Incorporating longitudinal pediatric patient-centered outcome measurement into the clinical workflow using a commercial electronic health record: a step toward increasing value for the patient.

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  • Additional Information
    • Source:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE
    • Publication Information:
      Publication: 2015- : Oxford : Oxford University Press
      Original Publication: Philadelphia, PA : Hanley & Belfus, c1993-
    • Subject Terms:
      Patient-Centered Care* ; Workflow*; Electronic Health Records/*organization & administration ; Hospitals, Pediatric/*organization & administration ; Outcome Assessment, Health Care/*methods; Child ; Humans ; Medical Records Systems, Computerized ; Texas
    • Abstract:
      Patient-centered outcomes measurement provides healthcare organizations with crucial information for increasing value for patients; however, organizations have struggled to obtain outcomes data from electronic health record (EHR) systems. This study describes how Texas Children's Hospital customized a commercial EHR system and assembled a cross-functional team to capture outcomes data using existing functionality. Prior to its installation and customization, no surgical subspecialties besides the congenital heart and transplant surgery groups conducted prospective, patient outcomes measurement, but by 2015, the outcomes of over 1300 unique patients with supracondylar fractures, cleft lip and/or palate, or voiding dysfunction had been tracked. Key factors for integrating outcomes measurement into the clinical workflow include ongoing communication between cross-functional teams composed of clinicians and technical professionals, an iterative design process, organizational commitment, and prioritizing measurement as early as possible during EHR optimization.
      (© The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: [email protected].)
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    • Contributed Indexing:
      Keywords: Epic; electronic health records; outcomes; patient-centered outcomes measurement; value
    • Publication Date:
      Date Created: 20150918 Date Completed: 20161018 Latest Revision: 20210127
    • Publication Date:
      20231215
    • Accession Number:
      PMC7814927
    • Accession Number:
      10.1093/jamia/ocv125
    • Accession Number:
      26377989