New Electronic Medical Records Study Findings Recently Were Reported by E. Dillon and Co-Researchers (Provider Perspectives on Advance Care Planning Documentation in the Electronic Health Record)
By a News Reporter-Staff News Editor at Health & Medicine Week Investigators publish new report on Information Technology - Electronic Medical Records. According to news reporting from Mountain View, California, by NewsRx journalists, research stated, "Advance care planning (ACP) is valued by patients and clinicians, yet documenting ACP in an accessible manner is problematic. In order to understand how providers incorporate electronic health record (EHR) ACP documentation into clinical practice, we interviewed providers in primary care and specialty departments about ACP practices (n=13) and analyzed EHR data on 358 primary care providers (PCPs) and 79 specialists at a large multispecialty group practice."
The news correspondents obtained a quote from the research, "Structured interviews were conducted with 13 providers with high and low rates of ACP documentation in primary care, oncology, pulmonology, and cardiology departments. The EHR problem list data on Advance Health Care Directives (AHCDs) and Physician Orders for Life-Sustaining Treatment (POLST) were used to calculate ACP documentation rates. Examining seriously ill patients greater than or equal to65 years with no preexisting ACP documentation seen by providers during 2013 to 2014, 88.6% (AHCD) and 91.1% (POLST) of 79 specialists had zero ACP documentations. Of 358 PCPs, 29.1% (AHCD) and 62.3% (POLST) had zero ACP documentations. Interviewed PCPs often believed ACP documentation was beneficial and accessible, while specialists more often did not. Specialists expressed more confusion about documenting ACP, whereas PCPs reported standard clinic workflows. Problems with interoperability between outpatient and inpatient EHR systems and lack of consensus about who should document ACP were sources of variations in practices. Results suggest that providers desire standardized workflows for ACP discussion and documentation."
According to the news reporters, the research concluded: "New Medicare reimbursement for ACP and an increasing number of quality metrics for ACP are incentives for health-care systems to address barriers to ACP documentation."
For more information on this research see: Provider Perspectives on Advance Care Planning Documentation in the Electronic Health Record. The American Journal of Hospice & Palliative Care, 2017;():1049909117693578 (see also Information Technology - Electronic Medical Records).
Our news journalists report that additional information may be obtained by contacting E. Dillon, 1 Palo Alto Medical Foundation Research Institute, Mountain View, CA, United States. Additional authors for this research include J. Chuang, A. Gupta, S. Tapper, S. Lai, P. Yu, C. Ritchie and M. Tai-Seale.
Keywords for this news article include: California, Mountain View, United States, Information Technology, North and Central America, Electronic Medical Records.
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