Innovation &amp; Market Consolidation Among Electronic Health Record Vendors: An Acute Need for Regulation

Wanderer, Jonathan P.; Mishra, Pranita; Ehrenfeld, Jesse M.

doi:10.1007/s10916-014-0008-2

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…Unfortunately, leaving design advances to vendors raises concerns. Vendor consolidation may stifle innovation and slow improvement efforts [35]. It also forces a one-size-fits-all approach that may be illsuited to health systems' and patients' specific needs.…”

Section: Discussionmentioning

confidence: 99%

Challenges optimizing the after visit summary

Federman

Sarzynski

Brach

et al. 2018

International Journal of Medical Informatics

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Background: The after visit summary (AVS) is a paper or electronic document given to patients after a medical appointment, which is intended to summarize patients' health and guide future care, including self-management tasks. Objective: To describe experiences of health systems implementing a redesigned outpatient AVS in commercially available electronic health record (EHR) systems to inform future optimization. Materials and Methods: We conducted semi-structured interviews with information technology and clinical leaders at 12 hospital and community-based healthcare institutions across the continental United States focusing on the process of AVS redesign and implementation. We also report our experience implementing a redesigned AVS in the Epic EHR at the Mount Sinai Hospital in New York City, NY. Results: Health systems experienced many challenges implementing the redesigned AVS. While many IT leaders noted that the redesigned AVS is easier to understand and the document is better organized, they claim the effort is time-consuming, Epic system upgrades render AVS modifications non-functional, and primary care and specialty practices have different needs in *

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Section: Discussionmentioning

confidence: 99%

Challenges optimizing the after visit summary

Federman

Sarzynski

Brach

et al. 2018

International Journal of Medical Informatics

View full text Add to dashboard Cite

show abstract

“…42,43 Others argue, however, that regulation is a required facilitator for industry change-instead of hindering growth, providing a regulatory structure encourages interoperability and can support the evolution of existing markets instead of allowing disruptive new markets to displace older technologies. 44 As regulators navigate the proper balance between innovation in the collection of health information and fair data practice controls, policy makers ultimately need to address the broader social consequences of pervasive health information collection, aggregation, and use. 45 As we move forward, embracing the core principles of appropriately sharing health information, providing adequate notice and choice to patients, and ensuring proper security safeguards will help enable the use of IT within behavioral health care in a way…”

Section: Implications For Public Health Policy and Practicementioning

confidence: 99%