Dataset Information

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

ABSTRACT:

Objective

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.

Materials and methods

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.

Results

There was a large increase in the level of outside record views of 22 920 per week (P?DiscussionWhile outside records were readily available before the encounter integration, the simple step of clicking on a separate tab appears to have depressed use.

Conclusions

User interface designs that comingle local and outside data result in higher levels of viewing and should be more broadly pursued.

SUBMITTER: Adler-Milstein J

PROVIDER: S-EPMC7647298 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Publications

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

Adler-Milstein Julia J Wang Michael D MD

Journal of the American Medical Informatics Association : JAMIA 20200401 4

<h4>Objective</h4>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.<h4>Materials and methods</h4>Using data from UCSF Health, we measured change in outside record views after integrating the list of local (UCSF) and outside (other health sys ...[more]

PMID: 32134449

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Dataset Information

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

Objective

Materials and methods

Results

Conclusions

Publications

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

Similar Datasets

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