Care team identification in the electronic health record: A critical first step for patient-centered communication

2016 ◽  
Vol 11 (5) ◽  
pp. 381-385 ◽  
Author(s):  
Anuj K. Dalal ◽  
Jeffrey L. Schnipper
Keyword(s):  
Electronic Health Record ◽  
Care Team ◽  
Team Identification ◽  
Health Record ◽  
Patient Centered ◽  
Electronic Health

scholarly journals Electronic Health Record Portals and Patient-Centered Outcomes in CKD

2021 ◽  
Vol 3 (2) ◽  
pp. 167-170
Author(s):  
Soraya Arzhan ◽  
Christos Argyropoulos ◽  
Maria-Eleni Roumelioti
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Patient Centered ◽  
Electronic Health

scholarly journals Patient Electronic Health Record Portal Use and Patient-Centered Outcomes in CKD

2021 ◽  
Vol 3 (2) ◽  
pp. 231-240.e1 ◽  
Author(s):  
June Tome ◽  
Shahbaz Ahmed ◽  
Angela Fagerlin ◽  
Corey Powell ◽  
Marcio Mourao ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Patient Centered ◽  
Electronic Health

scholarly journals Provider interaction with the electronic health record: The effects on patient-centered communication in medical encounters

2014 ◽  
Vol 96 (3) ◽  
pp. 315-319 ◽  
Author(s):  
Richard L. Street ◽  
Lin Liu ◽  
Neil J. Farber ◽  
Yunan Chen ◽  
Alan Calvitti ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Patient Centered ◽  
Electronic Health

scholarly journals Incorporating the human touch: piloting a curriculum for patient-centered electronic health record use

2017 ◽  
Vol 22 (1) ◽  
pp. 1396171 ◽  
Author(s):  
Wei Wei Lee ◽  
Maria L. Alkureishi ◽  
Kristen E. Wroblewski ◽  
Jeanne M. Farnan ◽  
Vineet M. Arora
Keyword(s):  
Electronic Health Record ◽  
Health Record ◽  
Patient Centered ◽  
Human Touch ◽  
Electronic Health

Community-Based, Interdisciplinary Geriatric Care Team Satisfaction With an Electronic Health Record

2012 ◽  
Vol 30 (6) ◽  
pp. 300-311 ◽  
Author(s):  
PAULINA S. SOCKOLOW ◽  
KATHRYN H. BOWLES ◽  
HAROLD P. LEHMANN ◽  
PATRICIA A. ABBOTT ◽  
JONATHAN P. WEINER
Keyword(s):  
Electronic Health Record ◽  
Geriatric Care ◽  
Care Team ◽  
Health Record ◽  
Community Based ◽  
Team Satisfaction ◽  
Electronic Health

An Analysis of Electronic Health Record Work to Manage Asynchronous Clinical Messages among Breast Cancer Care Teams

2021 ◽  
Vol 12 (04) ◽  
pp. 877-887
Author(s):  
Bryan D. Steitz ◽  
Kim M. Unertl ◽  
Mia A. Levy
Keyword(s):  
Breast Cancer ◽  
Electronic Health Record ◽  
Cancer Care ◽  
Medical Center ◽  
Asynchronous Communication ◽  
Care Team ◽  
Health Record ◽  
Breast Cancer Care ◽  
Team Members ◽  
Electronic Health

Abstract Objective Asynchronous messaging is an integral aspect of communication in clinical settings, but imposes additional work and potentially leads to inefficiency. The goal of this study was to describe the time spent using the electronic health record (EHR) to manage asynchronous communication to support breast cancer care coordination. Methods We analyzed 3 years of audit logs and secure messaging logs from the EHR for care team members involved in breast cancer care at Vanderbilt University Medical Center. To evaluate trends in EHR use, we combined log data into sequences of events that occurred within 15 minutes of any other event by the same employee about the same patient. Results Our cohort of 9,761 patients were the subject of 430,857 message threads by 7,194 employees over a 3-year period. Breast cancer care team members performed messaging actions in 37.5% of all EHR sessions, averaging 29.8 (standard deviation [SD] = 23.5) messaging sessions per day. Messaging sessions lasted an average of 1.1 (95% confidence interval: 0.99–1.24) minutes longer than nonmessaging sessions. On days when the cancer providers did not otherwise have clinical responsibilities, they still performed messaging actions in an average of 15 (SD = 11.9) sessions per day. Conclusion At our institution, clinical messaging occurred in 35% of all EHR sessions. Clinical messaging, sometimes viewed as a supporting task of clinical work, is important to delivering and coordinating care across roles. Measuring the electronic work of asynchronous communication among care team members affords the opportunity to systematically identify opportunities to improve employee workload.

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