Difference between revisions of "Reducing Clinician Burden"

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==HL7 RCB Project - Presentations==
 
==HL7 RCB Project - Presentations==
  
*[[media:Reducing_Clinician_Burden-Overview-20190617.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 17 Jun 2019]]
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*[[media:Reducing_Clinician_Burden-Overview-20191104.pdf|DRAFT Reducing Clinician Burden Project Overview, dated 4 Nov 2019]]
*[[media:Schlossman_AMDIS_RCB_Presentation_final.pdf|Association of Medical Directors of Information Systems (AMDIS) Presentation - Reducing Clinician Burden Project - New Directions in Alleviating Clinical Workflow and Documentation Burdens, David Schlossman MD, presented 20 Jun 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]]
 
*[[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]]
 
*[[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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*[[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]]
  
==HL7 RCB Project - Analysis Worksheet==
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==HL7 RCB Project - Analysis Worksheets==
*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20190617.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!!, dated 17 Jun 2019]]
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*[[media:Reducing_Clinician_Burden_Analysis_Worksheet-20191104a.xlsx|DRAFT Reducing Clinician Burden Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!! dated 4 Nov 2019]]
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*[[media:Reducing_Clinician_Burden-Patient_Summary_Analysis-20191104.xlsx|Reducing Clinician Burden - Patient Summary - Analysis Worksheet, DRAFT IN PROGRESS - COMMENTS ARE WELCOME!! dated 4 Nov 2019]]
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*[[media:RCB-Data_Quality_Burdens-20191021.pdf|DRAFT Data Quality Burden, dated 21 Oct 2019]]
  
 
=="See What We Mean"==
 
=="See What We Mean"==
 
*[https://ehrseewhatwemean.org/ "See What We Mean" Video Clips, developed by Medstar Health - National Center for Human Factors in Healthcare - EHR Safety and Usability Team]
 
*[https://ehrseewhatwemean.org/ "See What We Mean" Video Clips, developed by Medstar Health - National Center for Human Factors in Healthcare - EHR Safety and Usability Team]
  
==HL7 RCB Project - Reducing Burden and Addressing Burnout - Success Stories==
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==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 University - Duke Heart Business Unit – Procedure Reporting, James Tcheng MD, 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|University of Michigan - Burnout: How EHR Usability Improves Efficiency & Satisfaction, Greta Branford MD, presented 14 Feb 2019 (Posted with Permission)]]
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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)]]
*[[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, presented 9 Apr 2019]]
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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)]]
*[[media:ClinAC128 Optimization in the Ambulatory Setting.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, May 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)]]
*[https://www.aha.org/system/files/media/file/2019/05/plf-well-being-playbook.pdf?utm_source=newsletter&utm_medium=email&utm_content=05162019%2Dat%2Dpub&utm_campaign=aha%2Dtoday American Hospital Association - Well-Being Playbook, A Guide for Hospital and Health System Leaders, May 2019]
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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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==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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*[https://healthit.gov/burdencomments Summary of Public Comments for Draft Strategy, published 26 Mar 2019]
 
*[https://healthit.gov/burdencomments Summary of Public Comments for Draft Strategy, published 26 Mar 2019]
 
*[[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]]
 
*[[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]]
*[[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: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]
  
 
==HL7 RCB Project - Reference Sources==
 
==HL7 RCB Project - Reference Sources==
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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]
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*[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]
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*[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]
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*[https://www.medicaleconomics.com/news/fixing-ehrs Medical Economics - Fixing EHRs, Todd Shryock, 14 Oct 2019]
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*[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]
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*[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]
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*[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]
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*[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]
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*[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]
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*[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]
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*[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]
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*[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 July 2019]
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*[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]
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*[https://www.spok.com/clinicianburnout Spok - Clinician Burnout in Healthcare: A Report for Healthcare Leaders, published Jul 2019]
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*[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-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.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]
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*[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://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]
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*[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]

Latest revision as of 01:05, 4 November 2019

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

"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) DRAFT "Strategy on Reducing Burden"

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

HL7 RCB Project - Reference Sources