Unmet information needs of clinical teams delivering care to complex patients and design strategies to address those needs.

Journal of the American Medical Informatics Association : JAMIA
Deborah J CohenNathaniel Warren

Abstract

To identify the unmet information needs of clinical teams delivering care to patients with complex medical, social, and economic needs; and to propose principles for redesigning electronic health records (EHR) to address these needs. In this observational study, we interviewed and observed care teams in 9 community health centers in Oregon and Washington to understand their use of the EHR when caring for patients with complex medical and socioeconomic needs. Data were analyzed using a comparative approach to identify EHR users' information needs, which were then used to produce EHR design principles. Analyses of > 300 hours of observations and 51 interviews identified 4 major categories of information needs related to: consistency of social determinants of health (SDH) documentation; SDH information prioritization and changes to this prioritization; initiation and follow-up of community resource referrals; and timely communication of SDH information. Within these categories were 10 unmet information needs to be addressed by EHR designers. We propose the following EHR design principles to address these needs: enhance the flexibility of EHR documentation workflows; expand the ability to exchange information within teams and betwe...Continue Reading

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Citations

May 5, 2020·Journal of the American Medical Informatics Association : JAMIA·Suzanne Bakken, Gregory Alexander
May 22, 2021·Journal of Biomedical Informatics·N J KaneM A Hoffman
Jun 19, 2021·Journal of the American Medical Informatics Association : JAMIA·Pamela J SurkanWayne W Zachary
Sep 23, 2021·Journal of the American Medical Informatics Association : JAMIA·Michael WangJulia Adler-Milstein

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