Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center
Year: 2021
Type: article
Abstract: OBJECTIVE: To establish an enterprise initiative for improving health and health care through interoperable electronic health record (EHR) innovations. MATERIALS AND METHODS: We developed a unifying mission and vision, established multidisciplinary governance, and formulated a strategic plan. Key elements of our strategy include establishing a world-class team; creating shared infrastructure to support individual innovations; developing and implementing innovations with high anticipated impact and a clear path to adoption; incorporating best practices such as the use of Fast Healthcare Interoperability Resources (FHIR) and related interoperability standards; and maximizing synergies across research and operations and with partner organizations. RESULTS: University of Utah Health launched the ReImagine EHR initiative in 2016. Supportive infrastructure developed by the initiative include various FHIR-related tooling and a systematic evaluation framework. More than 10 EHR-integrated digital innovations have been implemented to support preventive care, shared decision-making, chronic disease management, and acute clinical care. Initial evaluations of these innovations have demonstrated positive impact on user satisfaction, provider efficiency, and compliance with evidence-based guidelines. Return on investment has included improvements in care; over $35 million in external grant funding; commercial opportunities; and increased ability to adapt to a changing healthcare landscape. DISCUSSION: Key lessons learned include the value of investing in digital innovation initiatives leveraging FHIR; the importance of supportive infrastructure for accelerating innovation; and the critical role of user-centered design, implementation science, and evaluation. CONCLUSION: EHR-integrated digital innovation initiatives can be key assets for enhancing the EHR user experience, improving patient care, and reducing provider burnout.
Source: JAMIA Open
Authors: Kensaku Kawamoto, Polina V Kukhareva, Charlene Weir, Michael C Flynn, Claude J Nanjo, Douglas K Martin, Phillip B Warner, David E Shields, Salvador Rodriguez-Loya, Richard L Bradshaw, Ryan C Cornia, Thomas J Reese, Heidi S Kramer, Teresa Taft, Rebecca L Curran, Keaton L Morgan, Damian Borbolla, Maia Hightower, William J Turnbull, Michael B Strong, Wendy W Chapman, Travis Gregory, Carole H Stipelman, Julie H Shakib, Rachel Hess, Jonathan P Boltax, Joseph P Habboushe, Farrant Sakaguchi, Kyle M Turner, Scott P Narus, Shinji Tarumi, Wataru Takeuchi, Hideyuki Ban, David W Wetter, Cho Lam, Tanner J Caverly, Angela Fagerlin, Chuck Norlin, Daniel C Malone, Kimberly A Kaphingst, Wendy K Kohlmann, Benjamin S Brooke, Guilherme Del Fiol
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,100
OpenAlex ID: W3189109866