Using a health information technology survey to explore the availability of addiction treatment data in the electronic health records: A National Drug Abuse Treatment Clinical Trials Network study

Wu, Li‐Tzy; Payne, Elizabeth H.; Roseman, Kimberly; Case, Ashley; Nelson, Casey; Lindblad, Robert

doi:10.1016/j.jsat.2020.01.015

Cited by 7 publications

(14 citation statements)

References 28 publications

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“…Most were quantitative (21/40, 53%) [ 78 - 98 ], with qualitative (11/40, 28%) [ 99 - 109 ] and mixed method studies (8/40, 20%) [ 110 - 117 ] also included. We categorized studies based on the broad category of research methods, including surveys (15/40, 38%) [ 78 , 80 - 85 , 89 , 92 , 95 - 97 , 110 , 113 , 116 ], qualitative interview/focus group studies (7/40, 18%) [ 100 - 104 , 110 , 111 ], chart review of specific EHRs (5/40, 13%) [ 85 - 87 , 114 , 117 ], cross-sectional analysis of EHR data or comparison with other secondary data (5/40, 13%) [ 90 , 91 , 93 , 95 , 98 ], quality improvement initiatives (3/40, 8%) [ 79 , 88 , 111 ], ethnographic or observational (6/40, 15%) [ 99 , 105 - 108 , 112 ], and descriptive case studies (1/40, 3%) [ 109 ].…”

Section: Methodsmentioning

confidence: 99%

“…Overall, primary health care clinicians, physicians, psychiatrists, psychologists, social workers, and nurses were well-represented across the studies. Some studies (9/40, 23%) included administrative, management, or information technology staff [ 78 , 97 , 99 - 103 , 108 , 112 ]. Only 10% (4/40) of studies involved service users [ 82 , 83 , 108 , 110 ].…”

Section: Methodsmentioning

confidence: 99%

“…Several studies involved the collection of data on the type of EHRs that services were using, such as cross-sectional surveys of health services. We expected these studies to report details of the EHR in their results sections (8/40, 20%) [ 80 , 85 , 96 , 97 , 112 , 113 , 116 ]. Of these 8 studies, 3 (38%) reported on the names or types of EHR used by the included health services [ 97 , 112 , 116 ], and 2 (25%) reported some details of the functions [ 80 , 112 ], which were mainly related to those who could access the EHR.…”

Section: Methodsmentioning

confidence: 99%

“…We expected these studies to report details of the EHR in their results sections (8/40, 20%) [ 80 , 85 , 96 , 97 , 112 , 113 , 116 ]. Of these 8 studies, 3 (38%) reported on the names or types of EHR used by the included health services [ 97 , 112 , 116 ], and 2 (25%) reported some details of the functions [ 80 , 112 ], which were mainly related to those who could access the EHR. The included studies reported a variety of off-the-shelf and custom EHRs.…”

Section: Methodsmentioning

confidence: 99%

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Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review

Kariotis¹,

Prictor²,

Chang³

et al. 2022

J Med Internet Res

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Background The adoption of electronic health records (EHRs) and electronic medical records (EMRs) has been slow in the mental health context, partly because of concerns regarding the collection of sensitive information, the standardization of mental health data, and the risk of negatively affecting therapeutic relationships. However, EHRs and EMRs are increasingly viewed as critical to improving information practices such as the documentation, use, and sharing of information and, more broadly, the quality of care provided. Objective This paper aims to undertake a scoping review to explore the impact of EHRs on information practices in mental health contexts and also explore how sensitive information, data standardization, and therapeutic relationships are managed when using EHRs in mental health contexts. Methods We considered a scoping review to be the most appropriate method for this review because of the relatively recent uptake of EHRs in mental health contexts. A comprehensive search of electronic databases was conducted with no date restrictions for articles that described the use of EHRs, EMRs, or associated systems in the mental health context. One of the authors reviewed all full texts, with 2 other authors each screening half of the full-text articles. The fourth author mediated the disagreements. Data regarding study characteristics were charted. A narrative and thematic synthesis approach was taken to analyze the included studies’ results and address the research questions. Results The final review included 40 articles. The included studies were highly heterogeneous with a variety of study designs, objectives, and settings. Several themes and subthemes were identified that explored the impact of EHRs on information practices in the mental health context. EHRs improved the amount of information documented compared with paper. However, mental health–related information was regularly missing from EHRs, especially sensitive information. EHRs introduced more standardized and formalized documentation practices that raised issues because of the focus on narrative information in the mental health context. EHRs were found to disrupt information workflows in the mental health context, especially when they did not include appropriate templates or care plans. Usability issues also contributed to workflow concerns. Managing the documentation of sensitive information in EHRs was problematic; clinicians sometimes watered down sensitive information or chose to keep it in separate records. Concerningly, the included studies rarely involved service user perspectives. Furthermore, many studies provided limited information on the functionality or technical specifications of the EHR being used. Conclusions We identified several areas in which work is needed to ensure that EHRs benefit clinicians and service users in the mental health context. As EHRs are increasingly considered critical for modern health systems, health care decision-makers should consider how EHRs can better reflect the complexity and sensitivity of information practices and workflows in the mental health context.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review

Kariotis¹,

Prictor²,

Chang³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…The Clinical Trials Network encouraged its nodes to access data stored in electronic health records (EHRs); four papers in this supplement examine EHR capacity to address substance use disorders and especially provide insight into the epidemic of opioid use and misuse (Baldwin et al, 2020;Boudreau et al, 2020;Stephens et al, 2020;Wu et al, 2020). As a group, the papers demonstrate the ability of the CTN to assess access to EHR systems, extract data related to alcohol and drug use disorders and articulate the challenges of integrating data from diverse EHRs to better describe the relationships between substance use disorders and health status.…”

mentioning

confidence: 99%

The National Drug Abuse Treatment Clinical Trials Network: From 2000 to 2020 and beyond

McCarty

Donovan

2020

Journal of Substance Abuse Treatment

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This issue of the Journal of Substance Abuse Treatment reflects on and celebrates 20 years of investigations conducted within the National Drug Abuse Treatment Clinical Trials Network (CTN). The origins of the CTN lie in an Institute of Medicine (now Academy of Medicine) study committee that the Center for Substance Abuse Treatment and the National Institute on Drug Abuse (NIDA) commissioned to address the gap between research and practice in the treatment of alcohol and drug use disorders -Committee on Community-Based Drug Treatment (Institute of Medicine, 1998). The Committee's recommendations as a means of bridging this gap emerged in a consensus process and its first recommendation was … The National Institute on Drug Abuse and the Center for Substance Abuse Treatment should support the development of an infrastructure to facilitate research within a network of communitybased treatment programs similar to the National Cancer Institute's Community Clinical Oncology Program networks (p.

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Recommendations to Inform Substance Use Disorder Data Sharing Research: Scoping Review and Thematic Analysis

et al. 2022

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ObjectivesTitle 42 Code of Federal Regulations Part 2 (42 CFR Part 2 or Part 2) was enacted in 1975 to protect patients receiving treatment for substance use disorders. A scoping review on Part 2 characterized published work.MethodsSeven databases were searched. Studies were categorized based on date of publication, primary objectives, methods, and findings. A thematic analysis was conducted using article titles and abstracts.ResultsOf the 36 studies identified, the majority (78%) were opinions or legal reviews, (22%) employed quantitative and/or qualitative methods to study the impact of Part 2, and over half (58%) were published in the past 5 years. Only 8% of studies reported stakeholder involvement in Part 2 studies and no study included patients or patient advocates. No study discussed the efforts to align Part 2 with Health Insurance Portability and Accountability Act or provided evidence of the benefit of this alignment. Three main themes emerged from the review: care delivery (46.6%), law and ethics (27.6%), and technology (25.9%). There were no studies focusing on stigma and its effect on substance use treatment and Part 2.ConclusionsDespite the significance of Part 2, the literature is sparse. It is time to initiate a new era of scholarly research that focuses on the impact of statutes and policies that govern substance use disorder data sharing. Specifically, we recommend research on Part 2 and Health Insurance Portability and Accountability Act alignment, the effects of Part 2 on patients, as well as providers and other stakeholder perceptions on the regulation.

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Using a health information technology survey to explore the availability of addiction treatment data in the electronic health records: A National Drug Abuse Treatment Clinical Trials Network study

Cited by 7 publications

References 28 publications

Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review

Impact of Electronic Health Records on Information Practices in Mental Health Contexts: Scoping Review

The National Drug Abuse Treatment Clinical Trials Network: From 2000 to 2020 and beyond

Recommendations to Inform Substance Use Disorder Data Sharing Research: Scoping Review and Thematic Analysis

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