TY - JOUR
KW - Electronic Health Records
KW - Meaningful Use
KW - primary care
AU - A. H. Krist
AU - J. W. Beasley
AU - J. C. Crosson
AU - D. C. Kibbe
AU - M. S. Klinkman
AU - C. U. Lehmann
AU - C. H. Fox
AU - J. M. Mitchell
AU - J. W. Mold
AU - W. D. Pace
AU - K. A. Peterson
AU - R. L. Phillips
AU - R. Post
AU - J. Puro
AU - M. Raddock
AU - R. Simkus
AU - S. E. Waldren
A1 - 
AB - Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article 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 focused on disease rather than the whole person, ignoring factors such as 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.
BT - Journal of the American Medical Informatics Association : JAMIA
C5 - HIT & Telehealth
DO - 10.1136/amiajnl-2013-002229
JF - Journal of the American Medical Informatics Association : JAMIA
N2 - Electronic health records (EHRs) must support primary care clinicians and patients, yet many clinicians remain dissatisfied with their system. This article 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 focused on disease rather than the whole person, ignoring factors such as 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.
PY - 2014
SN - 1527-974X; 1067-5027
T1 - Electronic health record functionality needed to better support primary care
T2 - Journal of the American Medical Informatics Association : JAMIA
TI - Electronic health record functionality needed to better support primary care
U1 - HIT & Telehealth
U2 - 24431335
U3 - 10.1136/amiajnl-2013-002229
VO - 1527-974X; 1067-5027
Y1 - 2014
ER -