Electronic health record functionality needed to better support primary care

Alex H. Krist, John W. Beasley, Jesse C. Crosson, David C. Kibbe, Michael S. Klinkman, Christoph U. Lehmann, Chester H. Fox, Jason M. Mitchell, James W. Mold, Wilson D. Pace, Kevin A. Peterson, Robert L. Phillips, Robert Post, Jon Puro, Michael Raddock, Ray Simkus, Steven E. Waldren

Research output: Contribution to journalArticle

70 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)764-771
Number of pages8
JournalJournal of the American Medical Informatics Association
Volume21
Issue number5
DOIs
StatePublished - Jan 1 2014

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ASJC Scopus subject areas

  • Health Informatics

Cite this

Krist, A. H., Beasley, J. W., Crosson, J. C., Kibbe, D. C., Klinkman, M. S., Lehmann, C. U., Fox, C. H., Mitchell, J. M., Mold, J. W., Pace, W. D., Peterson, K. A., Phillips, R. L., Post, R., Puro, J., Raddock, M., Simkus, R., & Waldren, S. E. (2014). Electronic health record functionality needed to better support primary care. Journal of the American Medical Informatics Association, 21(5), 764-771. https://doi.org/10.1136/amiajnl-2013-002229