EHR Topic - Excessive Data Entry Requirements

The HL7 EHR WG has been challenged to address the topic of "excessive data entry requirements under [the US] Meaningful Use Program." This Wiki Page is intended to capture key discussion points and reference materials related thereto. Please contact an EHR WG Co-Chair to contribute.

Note: DRAFT documents may be incomplete and are posted for Team review and discourse. Please take care to note their draft (tentative) status if referencing or sharing with others.

Project Discourse

• Project Formation Discussion Points, revised 20 Oct 2016
• Initial Discussion Thread - Statements of Several Past and Present HL7 EHR WG Co-Chairs, in chronological order, revised 11 Oct 2016

Reference Materials

• HL7 C-CDA Relevant and Pertinent Implementation Guide Project, including survey results
• American Medical Association - Improving Care: Priorities to Improve Electronic Health Record Usability, 2014; Steven Stack MD, Chair, Gary Botstein MD, John Mattison MD, Genevieve Melton-Meaux MA MD, Blackford Middleton MD MPH, Raj Ratwani PhD, Christopher Ross, Christine Sinsinsky MD, Steven Steinhubl MD, Michael Zaroukian MD PHD
• American College of Physicians - Clinical Documentation in the 21st Century: Policy Position Paper, 2015; Thompson Kuhn MA, Peter Basch MD, Michael Barr MD MBA; highlights by David Schlossman MD PhD FACP MS (Informatics) CPHIMS
• Annals of Internal Medicine - American College of Physicians Abstract - Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialities, 6 Sep 2016; Christine Sinsky MD, Lacey Colligan MD, Ling Li PHD, Mirela Prgomet PHD, Sam Reynolds MBA, Lindsey Goeders MBA, Johanna Westbrook PhD, Michael Tutty PhD, George Blike MD
• Electronic Health Records: An Unfulfilled Promise and a Call to Action, 6 Sep 2016; Susan Hingle MD
• Five Usability Barriers Preventing Health IT From Supporting Clinician Needs; David Schlossman MD PhD FACP MS (Informatics) CPHIMS, Nancy Staggers PhD RN FAAN
• Mayo Clinic: Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction, Jul 2016; Tait D. Shanafelt MD, Lotte N. Dyrbye MD MHPE, Christine Sinsky MD, Omar Hasan MBBS MPH, Daniel Satele MS, Jeff Sloan PhD, and Colin P. West MD PhD
• The Rise of the Medical Scribe Industry Implications for the Advancement of Electronic Health Records, 7 April 2015; George A. Gellert MD MPH MPA, Ricardo Ramirez LVN, S. Luke Webster MD
• Physician Information Needs and Electronic Health Records (EHRs): Time to Reengineer the Clinic Note, Jun 2015; Richelle J. Koopman MD MS, Linsey M. Barker Steege PhD, Joi L. Moore PhD, Martina A. Clarke MS, Shannon M. Canfield MPH, Min S. Kim PhD, Jeffery L. Belden MD
• Provider interaction with the electronic health record: The effects on patient-centered communication in medical encounters, Sep 2014; Richard L. Street Jr, Lin Liu, Neil J. Farber, Yunan Chen, Alan Calvitti, Danielle Zuest, Mark T. Gabuzda, Kristin Bell, Barbara Gray, Steven Rick, Shazia Ashfaq, Zia Agha
• The myth of standardized workflow in primary care, 2 Sep 2015; G Talley Holman, John W Beasley, Ben-Tzion Karsh, Jamie A Stone, Paul D Smith, Tosha B Wetterneck
• Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy, 2013; RAND Corporation; Mark W. Friedberg, Peggy G. Chen, Kristin R. Van Busum, Frances M. Aunon Chau Pham, John P. Caloyeras, Soeren Mattke, Emma Pitchforth, Denise D. Quigley, Robert H. Brook, F. Jay Crosson, Michael Tutty; NOTE that Chapters 7 and 16 are relevant to Data Entry requirements.
• Report of the AMIA EHR 2020 Task Force on the Status and Future Direction of EHRs, 28 May 2015; Thomas H. Payne, Sarah Corley, Theresa A. Cullen, Tejal K. Gandhi, Linda Harrington, Gilad J. Kuperman, John E. Mattison, David P. McCallie, Clement J. McDonald, Paul C. Tang, William M. Tierney,1 Charlotte Weaver, Charlene R. Weir, Michael H. Zaroukian
• Health IT News - EHRs can place excessive data entry burden on physicians, 7 Oct 2014