Thought Leader Perspectives on the Benefits, Barriers, and Enablers for Routinely Collected Electronic Health Data to...

Area of Science:

• Medical Education
• Health Informatics
• Quality Improvement

Background:

• Hospitals generate vast administrative data (e.g., length of stay, readmissions) often underutilized for professional development.
• Current continuing professional development (CPD) is perceived as time-consuming with limited impact on practice or patient outcomes.
• Data-informed reflective practice offers a pathway to bridge the gap between CPD and clinical practice.

Purpose of the Study:

• To investigate barriers and enablers for using routinely collected administrative data in reflective practice and lifelong learning.
• To understand clinician perspectives on repurposing administrative data for professional development.

Main Methods:

• Semistructured interviews were conducted with 19 thought leaders across healthcare and technology sectors.
• Thematic analysis was performed by two independent coders to identify key themes.

Main Results:

• Potential benefits include outcome visibility, peer comparison, and group reflection leading to practice change.
• Key barriers identified were legacy technology, data quality concerns, privacy issues, and team culture.
• Enablers suggested include co-design with local champions, data presentation for understanding, and coaching by leaders.

Conclusions:

• Clinicians are receptive to using administrative data for professional development, despite data quality and technology concerns.
• Group reflection, facilitated by specialty leaders, is preferred over individual reflection.
• Findings inform the design of new in-hospital reflection models integrated with CPD cycles.