TY - JOUR
T1 - Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records
AU - Sittig, Dean F.
AU - Wright, Adam
AU - Meltzer, Seth
AU - Simonaitis, Linas
AU - Evans, R. Scott
AU - Nichol, W. Paul
AU - Ash, Joan S.
AU - Middleton, Blackford
N1 - Funding Information:
We would like to thank Justin Barnes, Emily Bowman, Sarah Corley, Shailja Dixit, Chuck Frederick, Melissa Honour, James Ingram, Jacob Reider, Jack Smyth, and Sean Thomas for helping us complete the vendor surveys. This work was funded in part by NLM Research Grant RO1-LM006942, AHRQ Contract HHHSA29020080010 and a contract from the Office of the National Coordinator for Health Information Technology (ONC #10510592). The sponsors were not involved in the design, conduct or analysis of the study, or in the preparation of this manuscript.
PY - 2011
Y1 - 2011
N2 - Background: We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community hospitals and out-patient clinics that rely on commercially-available EHRs. We sought to assess whether the current generation of commercially-available EHRs are capable of providing the clinical knowledge management features, functions, tools, and techniques required to deliver and maintain the clinical decision support (CDS) interventions required to support the recently defined "meaningful use" criteria. Methods. We developed and fielded a 17-question survey to representatives from nine commercially available EHR vendors and four leading internally developed EHRs. The first part of the survey asked basic questions about the vendor's EHR. The second part asked specifically about the CDS-related system tools and capabilities that each vendor provides. The final section asked about clinical content. Results: All of the vendors and institutions have multiple modules capable of providing clinical decision support interventions to clinicians. The majority of the systems were capable of performing almost all of the key knowledge management functions we identified. Conclusion: If these well-designed commercially- available systems are coupled with the other key socio-technical concepts required for safe and effective EHR implementation and use, and organizations have access to implementable clinical knowledge, we expect that the transformation of the healthcare enterprise that so many have predicted, is achievable using commercially-available, state-of-the-art EHRs.
AB - Background: We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community hospitals and out-patient clinics that rely on commercially-available EHRs. We sought to assess whether the current generation of commercially-available EHRs are capable of providing the clinical knowledge management features, functions, tools, and techniques required to deliver and maintain the clinical decision support (CDS) interventions required to support the recently defined "meaningful use" criteria. Methods. We developed and fielded a 17-question survey to representatives from nine commercially available EHR vendors and four leading internally developed EHRs. The first part of the survey asked basic questions about the vendor's EHR. The second part asked specifically about the CDS-related system tools and capabilities that each vendor provides. The final section asked about clinical content. Results: All of the vendors and institutions have multiple modules capable of providing clinical decision support interventions to clinicians. The majority of the systems were capable of performing almost all of the key knowledge management functions we identified. Conclusion: If these well-designed commercially- available systems are coupled with the other key socio-technical concepts required for safe and effective EHR implementation and use, and organizations have access to implementable clinical knowledge, we expect that the transformation of the healthcare enterprise that so many have predicted, is achievable using commercially-available, state-of-the-art EHRs.
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U2 - 10.1186/1472-6947-11-13
DO - 10.1186/1472-6947-11-13
M3 - Article
C2 - 21329520
AN - SCOPUS:79951582644
SN - 1472-6947
VL - 11
JO - BMC Medical Informatics and Decision Making
JF - BMC Medical Informatics and Decision Making
IS - 1
M1 - 13
ER -