatics, which met in the winter of 2020 to discuss those 2009 predictions (among other issues). The collective opinion of the ACMI fellows participating in this session was that, while many consequences of the HITECH act were foreseen in 2009, the magnitude of the current burnout crisis largely was not, wrote the
Dr. Douglas McKee
Douglas McKee, MD, is a board-certified family medicine and informatics physician, serving as Chief Medical Information Officer at Health First, a $2 billion integrated delivery network and an Inlightened expert. A collaborative leader known for bridging the gap between clinical and IT stakeholders, Dr. McKee leads IDN change management, electronic medical record modernization efforts, and digital strategy, in addition to directly caring for patients. Dr. McKee previously spent the nearly a decade as the National Clinical Lead for Emerging Health Technologies at the VA, the world’s largest and most complex medical system. His focus on improving the overall healthcare experience of patients and providers alike is driven by a unique combination of expertise in patient care, access, local and national informatics, human factors engineering, and modern IT. Having worked with paper records, athenahealth, CPRS, Centricity, Epic, eClinicalWorks, and Meditech, Dr. McKee
Journal of the American Medical Informatics Association this past week found that, while electronic health record vendors have demonstrated promising levels of advancement, EHR usability continues to be a major hurdle after implementation.
The paper – authored by MedStar Health s Dr. Aaron Z. Hettinger and Raj M. Ratwani, along with Yale School of Medicine s Dr. Edward R. Melnick – examined the usability practices of four unnamed EHR vendors. Implementation processes such as healthcare-facility configuration and customization choices, training and policy all impact usability of EHR technology, noted Hettinger, Melnick and Ratwani. The difference between EHR products pre- and post-implementation, called the EHR usability reality gap, continues to be a significant challenge, they continued.
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