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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Implementation of an EHR-Based Emergency Information Form for Children With Medical Complexity.

Todd W Lyons1, Kathleen Huth2, Stacey C Cook2

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Hospital Pediatrics
|August 3, 2025
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Emergency Information Forms (EIFs) in electronic health records (EHRs) provide accurate clinical data for children with medical complexity (CMC). While EIFs improve care accuracy, they do not expedite emergency department (ED) disposition decisions.

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Area of Science:

  • Pediatric Emergency Medicine
  • Health Informatics
  • Clinical Decision Support

Background:

  • Children with medical complexity (CMC) require specialized care, and timely access to accurate clinical information is crucial for effective emergency department (ED) management.
  • Existing information systems may not adequately support the complex needs of CMC during ED visits.

Purpose of the Study:

  • To design and implement an electronic health record (EHR)-based Emergency Information Form (EIF) to improve the ED care of CMC.
  • To assess the feasibility, utilization, and impact of EIFs on ED care processes and outcomes for CMC.

Main Methods:

  • A Model for Improvement framework was used to engage stakeholders in developing and implementing EIFs within the EHR.
  • EIFs included comprehensive patient summaries, prehospital triage, resuscitation status, and care plans.
  • An EHR-based alert system was implemented to notify providers of EIF availability. Outcomes measured included time to disposition, EIF accuracy, care expedience, and hospitalization rates.

Main Results:

  • EIFs were created for 311 CMC, supporting 838 ED visits over a 2-year period.
  • 98% of ED providers found EIFs to contain accurate information, and 86% believed they expedited care.
  • A clinician-led initiative increased EIF utilization from 42% to 64%. No significant change in time to ED disposition was observed, but a modest reduction in hospitalization rates (53.4% to 50.5%) occurred.

Conclusions:

  • The study demonstrates the feasibility and utilization of EHR-based EIFs for providing timely and accurate clinical information to support the ED care of CMC.
  • While EIFs enhance information accessibility and perceived care expedience, they did not demonstrably influence ED disposition efficiency.
  • Further research may explore optimizing EIF integration to impact ED workflow and patient disposition times.