The impact of transitioning from availability of outside records within electronic health records to integration of local and outside records within electronic health records.

Journal of the American Medical Informatics Association : JAMIA
Julia Adler-Milstein, Michael D Wang

Abstract

While there has been a substantial increase in health information exchange, levels of outside records use by frontline providers are low. We assessed whether integration between outside data and local data results in increased viewing of outside records, overall and by encounter, provider, and patient type. Using data from UCSF Health, we measured change in outside record views after integrating the list of local (UCSF) and outside (other health systems on Epic [Epic Systems, Verona, WI]) encounters on the Chart Review tab. Previously, providers only viewed records from outside encounters on a separate tab. We used an interrupted time series design (with outside record viewing event counts aggregated to the week level) to measure changes in the level and trend over a 1-year period. There was a large increase in the level of outside record views of 22 920 per week (P < .001). The change in trend went from a weekly increase of 116 (P < .05) to a decrease of 402 (P = .08), reflecting a small effect decay. There were increases in the level of views for all provider and encounter types: attendings (n = 3675), residents (n = 3277), and nurses (n = 914); and inpatient (n = 1676), emergency (n = 487), and outpatient (n = 7228) (P < .00...Continue Reading

References

Aug 19, 2011·Journal of the American Medical Informatics Association : JAMIA·Kevin B JohnsonMark Frisse
Nov 8, 2011·Journal of the American Medical Informatics Association : JAMIA·Mark E FrisseQingxia Chen
Jul 16, 2014·Applied Clinical Informatics·T J WindenJ S Hokanson
Dec 2, 2014·Annals of Internal Medicine·Robert S RudinPaul G Shekelle
Aug 16, 2016·Journal of the American Medical Informatics Association : JAMIA·Jordan EversonJulia Adler-Milstein
Jan 18, 2018·The New England Journal of Medicine·Mitesh S PatelDavid A Asch
May 23, 2018·Journal of the American Medical Informatics Association : JAMIA·Chad D MeyerhoeferDonald Levick

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Citations

Apr 21, 2020·Journal of the American Medical Informatics Association : JAMIA·Aihua YanDinesh A Mirchandani

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