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Challenges optimizing the after visit summary.

Alex Federman1, Erin Sarzynski2, Cindy Brach3

  • 1Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

International Journal of Medical Informatics
|November 10, 2018
PubMed
Summary
This summary is machine-generated.

Implementing redesigned after visit summaries (AVS) in electronic health record (EHR) systems presents challenges. While improved for patients, EHR limitations hinder customization efforts for healthcare organizations.

Keywords:
After visit summary (AVS)Electronic health record (EHR)ImplementationRedesign

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Area of Science:

  • Health Informatics
  • Clinical Documentation
  • Patient Engagement

Background:

  • The after visit summary (AVS) is a crucial document for patient health management post-appointment.
  • Redesigned AVS aim to improve patient understanding and adherence to self-management tasks.

Purpose of the Study:

  • To describe experiences of healthcare systems implementing redesigned outpatient AVS within electronic health record (EHR) systems.
  • To identify challenges and inform future optimization of AVS implementation.

Main Methods:

  • Semi-structured interviews with IT and clinical leaders from 12 US healthcare institutions.
  • Case study of AVS redesign and implementation within the Epic EHR at Mount Sinai Hospital.

Main Results:

  • Healthcare systems faced challenges including time-consuming modifications and EHR system upgrade disruptions.
  • IT leaders found redesigned AVS easier to understand but noted difficulties in customization due to EHR platform limitations.
  • Specific modifications included adjusting print groups, font size, headers, and page breaks.

Conclusions:

  • Health IT leaders recognize the AVS as a valuable patient information tool.
  • EHR system limitations pose significant challenges to optimizing AVS functionality.
  • EHR vendors should enhance product flexibility based on healthcare innovation efforts.