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Rebooting the Electronic Health Record.

Erik J Zhang¹, Heng Tan², Joseph A Sanford³

¹University of Vermont Larner College of Medicine, 89 Beaumont Avenue, 05405-0068, Burlington, VT, U.S.. erik.zhang@med.uvm.edu.

Journal of Medical Systems

|June 7, 2022

Summary

Electronic health records (EHR) have underperformed despite promises. Redesigning EHRs using agile principles and a middle-out framework can improve usability and patient care.

Keywords:

Agile development Dual-type champion EHR adoption Electronic Health Record Machine learning

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Area of Science:

Health Informatics
Computer Science in Medicine
Healthcare Management

Background:

Electronic health records (EHR) were adopted for promised benefits like improved data access and decision support.
Current EHR performance has been underwhelming, failing to meet expectations for seamless data integration and usability.

Purpose of the Study:

To review historical limitations of EHR systems.
To detail agile principles for overcoming EHR barriers.
To propose a vision for an improved, integrated EHR.

Main Methods:

Narrative review of EHR history, challenges, and potential solutions.
Analysis of agile methodologies applicable to software development.
Conceptual framework for future EHR design.

Main Results:

Identified persistent issues in EHR adoption and functionality.
Highlighted agile principles as a viable approach to address EHR limitations.
Proposed a 'middle-out' framework and 'dual-type' champions for sustainable EHR innovation.

Conclusions:

Current EHR systems require significant redesign to fulfill their potential.
Agile methodologies and strategic implementation frameworks are crucial for future EHR success.
A user-centered, adaptable EHR is essential for enhancing healthcare delivery.