25 × 5 Symposium to Reduce Documentation Burden: Report-out and Call for Action

Mollie Hobensack; Deborah R. Levy; Kenrick Cato; Don E. Detmer; Kevin B. Johnson; Jeffrey Williamson; Judy Murphy; Amanda Moy; Jennifer Withall; Rachel Lee; Sarah Collins Rossetti; Samuel Trent Rosenbloom

doi:10.1055/s-0042-1746169

Applied Clinical Informatics, Inhaltsverzeichnis

Appl Clin Inform 2022; 13(02): 439-446
DOI: 10.1055/s-0042-1746169

CIC 2021

25 × 5 Symposium to Reduce Documentation Burden: Report-out and Call for Action

Mollie Hobensack

¹Columbia University School of Nursing, New York, New York, United States

,

Deborah R. Levy

²Oregon Health and Science University, Portland, Oregon, United States

,

Kenrick Cato

¹Columbia University School of Nursing, New York, New York, United States

³Department of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, United States

,

Don E. Detmer

⁴Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia, United States

,

Kevin B. Johnson

⁵University of Pennsylvania, Philadelphia, Pennsylvania, United States

,

Jeffrey Williamson

⁶American Medical Informatics Association, Bethesda, Maryland, United States

,

Judy Murphy

⁷Minneapolis, Minnesota, United States

,

Amanda Moy

⁸Department of Biomedical Informatics, Columbia University, New York, New York, United States

,

Jennifer Withall

¹Columbia University School of Nursing, New York, New York, United States

,

Rachel Lee

¹Columbia University School of Nursing, New York, New York, United States

,

Sarah Collins Rossetti

¹Columbia University School of Nursing, New York, New York, United States

⁸Department of Biomedical Informatics, Columbia University, New York, New York, United States

,

Samuel Trent Rosenbloom

⁹Departments of Biomedical Informatics Internal Medicine and Pediatrics, Vanderbilt University, Nashville, Tennessee, United States

› Institutsangaben

Abstract

Background The widespread adoption of electronic health records and a simultaneous increase in regulatory demands have led to an acceleration of documentation requirements among clinicians. The corresponding burden from documentation requirements is a central contributor to clinician burnout and can lead to an increased risk of suboptimal patient care.

Objective To address the problem of documentation burden, the 25 by 5: Symposium to Reduce Documentation Burden on United States Clinicians by 75% by 2025 (Symposium) was organized to provide a forum for experts to discuss the current state of documentation burden and to identify specific actions aimed at dramatically reducing documentation burden for clinicians.

Methods The Symposium consisted of six weekly sessions with 33 presentations. The first four sessions included panel presentations discussing the challenges related to documentation burden. The final two sessions consisted of breakout groups aimed at engaging attendees in establishing interventions for reducing clinical documentation burden. Steering Committee members analyzed notes from each breakout group to develop a list of action items.

Results The Steering Committee synthesized and prioritized 82 action items into Calls to Action among three stakeholder groups: Providers and Health Systems, Vendors, and Policy and Advocacy Groups. Action items were then categorized into as short-, medium-, or long-term goals. Themes that emerged from the breakout groups' notes include the following: accountability, evidence is critical, education and training, innovation of technology, and other miscellaneous goals (e.g., vendors will improve shared knowledge databases).

Conclusion The Symposium successfully generated a list of interventions for short-, medium-, and long-term timeframes as a launching point to address documentation burden in explicit action-oriented ways. Addressing interventions to reduce undue documentation burden placed on clinicians will necessitate collaboration among all stakeholders.

Keywords

electronic health records - documentation burden - Symposium - nurses - physicians

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Referenzen

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