Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center Article Swipe

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Kensaku Kawamoto , Polina Kukhareva , Charlene Weir , Michael Flynn , Claude Nanjo , Douglas K. Martin , Phillip B. Warner , David Shields , Salvador Rodriguez , Richard L. Bradshaw , Ryan Cornia , Thomas S. Reese , Heidi Kramer , Teresa Taft , Rebecca L. Curran , Keaton Morgan , Damián Borbolla , Maia Hightower , William J Turnbull , Michael Strong , Wendy W. Chapman , Travis Gregory , Carole H. Stipelman , Julie H. Shakib , Rachel Hess , Jonathan Boltax , Joseph Habboushe , Farrant Sakaguchi , Kyle Turner , Scott P. Narus , Shinji Tarumi , Wataru Takeuchi , Hideyuki Ban , David W. Wetter , Cho Y. Lam , Tanner Caverly , Angela Fagerlin , Chuck Norlin , Daniel C. Malone , Kimberly A. Kaphingst , Wendy Kohlmann , Benjamin S. Brooke , Guilherme Del Fiol ·

YOU? · · 2021 · Open Access · · DOI: https://doi.org/10.1093/jamiaopen/ooab041

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.

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Interoperability Multidisciplinary approach Health care Business Knowledge management Digital health Process management Computer science World Wide Web Social science Sociology Economics Economic growth

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Type: article
Language: en
Landing Page: https://doi.org/10.1093/jamiaopen/ooab041
PDF: https://academic.oup.com/jamiaopen/article-pdf/4/3/ooab041/39507814/ooab041.pdf
OA Status: gold
Cited By: 46
References: 50
Related Works: 10
OpenAlex ID: https://openalex.org/W3189109866

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DOI: https://doi.org/10.1093/jamiaopen/ooab041

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Title: Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center

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Type: article

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Language: en

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Publication year: 2021

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Publication date: 2021-07-01

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Authors: Kensaku Kawamoto, Polina Kukhareva, Charlene Weir, Michael Flynn, Claude Nanjo, Douglas K. Martin, Phillip B. Warner, David Shields, Salvador Rodriguez, Richard L. Bradshaw, Ryan Cornia, Thomas S. Reese, Heidi Kramer, Teresa Taft, Rebecca L. Curran, Keaton Morgan, Damián Borbolla, Maia Hightower, William J Turnbull, Michael Strong, Wendy W. Chapman, Travis Gregory, Carole H. Stipelman, Julie H. Shakib, Rachel Hess, Jonathan Boltax, Joseph Habboushe, Farrant Sakaguchi, Kyle Turner, Scott P. Narus, Shinji Tarumi, Wataru Takeuchi, Hideyuki Ban, David W. Wetter, Cho Y. Lam, Tanner Caverly, Angela Fagerlin, Chuck Norlin, Daniel C. Malone, Kimberly A. Kaphingst, Wendy Kohlmann, Benjamin S. Brooke, Guilherme Del Fiol

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Landing page: https://doi.org/10.1093/jamiaopen/ooab041

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Concepts: Interoperability, Multidisciplinary approach, Health care, Business, Knowledge management, Digital health, Process management, Computer science, World Wide Web, Social science, Sociology, Economics, Economic growth

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Cited by: 46

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