TY - JOUR
T1 - Electronic health record functionality needed to better support primary care
AU - Krist, Alex H.
AU - Beasley, John W.
AU - Crosson, Jesse C.
AU - Kibbe, David C.
AU - Klinkman, Michael S.
AU - Lehmann, Christoph U.
AU - Fox, Chester H.
AU - Mitchell, Jason M.
AU - Mold, James W.
AU - Pace, Wilson D.
AU - Peterson, Kevin A.
AU - Phillips, Robert L.
AU - Post, Robert
AU - Puro, Jon
AU - Raddock, Michael
AU - Simkus, Ray
AU - Waldren, Steven E.
PY - 2014
Y1 - 2014
N2 - Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and meaningful use (MU) objectives to define EHR functionality. Current objectives remain focused on disease rather than the whole person, ignoring factors such as personal risks, behaviors, family structure, and occupational and environmental influences. Primary care needs EHRs to move beyond documentation to interpreting and tracking information over time, as well as patient-partnering activities, support for team-based care, population-management tools that deliver care, and reduced documentation burden. While stage 3 MU's focus on outcomes is laudable, enhanced functionality is still needed, including EHR modifications, expanded use of patient portals, seamless integration with external applications, and advancement of national infrastructure and policies.
AB - Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and meaningful use (MU) objectives to define EHR functionality. Current objectives remain focused on disease rather than the whole person, ignoring factors such as personal risks, behaviors, family structure, and occupational and environmental influences. Primary care needs EHRs to move beyond documentation to interpreting and tracking information over time, as well as patient-partnering activities, support for team-based care, population-management tools that deliver care, and reduced documentation burden. While stage 3 MU's focus on outcomes is laudable, enhanced functionality is still needed, including EHR modifications, expanded use of patient portals, seamless integration with external applications, and advancement of national infrastructure and policies.
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U2 - 10.1136/amiajnl-2013-002229
DO - 10.1136/amiajnl-2013-002229
M3 - Article
C2 - 24431335
AN - SCOPUS:84906308087
SN - 1067-5027
VL - 21
SP - 764
EP - 771
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 5
ER -