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A Framework for National Collaboration to Reduce Documentation Burden and Design for Usable and Reusable Data
Jane Englebright1, Sarah Michel, David L Boyd
1Author Affiliations: Senior Vice President and Chief Nurse Executive (Dr Englebright), HCA Healthcare, Nashville, Tennessee; Director (Ms Michel), Research and Clinical Engagement, HealthTrust, Nashville, Tennessee; Regional Director, Nursing Informatics/Patient Care Services (Dr Boyd), Kaiser Permanente, Oakland, California; and Director, Digital User Experience, formally Manager Nursing Technology (Dr Hulett), Gundersen Health System, La Crosse, Wisconsin.
Abstract:
A focused effort is needed to capture the utility and usability of the electronic health record for providing usable and reusable data while reducing documentation burden. A collaborative effort of nurse leaders and experts was able to generate national consensus recommendations on documentation elements related to admission history. The process used in this effort is summarized in a framework that can be used by other groups to develop content that reduces documentation burden while maximizing the creation of usable and reusable data.
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