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Measuring use of electronic health record functionality using system audit information.

Watson A Bowes¹

¹Department of Medical Informatics, Intermountain Healthcare and University of Utah Department of Biomedical Informatics, Salt Lake City, UT 84120, USA. Len.bowes@imail.org

Studies in Health Technology and Informatics

|September 16, 2010

Summary

This study introduces an Audit Data Mart to measure Electronic Health Record (EHR) adoption and usage. This method effectively identifies functional patterns, aiding strategic planning and Meaningful Use documentation.

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Area of Science:

Health Informatics
Healthcare Management
Information Systems

Background:

Government initiatives in the United States emphasize the need for efficient measurement of Electronic Health Record (EHR) adoption and usage.
Traditional survey methods for assessing EHR adoption present limitations in capturing detailed functional usage patterns.
Hospitals, clinics, and healthcare networks require robust methods to track EHR implementation and utilization.

Purpose of the Study:

To describe a novel method for measuring EHR adoption and functional usage patterns using audit logs.
To demonstrate the utility of an Audit Data Mart in identifying diverse EHR usage patterns within a large integrated healthcare system.
To provide a tool for strategic planning, implementation tracking, and documentation of Meaningful Use.

Main Methods:

Development and implementation of an Audit Data Mart to extract and analyze EHR audit log data.
Identification of EHR functionality across 836 departments, 22 hospitals, and 170 clinics within Intermountain Healthcare.
Analysis of audit data to discern distinct EHR functional usage patterns.

Main Results:

The Audit Data Mart successfully identified significant and varied EHR functional usage patterns across different departments and facilities.
The identified patterns provided valuable insights into how EHR systems are being utilized in practice.
The method proved effective in a large-scale, integrated delivery system.

Conclusions:

Audit logs offer a viable and efficient alternative to surveys for measuring EHR adoption and functional usage.
The Audit Data Mart is a valuable tool for understanding EHR utilization, supporting strategic decision-making, and facilitating Meaningful Use documentation.
This approach can enhance the monitoring and optimization of EHR implementations in healthcare settings.