Document Type
Article
Original Publication Date
2014
Journal/Book/Conference Title
Journal of the American Medical Informatics Association
Volume
21
Issue
5
First Page
764
Last Page
771
DOI of Original Publication
10.1136/amiajnl-2013-002229
Date of Submission
February 2015
Abstract
Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This manuscript presents a consensus statement about gaps in current EHR functionality and needed enhancements to support primary care. The Institute of Medicine primary care attributes were used to define needs and Meaningful Use (MU) objectives to define EHR functionality. Current objectives remain disease- rather than whole-person focused, ignoring factors like personal risks, behaviors, family structure, and occupational and environmental influences. Primary care needs EHRs to move beyond documentation to interpreting and tracking information over time as well as patient partnering activities, support for team based care, population management tools that deliver care, and reduced documentation burden. While Stage 3 MU’s focus on outcomes is laudable, enhanced functionality is still needed including EHR modifications, expanded use of patient portals, seamless integration with external applications, and advancement of national infrastructure and policies.
Rights
Copyright © American Medical Informatics Association. Originally published by Oxford University Press at: http://dx.doi.org/10.1136/amiajnl-2013-002229
Is Part Of
VCU Family Medicine and Population Health Publications
Comments
Originally published by Oxford University Press at: http://dx.doi.org/10.1136/amiajnl-2013-002229
Authors are listed alphabetically.