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The HL7 Reducing Clinician Burden Work Group (RCB) Project is an activity of the HL7 Electronic Health Record Work Group (EHR WG).
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The Reducing Clinician Burden (RCB) Project is an activity of the HL7 Electronic Health Record Work Group (EHR WG).
  
 
Please subscribe to the HL7 EHR WG listserver for meeting announcements, agendas and updates regarding current work.
 
Please subscribe to the HL7 EHR WG listserver for meeting announcements, agendas and updates regarding current work.
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The RCB Project team meets via teleconference on the 1st and 3rd Mondays each month - at 3PM ET (US).  To join the teleconference:  https://global.gotomeeting.com/meeting/join/798931918
  
 
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.
 
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.
  
The RCB Project team meets via teleconference on the 1st and 3rd Mondays each month - at 3PM ET (US).  To join the teleconference:  https://global.gotomeeting.com/meeting/join/798931918
 
  
NOTE: The RCB Team is meeting face-to-face in conjunction with the HL7 Montreal Working Group Meeting on Wednesday, 8 May, from 13:45 until 5PM (US/Canada ET) so the 6 May teleconference is cancelledThe Project Team will reconvene via teleconference on Monday, 20 May, at 3PM ET (US).   
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==HL7 RCB Project - Presentations==
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*[[media:Reducing_Clinician_Burden-Overview-20200706.pdf|DRAFT Reducing Clinician Burden Project Overview, updated 6 Jul 2020]]
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*[https://confluence.hl7.org/download/attachments/39160937/20200518%20Da%20Vinci%20-%20RCB%20Presentation.pptx?version=1&modificationDate=1589915917527&api=v2 HL7 Da Vinci Project Overview (focused on Provider/Payer Exchange), Viet Nguyen MD, presented 18 May 2020]
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*[https://confluence.hl7.org/display/DVP/Da+Vinci+2020+Calendar HL7 Da Vinci Project Calendar, Viet Nguyen MD, presented 18 May 2020]
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*[[media:DQ_and_RCB_Complexity_Simplified_May_4_2020.pdf|Data Quality and Clinician Burden - Overview, Examples, and Basic Recommendations, Reed Gelzer MD, presented 4 May and 1 Jun 2020]]
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*[[media:EHR_WG_Update_20April2020.pdf|Exploring FHIR to Reduce Burden for Quality Measurement, Floyd Eisenberg MD PhD, presented 20 Apr 2020]]
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*[[media:HL7_Interactive_fhir_FINAL_14April2020_with_results-1.pdf|Exploring FHIR to Reduce Burden for Quality Measurement - Survey Results, Floyd Eisenberg MD PhD, presented 20 Apr 2020]]
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*[[media:Association_Between_EHR_Usability_and_Burnout_DS_20191118.pdf|Association between EHR Usability and Burnout, David Schlossman MD, presented 18 Nov 2019]]
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*[[media:HL7_EHR-S_FM_Usability_FP_Relationship_to_RCB_Project_DS_20191007.pdf|Increasing EHR System Usability Through Standards - As One Approach to Reducing Clinician Burden, David Schlossman MD, presented 7 Oct 2019]]
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*[[media:Schlossman_AMDIS_RCB_Presentation_final.pdf|Reducing Clinician Burden Project - New Directions in Alleviating Clinical Workflow and Documentation Burdens - Association of Medical Directors of Information Systems (AMDIS) Presentation, David Schlossman MD, presented 20 Jun 2019]]
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*[[media:HL7_EHR_S_and_Usability_DS_20190617.pdf|Update on HL7 EHR System Usability Functional Profile Project, HL7 Da Vinci Project, CMS Patients over Paperwork RFI, David Schlossman MD, presented 17 Jun 2019]]
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==HL7 RCB Project - Analysis Worksheets==
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*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20200706.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, updated 6 Jul 2020]]
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This version of the RCB Analysis Worksheet includes the ONC FINAL "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs"Each of the four ONC Initiatives(I), along with Strategies(S) and Recommendations(R) are inserted within the related RCB topic area and are identified as Ix.Sx.Rx.  NOTE also that all reference sources up through #110 have been reviewed and are incorporated in this versionSee "References" Tab.
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*[[media:Reducing_Clinician_Burden-Cause_Matrix-20200615.pdf|DRAFT Reducing Clinician Burden - Cause Matrix, updated 15 Jun 2020]]
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This one page DRAFT outlines key causal factors for clinician burden and is offered for your review and comment.
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*[[media:IPS-Burden_Comments-20200330.pdf|RCB-related Comments on ISO DIS 27269 - International Patient Summary, published 30 Mar 2020]]
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These comments on the DRAFT International Patient Summary were prepared in correspondence with findings of the HL7 RCB Project and clinician burdens associated with patient summary creation, exchange and use, particularly with regard to aspects of information overload, data integrity, patient/provider identity matching, preservation of clinical data context and reconciliation of medications, medication allergies, all allergies and problems/diagnoses.
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==HL7 RCB Project - Comment Only Ballot==
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*[[media:Reducing_Clinician_Burden-Comment_Only_Ballot-20200806.pdf|DRAFT Overview - HL7 "Comment Only" Ballot - August/September 2020 Ballot Cycle - To Gain Insights/Input from the HL7 International Community on Strategies for Clinician Burden Reduction, posted 6 Jul 2020]]
  
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==HL7 RCB Project - White Paper==
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*[[media:RCB_Project_Clinical_Workflow_Paper_JMIR_Format_21Jan2020-Final.docx|DRAFT Reducing Clinician Burden by Improving Electronic Health Record Usability and Support for Clinical Workflow, David Schlossman MD PhD, Lisa Masson MD, James Tcheng MD, Luann Whittenburg RN PhD, Barry Newman MD, Gary Dickinson FHL7, released 1 Jun 2020]]
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This White Paper has been released for Project Team review and comment.
  
=HL7 "Reducing Clinician Burden" (RCB) Project=
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==Burden Reduction (and other) Initiatives in Response to the COVID-19 Pandemic==
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*[https://www.cms.gov/files/document/cms-waivers-and-covid-19-response.pdf (US) Centers for Medicare and Medicaid Services (CMS) - Waivers and COVID-19 Response, Online Presentation, 7 April 2020]
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*[https://www.cms.gov/newsroom/press-releases/cms-announces-relief-clinicians-providers-hospitals-and-facilities-participating-quality-reporting (US) CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19, posted 22 Mar 2020]
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*[https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19 (US) Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge, posted 30 Mar 2020]
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*[https://www.hcinnovationgroup.com/interoperability-hie/standards/article/21131620/hitac-brainstorms-ways-onc-can-help-frontline-providers-in-covid19-response (US) Health Information Technology Advisory Committee (HITAC) Brainstorms Ways ONC Can Help Front-Line Providers in COVID-19 Response, published 27 Mar 2020]
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*[https://www.fiercehealthcare.com/payer/humana-aims-to-ease-administrative-financial-burdens-providers-amid-covid-19-crisis?utm_medium=nl&utm_source=internal&mrkid=4643083&mkt_tok=eyJpIjoiWmpNME1HRmlPV1E0TkRBeiIsInQiOiJPVXlncCtyNWVqZWdvNFZwQUxxQlpPOWFlOUNwUExHeVZuR2hCV1E4clV4MVVuMXZVQUNQTzIySWpmbEN6N2pkYXhnUkMwSEg1a0V4TTNyaEw1YjE0bnFZdm02Y2Ewb1djeSszUTlKcytjbldJSU9JTVZRQVFsSm1wa1N3bVlBVyJ9 (US Health Plan) Humana easing administrative, financial burdens on providers amid COVID-19 crisis, published 2 Apr 2020]
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*[https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/coronavirus-disease-2019-covid-19/index.html (US) CMS - COVID-19 Disaster Response Toolkit, posted 7 April 2020]
  
*[[media:Reducing_Clinician_Burden-Overview-20190415.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 15 Apr 2019]]
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*[https://www.logicahealth.org/covid-19-interoperability-project/ Logica COVID-19 Interoperability Project, posted 4 Apr 2020]
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20190415.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 15 Apr 2019]]
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*[https://covid-19-ig.logicahealth.org/?mc_cid=709e81f39c&mc_eid=10d45eb01b Logica COVID-19 FHIR Implementation Guide, posted 4 Apr 2020]
  
 
=="See What We Mean"==
 
=="See What We Mean"==
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==HL7 RCB Project - Reducing Burden - Success Stories==
 
==HL7 RCB Project - Reducing Burden - Success Stories==
 
*[[media:Reducing_Clinician_Burden-Success_Story_Template-20190128.docx|DRAFT Reducing Clinician Burden - Success Story Template, updated 28 Jan 2019]]
 
*[[media:Reducing_Clinician_Burden-Success_Story_Template-20190128.docx|DRAFT Reducing Clinician Burden - Success Story Template, updated 28 Jan 2019]]
*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, Duke University, posted 4 Feb 2019]]
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*[[media:RCB_Story_-_Duke_Heart_Procedures.docx|Duke University - Duke Heart Business Unit – Procedure Reporting, James E Tcheng MD FACC FSCAI, 4 Feb 2019]]
*[[media:Greta_Branford-UMich-HIMSS_2019.pdf|Burnout: How EHR Usability Improves Efficiency & Satisfaction, Greta Branford MD, University of Michigan, 14 Feb 2019]]
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*[[media:19_HL7_RCB_Duke-dist.pdf|Duke University - Reducing Clinician Burden - Cardiovascular Procedure Reporting at Duke, James E Tcheng MD FACC FSCAI, 18 Sep 2019 (Posted with Permission)]]
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*[[media:UGM_2019_ProviderBurnoutandEd_final-resized.pdf|University of Michigan - "Home for Dinner" - Reducing After Hours Documentation with Focused Training, Greta Branford MD, Marie Baldwin MSHROD, 26 Aug 2019 (Posted with Permission)]]
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*[[media:Monica_Jones-SNOMED_Clinical_Forum-20190409a.pdf|National Health Service - Rotherham Foundation Trust (UK) - Benefits of SNOMED CT from a clinical perspective, The Rotherham experience, Monica Jones, 9 Apr 2019 (Posted with Permission)]]
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*[[media:HL7_-_CCA_Optimization_Presentation_7.15.19.pdf|University of Pennsylvania - Getting Time Back in Your Day!  Implementing a Multi-Faceted Approach to Optimizing Epic in the Ambulatory Setting, Jeff Tokazewski MD, Carole Rosen, Shane Thomas, 15 Jul 2019 (Posted with Permission)]]
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*[[media:AHA-well-being-playbook.pdf|American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]]
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*[[media:AHA-HL7_Burnout_Webinar-Arespacochaga-20190818.pdf|American Hospital Association - Well-Being Playbook Presentation, Elisa Arespacochaga, 19 Aug 2019 (Posted with Permission)]]
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*[[media:UGM040_Understanding_the_Impact_of_the_EHR_on_Physician_Wellness_and_Burnout.pdf|Stanford University/Stanford Health Care - Understanding the Impact of the EHR on Physician Burnout and Wellness, Christopher Sharp MD, Lindsay Stevens MD, 28 Aug 2019 (Posted with Permission)]]
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*[https://www.dropbox.com/s/vxz2gywht2d0r9p/amber%20sieja-univ%20colorado-hl7%20talk%20-%20sprint%20ehr%20optimization%20program-20191216.pdf?dl=0 SPRINT – An Organizational Strategy that Increases Satisfaction, Improves Teamwork and Reduces Burnout, Amber Sieja MD, University of Colorado School of Medicine, UCHealth (Posted with Permission)]
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==HL7 RCB Project - Survey and Responses==
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*[[media:Reducing_Clinician_Burden-Survey_Responses-20190819.docx|RCB Project Survey and Responses, dated 19 Aug 2019]]
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*[[media:ACS-CMS_Mango_v3.0-Opelka-201906.pdf|"The Value Expression" Presentation to CMS, Frank Opelka MD, Medical Director, American College of Surgeons, Quality and Health Policy, published Jun 2019 (Posted with Permission)]]
  
 
==HL7 RCB Project - Focus Team Drafts==
 
==HL7 RCB Project - Focus Team Drafts==
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*[[media:Schlossman_HL7_RCB_Project_Focus_Teams_Report_20190508.pdf|DRAFT Reducing Clinician Burden - New Approaches to Clinical Workflow, Clinical Documentation, and Electronic Health Record Usability, Clinical Workflow and Documentation Focus Team Report, David Schlossman MD, Lisa Masson MD, Leads, updated 8 May 2019]]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[https://drive.google.com/drive/folders/113pFh5kjX-dLR2K8jLlG-FJkLm-_5IN4?ogsrc=32 DRAFT Team Report - Clinical Documentation: Quality and Usability - Lisa Masson MD, Lead, updated 7 Jan 2019]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
 
*[[media:EHR_based_cognitive_support_to_Enhance_the_clinician_experience.pdf|DRAFT Team Outline - Clinical decision support, medical logic, artificial intelligence + Alerts, reminders, notifications, inbox management + Information overload - Jim McClay MD, Lead, updated 17 Jan 2019]]
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*[[media:Data_Quality_interest_group_report_for_March_4_RCB_Meeting.docx|DRAFT Team Report - Data Quality - Reed Gelzer MD, Lead, updated 4 Mar 2019]]
 
*[[media:Data_Quality_interest_group_report_for_March_4_RCB_Meeting.docx|DRAFT Team Report - Data Quality - Reed Gelzer MD, Lead, updated 4 Mar 2019]]
  
==US Office of National Coordinator for Health Information Technology (ONC) DRAFT "Strategy on Reducing Burden"==
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==US Office of National Coordinator for Health Information Technology (ONC) Strategy for Reducing Burden==
*[https://www.healthit.gov/topic/usability-and-provider-burden/strategy-reducing-burden-relating-use-health-it-and-ehrs ONC DRAFT "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs", including Findings, Strategies and Recommendations, published 28 Nov 2018, comment period closed 28 Jan 2019]
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*[https://www.healthit.gov/topic/2020-2025-federal-health-it-strategic-plan ONC DRAFT Federal Health IT Strategic Plan, 2020-2025 - published 15 Jan 2020]
*[https://healthit.gov/burdencomments Summary of Public Comments for Draft Strategy, published 26 Mar 2019]
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*[https://www.healthit.gov/topic/usability-and-provider-burden/strategy-reducing-burden-relating-use-health-it-and-ehrs ONC FINAL "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs", including Findings, Strategies and Recommendations, published 21 Feb 2020]
*[[media:HL7_Response_Letter_ONC_Reducing_Burden_Strategy_FINAL.docx|HL7 Comments on ONC Draft Strategy, compiled by HL7 Policy Advisory Committee, submitted 28 Jan 2019]]
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*[https://healthit.gov/burdencomments Summary of Public Comments on ONC DRAFT Strategy, published 26 Mar 2019]
*[[media:CentriHealth-Comments_on_ONC_DRAFT_Burden_Reduction_Strategy.pdf|CentriHealth (UnitedHealth Group) Comments on ONC Draft Strategy, submitted 28 Jan 2019]]
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*[[media:HL7_Response_Letter_ONC_Reducing_Burden_Strategy_FINAL.docx|HL7 Comments on ONC DRAFT Strategy, compiled by HL7 Policy Advisory Committee, submitted 28 Jan 2019]]
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*[[media:CentriHealth-Comments_on_ONC_DRAFT_Burden_Reduction_Strategy.pdf|CentriHealth Comments on ONC DRAFT Strategy, submitted 28 Jan 2019]]
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==US Department of Health and Human Services (HHS) Patients over Paperwork Initiative==
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*[https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf FINAL RULE - Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction..., 20 Sep 2019]
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==More RCB Perspectives and Resources==
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*[https://www.youtube.com/watch?v=xB_tSFJsjsw Video - An EHR State of Mind, Zubin Damania MD, posted 19 Oct 2015]
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*[https://www.youtube.com/watch?v=tpu5qcqspGA Video - Professional Satisfaction – Saturday Night Belongs to Epic, Christine Sinsky MD, VP/American Medical Association, posted 27 Jan 2016]
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*[https://www.youtube.com/watch?v=LMdxi7Hky-s&feature=youtu.be Video - Professional Satisfaction – EHR Should Make Our Lives Delightful, Christine Sinsky MD, VP/American Medical Association, posted 27 Jan 2016]
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*[https://www.youtube.com/watch?v=POZvCRdNbI8 Video - Creating Joy in Medical Practice - An Interview, Christine Sinsky MD, VP/American Medical Association, posted 25 Jan 2018]
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*[https://www.youtube.com/watch?v=dmIe4idZE6U Video - Strategies to Address Burnout Must be Practical and Local, Christine Sinsky MD, VP/American Medical Association, posted 25 Jan 2018]
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*[https://www.youtube.com/watch?v=FIFnY5mzXF0 Video - AMDIS/HIMSS Physician Executive Symposium - An Interview, Christine Sinsky MD, VP/American Medical Association, posted 28 March 2018]
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*[https://edhub.ama-assn.org/steps-forward/module/2702761 American Medical Association - Education Hub - Electronic Health Record Optimization: Strategies for Thriving - Strategies to help health care organizations maximize the benefits and minimize the burdens of the EHR, published 30 Aug 2018]
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*[https://www.youtube.com/watch?v=CCZlFE_R5yg Video - Freeing physicians to do their jobs - 2019 EHR National Symposium - Stanford Medicine, posted 28 Oct 2019]
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*[https://www.statista.com/topics/2099/stress-and-burnout/ Statista - Stress and burnout - Statistics & Facts, John Elflein, published 16 Aug 2019]
  
 
==HL7 RCB Project - Reference Sources==
 
==HL7 RCB Project - Reference Sources==
*[https://www.healthaffairs.org/do/10.1377/hblog20190320.244258/full/?utm_source=Newsletter&utm_medium=email&utm_content=Reforming+Observation+Hospital+Care%3B+Price+Transparency%3B+CMS+Report+On+Risk+Adjustment%3B+Medicaid+Programs+That+Incentivize+Health-Promoting+Behaviors&utm_campaign=HAT+3-25-19 Health Affairs - What The Inspector General Gets Wrong About Reforming Observation Hospital Care, Ann M Sheehy,  Charles F S Locke, Bradley Flansbaum, 25 Mar 2019]
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*[https://www.cms.gov/newsroom/press-releases/cms-unveils-major-organizational-change-reduce-provider-and-clinician-burden-and-improve-patient US Centers for Medicare and Medicaid Services Unveils Major Organizational Change to Reduce Provider and Clinician Burden and Improve Patient Outcomes, published 23 Jun 2020]
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*[https://www.healio.com/news/psychiatry/20200616/ehrrelated-fatigue-may-lead-to-inefficient-use-among-physicians Healio/Psychiatry - EHR-related fatigue may lead to inefficient use among physicians, Joe Gramigna MA, published 16 June 2020]
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*[https://www.healthcareitnews.com/news/fight-nurse-burnout-ehrs-must-use-ai-reflect-rn-specific-workflows Healthcare IT News - To fight nurse burnout, EHRs must use AI, reflect RN-specific workflows, Bill Siwicki, published 2 Jun 2020]
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*[https://www.healthcareitnews.com/news/ehrs-still-posing-big-safety-risks-many-hospitals Healthcare IT News - EHRs still posing big safety risks in many hospitals, Kat Jercich, published 2 Jun 2020]
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*[https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2764862 Journal of the American Medical Association - Commercial Influences on Electronic Health Records and Adverse Effects on Clinical Decision Making, Julie K Taitsman MD JD, Andrew VanLandingham JD, Christi A Grimm MPA, published 11 May 2020]
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*[https://www.healthaffairs.org/do/10.1377/hblog20200226.453011/full/?mi=3u3irl&af=R&ConceptID=891&content=blog&countTerms=true&target=topic-blog& Health Affairs - To Measure The Burden Of EHR Use, Audit Logs Offer Promise - But Not Without Further Collaboration, Genna Cohen, Llewelyn Brown, Megan Fitzgerald, Anita Somplasky, published 28 Feb 2020]
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*[https://www.ama-assn.org/practice-management/physician-health/10-medical-specialties-10-different-ways-cut-physician-burnout American Medical Association - Practice Management - 10 medical specialties, 10 different ways to cut physician burnout, Sara Berg, published 13 Feb 2020]
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*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008538/ BMC Medical Informatics and Decision Making - A qualitative study of physician perspectives on adaptation to electronic health records, Cynthia J Sieck, Nicole Pearl, Tiffani J Bright, Po-Yin Yen, published 10 Feb 2020]
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*[https://academic.oup.com/jamia/article/27/4/639/5728718#.XjyP35UizZQ.twitter Journal of the American Medical Informatics Association - Metrics for assessing physician activity using electronic health record log data, Christine A Sinsky, Adam Rule, Genna Cohen, Brian G Arndt, Tait D Shanafelt, Christopher D Sharp, Sally L Baxter, Ming Tai-Seale, Sherry Yan, You Chen, Julia Adler-Milstein, Michelle Hribar, published 6 Feb 2020]
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*[https://www.washingtonpost.com/health/too-many-tests-too-little-time-doctors-say-they-face-moral-injury-because-of-a-business-model-that-interferes-with-patient-care/2020/01/31/c00e9d58-3d3a-11ea-8872-5df698785a4e_story.html Washington Post - Too many tests, too little time: Doctors say they face ‘moral injury’ because of a business model that interferes with patient care, Melissa Bailey, published 1 Feb 2020]
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*[https://www.scientificamerican.com/article/electronic-health-records-need-a-shot-in-the-arm/ Scientific American - Electronic Health Records Need a Shot in the Arm, Cassandra Willyard, published 1 Feb 2020]
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*[https://www.sciencedirect.com/science/article/pii/S1386505619306835 International Journal of Medical Informatics - Physicians' and nurses’ experiences on EHR usability: Comparison between the professional groups by employment sector and system brand, Johanna Kaipioa, Anne Kuusistob, Hannele Hyppönenc, Tarja Heponiemic, Tinja Lääverid, published Feb 2020]
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*[https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460?src=WNL_bom_200119_MSCPEDIT&uac=313101EV&impID=2247924&faf=1 Medscape - (US) National Physician Burnout & Suicide Report 2020 - The Generational Divide, Leslie Kane MA, published 15 Jan 2020]
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*[https://www.forbes.com/sites/brucelee/2020/01/13/electronic-health-records-here-is-how-much-time-doctors-are-spending-with-them/#bfe5b795172a Forbes - How Doctors May Be Spending More Time With Electronic Health Records Than Patients, Bruce Y Lee, published 13 Jan 2020]
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*[https://www.nytimes.com/2019/12/31/opinion/doctors-nurses-and-the-paperwork-crisis-that-could-unite-them.html New York Times - Doctors, Nurses and the Paperwork Crisis That Could Unite Them, Theresa Brown, Stephen Bergman, published 31 Dec 2019]
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*[https://fortune.com/longform/electronic-health-records-fraud/ Fortune Magazine/Kaiser Health News - Electronic Health Records Creating a ‘New Era’ of Health Care Fraud, Officials Say, Fred Schulte and Erika Fry, published 23 Dec 2019]
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*[https://www.radiologybusiness.com/topics/leadership/healthcare-artificial-intelligence-burnout Radiology Business - 80% of healthcare pros believe AI is reducing burnout, Marty Stempniak, published 16 Dec 2019]
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*[https://fortune.com/longform/medical-records-government-regulation-patient-risk/ Fortune Magazine/Kaiser Health News - No Safety Switch: How Lax Oversight of Electronic Health Records Puts Patients at Risk - Special interests and congressional inaction doomed efforts to regulate electronic medical records, putting patients at risk, Fred Schulte and Erika Fry, published 21 Nov 2019]
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*[https://healthit.ahrq.gov/sites/default/files/docs/page/acts-townhall-amia-2019.pdf US Agency for Health Research and Quality - Evidence-based Care Transformation Support (ACTS) Initiative, published 18 Nov 2019]
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*[https://federalregister.gov/d/2019-24086 US Federal Register - Medicare Program; CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies..., published 15 Nov 2019]
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*[https://www.beckershospitalreview.com/ehrs/ama-study-physicians-give-ehr-usability-an-f-rating.html Becker's Healthcare - AMA study - Physicians give EHR usability an 'F' rating, Jackie Drees, published 14 Nov 2019]
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*[https://www.healthdatamanagement.com/news/cms-final-rule-aims-to-reduce-physician-billing-coding-burdens?position=editorial_1&campaignname=HDM_Weekly_Best%20of%20the%20Week-11082019&utm_source=newsletter&utm_medium=email&utm_campaign=HDM_Weekly_Best+of+the+Week%2B%27-%27%2B11082019&bt_ee=Wn4gzyECjQgzn1CaTKaNLpxZBRuC2xP%2FDOWpxkxJnWd8EVo%2BPQZbo7kBeqs1VKqjjPqMYwu6aW5I7Jrk5PVDcg%3D%3D&bt_ts=1573254130350 Health Data Management - CMS final rule aims to reduce physician billing and coding burdens, Greg Slabodkin, published 4 Nov 2019]
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*[https://www.nap.edu/catalog/25521/taking-action-against-clinician-burnout-a-systems-approach-to-professional National Academy of Medicine - Taking Action Against Clinician Burnout, 23 Oct 2019]
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*[https://www.hcinnovationgroup.com/clinical-it/physician-burnout/article/21111643/preventing-physician-burnout-on-the-front-lines-hit-execs-share-their-perspectives-part-2 Healthcare Innovation - Preventing Physician Burnout on the Front Lines: HIT Execs Share Their Perspectives (Part 2), Rajiv Leventhal, 24 Oct 2019]
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*[https://www.hcinnovationgroup.com/clinical-it/physician-burnout/article/21111371/preventing-physician-burnout-on-the-front-lines-hit-execs-share-their-perspectives-part-1 Healthcare Innovation - Preventing Physician Burnout on the Front Lines: HIT Execs Share Their Perspectives (Part 1), Rajiv Leventhal, 22 Oct 2019]
 +
*[https://www.healthdatamanagement.com/news/ehr-modifications-data-analysis-become-tools-to-fight-doc-burnout?position=editorial_1&campaignname=HDM_Daily_Morning%20Rounds-10172019&utm_source=newsletter&utm_medium=email&utm_campaign=HDM_Daily_Morning+Rounds%2B%27-%27%2B10172019&bt_ee=MHt2YkAQ5i9G4y903zoSSHvYc6pmcLwBRwIAAGjMr2r0NmWUFNj5bacNZsSq1QeD0yR4iuo2xvZCx5SnRCL6Jw%3D%3D&bt_ts=1571306014948 Health Data Management - EHR Modifications, Data Analysis become Tools to Fight Doc Burnout, Fred Bazzoli, 17 Oct 2019]
 +
*[https://www.medicaleconomics.com/ehr/2019-ehr-scorecard-physicians-rate-their-ehr-systems Medical Economics - 2019 EHR Scorecard: Physicians rate their EHR systems, 16 Oct 2019]
 +
*[https://www.medicaleconomics.com/news/fixing-ehrs Medical Economics - Fixing EHRs, Todd Shryock, 14 Oct 2019]
 +
*[https://www.medscape.com/viewarticle/919554?src=WNL_recnl_191014_MSCPEDIT_publ&uac=4470PZ&impID=2130183&faf=1#vp_2 Medscape - Clinical Effect of Burnout Difficult to Measure: Meta-analysis, Tara Haelle, 7 Oct 2019]
 +
*[https://www.mayoclinicproceedings.org/article/S0025-6196(19)30836-5/fulltext Mayo Clinic Proceedings - The Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians, Edward R Melnick MD MHS, Liselotte N Dyrbye MD MHPE, Christine A Sinsky MD, Mickey Trockel MD PhD, Colin P West MD PhD, Laurence Nedelec PhD, Michael A Tutty PhD, Tait Shanafelt MD, published 24 Sep 2019]
 +
*[https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2751386 Journal of the American Medical Association - Electronic Health Records: A System Only as Beneficial as Its Data, Nathalie Jetté MD MSc FRCPC, Churl-Su Kwon MD MPH FRSPH, 18 Sep 2019]
 +
*[https://www.medscape.com/slideshow/physician-burnout-powerful-expressions-6011809?src=mkm_190913_mscpmrk_clinician_sadness&uac=4470PZ&impID=2092665&faf=1 Medscape - Physician Burnout and Sadness: Powerful Expressions, Keith L Martin, 12 Sep 2019]
 +
*[https://www.medscape.com/viewarticle/917693?src=WNL_trdalrt_190911_MSCPEDIT&uac=4470PZ&impID=2090489&faf=1 Medscape - Why Is Physician Well-being Declining? It's the System, Stupid, Peter M Yellowlees MD MBBS, 6 Sep 2019]
 +
*[https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2748054?guestAccessKey=f27e1ae2-ac6d-4819-bfc4-21e295754472&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamanetworkopen&utm_term=mostread&utm_content=olf-widget_09052019 Journal of the American Medical Association - Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout, Philip J Kroth MD MS, Nancy Morioka-Douglas MD, Sharry Veres MD, 16 Aug 2019]
 +
*[https://jamanetwork.com/journals/jama/fullarticle/2738366 Journal of the American Medical Association - Redefining the Physician’s Role in Cost-Conscious Care - The Potential Role of the Electronic Health Record, Brian J Miller MD MBA MPH, Jennifer M Slota, Jesse M Ehrenfeld MD MPH, published 15 July 2019]
 +
*[https://www.hcinnovationgroup.com/clinical-it/physician-burnout/news/21088142/burnout-is-prevalent-but-clinicians-believe-health-systems-dont-properly-address-it Healthcare Innovation - Burnout is Prevalent, but Clinicians Believe Health Systems Don’t Properly Address It, Rajiv Leventhal, published 11 July 2019]
 +
*[https://www.healthcaredive.com/news/ehr-messaging-workflow-can-be-redesigned-to-address-burnout-study-suggest/557987/ Healthcare Dive - EHR messaging, workflow can be redesigned to address burnout, Ron Shinkman, published 1 Jul 2019]
 +
*[http://www.annfammed.org/content/17/4/367.full.pdf Annals of Family Medicine - Powering-Up Primary Care Teams: Advanced Team Care With In-Room Support, Christine A Sinsky, Thomas Bodenheimer MD MPH, Jul 2019]
 +
*[https://www.spok.com/clinicianburnout Spok - Clinician Burnout in Healthcare: A Report for Healthcare Leaders, published Jul 2019]
 +
*[https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.05509 Health Affairs - Physicians’ Well-Being Linked To In-Basket Messages Generated By Algorithms In Electronic Health Records, Ming Tai-Seale, Ellis C Dillon, Yan Yang, Robert Nordgren, Ruth L Steinberg, Teresa Nauenberg, Tim C Lee, Amy Meehan, Jinnan Li, Albert Solomon Chan, and Dominick L Frosch, published Jul 2019]
 +
*[https://www.healthdatamanagement.com/opinion/why-the-movement-toward-a-patient-identifier-is-only-a-start?utm_campaign=second%20opinions-jun%2017%202019&utm_medium=email&utm_source=newsletter Health Data Management - Why the movement toward a patient identifier is only a start, Dan Cidon, published 17 Jun 2019]
 +
*[https://www.healthdatamanagement.com/opinion/why-ehrs-are-flawed-and-how-they-can-be-fixed?utm_campaign=second%20opinions-jun%2013%202019&utm_medium=email&utm_source=newsletter Health Data Management - Why EHRs are flawed, and how they can be fixed, David Lareau, published 13 Jun 2019]
 +
*[https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/article/21083058/what-can-healthcare-it-leaders-do-to-flip-the-script-on-physician-burnout Healthcare Innovation - What Can Healthcare IT Leaders Do To Flip the Script on Physician Burnout?, Mark Hagland, published 3 Jun 2019]
 +
*[https://www.beckershospitalreview.com/ehrs/nearly-half-of-physicians-think-ehrs-have-decreased-quality-of-care-survey-finds.html?origin=qualitye&utm_source=qualitye Becker's Healthcare - Nearly half of physicians think EHRs have decreased quality of care, survey finds, Jackie Drees, published 1 May 2019]
 +
*[https://searchhealthit.techtarget.com/feature/Physician-burnout-eased-with-homegrown-tech TechTarget - Kaiser Permanente - Physician burnout eased with homegrown tech, Makenzie Holland, published 24 Apr 2019]
 +
*[https://academic.oup.com/jamia/advance-article/doi/10.1093/jamia/ocz021/5426085 Journal of the American Medical Informatics Association - The complex case of EHRs: examining the factors impacting the EHR user experience, Michael A Tutty, Lindsey E Carlasare, Stacy Lloyd, Christine A Sinsky, published 2 Apr 2019]
 +
*[https://www.healthaffairs.org/do/10.1377/hblog20190320.244258/full/?utm_source=Newsletter&utm_medium=email&utm_content=Reforming+Observation+Hospital+Care%3B+Price+Transparency%3B+CMS+Report+On+Risk+Adjustment%3B+Medicaid+Programs+That+Incentivize+Health-Promoting+Behaviors&utm_campaign=HAT+3-25-19 Health Affairs - What The Inspector General Gets Wrong About Reforming Observation Hospital Care, Ann M Sheehy,  Charles F S Locke, Bradley Flansbaum, published 25 Mar 2019]
 
*[http://fortune.com/longform/medical-records/ Fortune and Kaiser Health News - Death by a Thousand Clicks: Where Electronic Health Records Went Wrong, Erika Fry and Fred Schulte, published 18 Mar 2019]
 
*[http://fortune.com/longform/medical-records/ Fortune and Kaiser Health News - Death by a Thousand Clicks: Where Electronic Health Records Went Wrong, Erika Fry and Fred Schulte, published 18 Mar 2019]
 +
*[https://www.kff.org/other/poll-finding/data-note-publics-experiences-with-electronic-health-records/?utm_campaign=KFF-2019-The-Latest&utm_source=hs_email&utm_medium=email&utm_content=70975474&_hsenc=p2ANqtz-_zM5rU_7EC28KiimXl3-En6Q0qCLLCuTKU4nBEtMlhaffCojvfzfDF1cSv_ZS-AJ2NEkgOAnzf8Tso_yGxoIUrXEf99w&_hsmi=70975474 Henry J Kaiser Family Foundation - Public’s Experiences With Electronic Health Records, Cailey Muñana, Ashley Kirzinger, Mollyann Brodie, 18 Mar 2019]
 
*[https://histalk2.com/2019/03/13/readers-write-to-douse-the-flames-of-physician-burnout-target-the-four-biggest-time-wasters-in-the-ehr/ HIStalk - To Douse the Flames of Physician Burnout, Target the Four Biggest Time-Wasters in the EHR, David Butler MD, published 13 Mar 2019]
 
*[https://histalk2.com/2019/03/13/readers-write-to-douse-the-flames-of-physician-burnout-target-the-four-biggest-time-wasters-in-the-ehr/ HIStalk - To Douse the Flames of Physician Burnout, Target the Four Biggest Time-Wasters in the EHR, David Butler MD, published 13 Mar 2019]
 +
*[https://www.hcinnovationgroup.com/clinical-it/patient-safety/news/21071783/ehrrelated-issues-top-patient-safety-concern-list Healthcare Innovation Group - EHR-Related Issues Top Patient Safety Concern List, David Raths, published 12 Mar 2019]
 
*[https://www.healthcareitnews.com/news/epic-ceo-judy-faulkner-apple-docs-who-actually-their-ehrs-and-warren-buffett Healthcare IT News - Epic CEO Judy Faulkner on Apple, docs who actually like their EHRs..., Mike Miliard, published 13 Feb 2019]
 
*[https://www.healthcareitnews.com/news/epic-ceo-judy-faulkner-apple-docs-who-actually-their-ehrs-and-warren-buffett Healthcare IT News - Epic CEO Judy Faulkner on Apple, docs who actually like their EHRs..., Mike Miliard, published 13 Feb 2019]
*[https://thriveglobal.com/stories/physician-burnout-public-health-crisis-solutions-report/?utm_source=HR19000+WHCC+Care+Delivery+Integration+02012019&utm_medium=email&utm_campaign=HR19000 Thrive Global - Here’s Why Physician Burnout is Officially “A Public Health Crisis”, Jane Burnett, 31 Jan 2019]
+
*[https://www.researchgate.net/publication/332691992_Unintended_consequences_of_nationwide_electronic_health_record_adoption_challenges_and_opportunities_in_the_post-Meaningful_Use_era Journal of Medical Internet Research - Unintended Consequences of Nationwide Electronic Health RecordAdoption: Challenges and Opportunities in the Post-MeaningfulUse Era, Tiago K Colicchio PhD MBA, James J Cimino MD, Guilherme Del Fiol MD PhD, published Jan 2019]
 +
*[https://thriveglobal.com/stories/physician-burnout-public-health-crisis-solutions-report/?utm_source=HR19000+WHCC+Care+Delivery+Integration+02012019&utm_medium=email&utm_campaign=HR19000 Thrive Global - Here’s Why Physician Burnout is Officially “A Public Health Crisis”, Jane Burnett, published 31 Jan 2019]
 
*[https://www.healthit.gov/sites/default/files/page/2018-11/Draft%20Strategy%20on%20Reducing%20Regulatory%20and%20Administrative%20Burden%20Relating.pdf US Office of the National Coordinator for Health Information Technology (ONC) - DRAFT FOR COMMENT - Strategy on Reducing Burden Relating to the Use of Health IT and EHRs, published 28 Nov 2018, comments due 28 Jan 2019]
 
*[https://www.healthit.gov/sites/default/files/page/2018-11/Draft%20Strategy%20on%20Reducing%20Regulatory%20and%20Administrative%20Burden%20Relating.pdf US Office of the National Coordinator for Health Information Technology (ONC) - DRAFT FOR COMMENT - Strategy on Reducing Burden Relating to the Use of Health IT and EHRs, published 28 Nov 2018, comments due 28 Jan 2019]
 +
*[http://www.massmed.org/News-and-Publications/MMS-News-Releases/Physician-Burnout-Report-2018/ Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, Harvard Global Health Institute - A Crisis in Health Care: A Call to Action on Physician Burnout, published 18 Nov 2018]
 
*[https://www.healthdatamanagement.com/news/ama-president-calls-for-end-to-electronic-health-record-abuse Health Data Management, AMA president calls for end to electronic health record abuse, Greg Slabodkin, published 14 Nov 2018]
 
*[https://www.healthdatamanagement.com/news/ama-president-calls-for-end-to-electronic-health-record-abuse Health Data Management, AMA president calls for end to electronic health record abuse, Greg Slabodkin, published 14 Nov 2018]
 
*[https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers The New Yorker/Annals of Medicine - Why Doctors Hate Their Computers, Atul Gawande, published 12 Nov 2018]
 
*[https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers The New Yorker/Annals of Medicine - Why Doctors Hate Their Computers, Atul Gawande, published 12 Nov 2018]
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*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899365/ Predictors of physicians’ stress related to information systems: A nine-year follow-up survey study. BMC Health Services Research, Tarja Heponiemi, Hannele Hyppönen, Sari Kujala, Anna-Mari Aalto, Tuulikki Vehko, Jukka Vänskä, Marko Elovainio, published 13 Apr 2018]
 
*[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899365/ Predictors of physicians’ stress related to information systems: A nine-year follow-up survey study. BMC Health Services Research, Tarja Heponiemi, Hannele Hyppönen, Sari Kujala, Anna-Mari Aalto, Tuulikki Vehko, Jukka Vänskä, Marko Elovainio, published 13 Apr 2018]
 
*[https://ehrintelligence.com/news/nqf-advises-cms-align-quality-measures-cut-administrative-burden EHR Intelligence - NQF Advises CMS Align Quality Measures, Cut Administrative Burden, Kate Monica, published 3 Apr 2018]
 
*[https://ehrintelligence.com/news/nqf-advises-cms-align-quality-measures-cut-administrative-burden EHR Intelligence - NQF Advises CMS Align Quality Measures, Cut Administrative Burden, Kate Monica, published 3 Apr 2018]
*[https://link.springer.com/article/10.1007/s11606-017-4228-2 Journal of General Internal Medicine - Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation, Richard L. Street Jr, Lin Liu, Neil J. Farber, Yunan Chen, Alan Calvitti, Nadir Weibel, Mark T. Gabuzda, Kristin Bell, Barbara Gray, Steven Rick, Shazia Ashfaq, Zia Agha, published April 2018]
+
*[https://link.springer.com/article/10.1007/s11606-017-4228-2 Journal of General Internal Medicine - Keystrokes, Mouse Clicks, and Gazing at the Computer: How Physician Interaction with the EHR Affects Patient Participation, Richard L. Street Jr, Lin Liu, Neil J. Farber, Yunan Chen, Alan Calvitti, Nadir Weibel, Mark T. Gabuzda, Kristin Bell, Barbara Gray, Steven Rick, Shazia Ashfaq, Zia Agha, published Apr 2018]
 
*[http://www.physicianspractice.com/himss/reducing-clinician-burnout-five-ehr-related-areas Physician Practice - Reducing Clinician Burnout in Five EHR-Related Areas, Gabriel Perna, published 9 Mar 2018]
 
*[http://www.physicianspractice.com/himss/reducing-clinician-burnout-five-ehr-related-areas Physician Practice - Reducing Clinician Burnout in Five EHR-Related Areas, Gabriel Perna, published 9 Mar 2018]
 
*[https://www.healthcare-informatics.com/article/ehr/clinicians-cms-onc-right-ship-simplify-reporting-ease-regulatory-burdens Healthcare Informatics - Clinicians to CMS, ONC: “Right the Ship” to Simplify Reporting, Ease Regulatory Burdens, Heather Landi, published 13 Feb 2018]
 
*[https://www.healthcare-informatics.com/article/ehr/clinicians-cms-onc-right-ship-simplify-reporting-ease-regulatory-burdens Healthcare Informatics - Clinicians to CMS, ONC: “Right the Ship” to Simplify Reporting, Ease Regulatory Burdens, Heather Landi, published 13 Feb 2018]
Line 77: Line 186:
 
*[https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care/ National Academy of Medicine - Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care, Lotte N. Dyrbye, Tait D. Shanafelt, Christine A. Sinsky, Pamela F. Cipriano, Jay Bhatt, Alexander Ommaya, Colin P. West, and David Meyers, published 5 Jul 2017]
 
*[https://nam.edu/burnout-among-health-care-professionals-a-call-to-explore-and-address-this-underrecognized-threat-to-safe-high-quality-care/ National Academy of Medicine - Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care, Lotte N. Dyrbye, Tait D. Shanafelt, Christine A. Sinsky, Pamela F. Cipriano, Jay Bhatt, Alexander Ommaya, Colin P. West, and David Meyers, published 5 Jul 2017]
 
*[http://annals.org/aim/fullarticle/2614079/putting-patients-first-reducing-administrative-tasks-health-care-position-paper American College of Physicians - Putting Patients First by Reducing Administrative Tasks in Health Care, Shari M. Erickson MPH, Brooke Rockwern MPH, Michelle Koltov MPH, Robert M. McLean MD, published 2 May 2017]
 
*[http://annals.org/aim/fullarticle/2614079/putting-patients-first-reducing-administrative-tasks-health-care-position-paper American College of Physicians - Putting Patients First by Reducing Administrative Tasks in Health Care, Shari M. Erickson MPH, Brooke Rockwern MPH, Michelle Koltov MPH, Robert M. McLean MD, published 2 May 2017]
 +
*[https://www.mayoclinicproceedings.org/article/S0025-6196(16)30625-5/pdf Mayo Clinic - Executive Leadership and Physician Well-being: Nine Organizational Strategies to Promote Engagement and Reduce Burnout, Tait D Shanafelt MD, John H. Noseworthy MD, published Jan 2017]
 
*[https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-physician-survey-hit-factsheet.pdf Deloitte Survey of US Physicians - Findings on health information technology and electronic health records, published 3 Oct 2016]
 
*[https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-physician-survey-hit-factsheet.pdf Deloitte Survey of US Physicians - Findings on health information technology and electronic health records, published 3 Oct 2016]
 
*[https://ehrintelligence.com/news/tips-for-reversing-physician-burnout-caused-by-ehr-use EHR Intelligence - Tips for Reversing Physician Burnout Caused by EHR Use, Sheri Stoltenberg, published 16 Oct 2016]
 
*[https://ehrintelligence.com/news/tips-for-reversing-physician-burnout-caused-by-ehr-use EHR Intelligence - Tips for Reversing Physician Burnout Caused by EHR Use, Sheri Stoltenberg, published 16 Oct 2016]
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*[https://www.healthaffairs.org/do/10.1377/hblog20160421.054511/full/ Health Affairs - Make The Clinician Burnout Epidemic A National Priority; Andrew Shin, Tejal Gandhi, Shoshana Herzig; published 21 Apr 2016]
 
*[https://www.healthaffairs.org/do/10.1377/hblog20160421.054511/full/ Health Affairs - Make The Clinician Burnout Epidemic A National Priority; Andrew Shin, Tejal Gandhi, Shoshana Herzig; published 21 Apr 2016]
 
*[https://www.nejm.org/doi/full/10.1056/NEJMp1509961 Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine, Lisa Rosenbaum, M.D.; published 22 Oct 2015]
 
*[https://www.nejm.org/doi/full/10.1056/NEJMp1509961 Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine, Lisa Rosenbaum, M.D.; published 22 Oct 2015]
 +
*[https://www.youtube.com/watch?v=xB_tSFJsjsw An EHR State of Mind (Video), Zubin Damania MD, posted 19 Oct 2015]
 
*[https://jamanetwork.com/journals/jama/fullarticle/2434673? Electronic Health Record Vendor Adherence to Usability Certification Requirements and Testing Standards, Raj M Ratwani PhD, Natalie C Benda BS, A Zachary Hettinger MD MS, published 8 Sep 2015]
 
*[https://jamanetwork.com/journals/jama/fullarticle/2434673? Electronic Health Record Vendor Adherence to Usability Certification Requirements and Testing Standards, Raj M Ratwani PhD, Natalie C Benda BS, A Zachary Hettinger MD MS, published 8 Sep 2015]
 
*[https://journals.lww.com/cinjournal/Citation/2015/08000/Nursing_Centric_Technology_and_Usability_A_Call_to.1.aspx Alliance for Nursing Informatics/Computers Informatics Nursing - Nursing centric technology and usability: A call to action, Nancy Staggers PhD RN FAAN, Beth L Elias PhD MS, Jane R Hunt MS BSN RN, Ellen Makar MS RN-BC CCM CPHIMS CENP, Gregory L Alexander PhD RN FAAN, published Aug 2015]
 
*[https://journals.lww.com/cinjournal/Citation/2015/08000/Nursing_Centric_Technology_and_Usability_A_Call_to.1.aspx Alliance for Nursing Informatics/Computers Informatics Nursing - Nursing centric technology and usability: A call to action, Nancy Staggers PhD RN FAAN, Beth L Elias PhD MS, Jane R Hunt MS BSN RN, Ellen Makar MS RN-BC CCM CPHIMS CENP, Gregory L Alexander PhD RN FAAN, published Aug 2015]

Latest revision as of 17:16, 5 July 2020

The Reducing Clinician Burden (RCB) Project is an activity of the HL7 Electronic Health Record Work Group (EHR WG).

Please subscribe to the HL7 EHR WG listserver for meeting announcements, agendas and updates regarding current work.

The RCB Project team meets via teleconference on the 1st and 3rd Mondays each month - at 3PM ET (US). To join the teleconference: https://global.gotomeeting.com/meeting/join/798931918

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.


HL7 RCB Project - Presentations

HL7 RCB Project - Analysis Worksheets

This version of the RCB Analysis Worksheet includes the ONC FINAL "Strategy on Reducing Burden Relating to the Use of Health IT and EHRs". Each of the four ONC Initiatives(I), along with Strategies(S) and Recommendations(R) are inserted within the related RCB topic area and are identified as Ix.Sx.Rx. NOTE also that all reference sources up through #110 have been reviewed and are incorporated in this version. See "References" Tab.

This one page DRAFT outlines key causal factors for clinician burden and is offered for your review and comment.

These comments on the DRAFT International Patient Summary were prepared in correspondence with findings of the HL7 RCB Project and clinician burdens associated with patient summary creation, exchange and use, particularly with regard to aspects of information overload, data integrity, patient/provider identity matching, preservation of clinical data context and reconciliation of medications, medication allergies, all allergies and problems/diagnoses.

HL7 RCB Project - Comment Only Ballot

HL7 RCB Project - White Paper

This White Paper has been released for Project Team review and comment.

Burden Reduction (and other) Initiatives in Response to the COVID-19 Pandemic

"See What We Mean"

HL7 RCB Project - Reducing Burden - Success Stories

HL7 RCB Project - Survey and Responses

HL7 RCB Project - Focus Team Drafts

US Office of National Coordinator for Health Information Technology (ONC) Strategy for Reducing Burden

US Department of Health and Human Services (HHS) Patients over Paperwork Initiative

More RCB Perspectives and Resources

HL7 RCB Project - Reference Sources