J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs.

Tópicos

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{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
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{ intervent(3218) particip(2042) group(1664) }
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Resumo

The rapid change in healthcare has focused attention on the necessary development of a next-generation electronic health record (EHR) to support system transformation and more effective patient-centered care. The Department of Veterans Affairs (VA) is developing plans for the next-generation EHR to support improved care delivery for veterans. To understand the needs for a next-generation EHR, we interviewed 14 VA operational, clinical and informatics leaders for their vision about system needs. Leaders consistently identified priorities for development in the areas of cognitive support, information synthesis, teamwork and communication, interoperability, data availability, usability, customization, and information management. The need to reconcile different EHR initiatives currently underway in the VA, as well as opportunities for data sharing, will be critical for continued progress. These findings may support the VA's effort for evolutionary change to its information system and draw attention to necessary research and development for a next-generation information system and EHR nationally.

Resumo Limpo

rapid chang healthcar focus attent necessari develop nextgener electron health record ehr support system transform effect patientcent care depart veteran affair va develop plan nextgener ehr support improv care deliveri veteran understand need nextgener ehr interview va oper clinic informat leader vision system need leader consist identifi prioriti develop area cognit support inform synthesi teamwork communic interoper data avail usabl custom inform manag need reconcil differ ehr initi current underway va well opportun data share will critic continu progress find may support vas effort evolutionari chang inform system draw attent necessari research develop nextgener inform system ehr nation

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