Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records

Dean F. Sittig, Adam Wright, Seth Meltzer, Linas Simonaitis, R. Scott Evans, W. Paul Nichol, Joan S. Ash, Blackford Middleton

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number13
JournalBMC Medical Informatics and Decision Making
Volume11
Issue number1
DOIs
StatePublished - 2011

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics
  • Computer Science Applications

Fingerprint

Dive into the research topics of 'Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records'. Together they form a unique fingerprint.

Cite this