Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata

This article aims to introduce emerging measurement domains made feasible through the electronic health record (EHR) use metadata, to inform the changing landscape of health care delivery. We reviewed emerging domains in which EHR metadata may be used to measure health care delivery, outlining a fra...

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Bibliographic Details
Published in:Journal of medical Internet research Vol. 27; no. 10; p. e64721
Main Authors: Tawfik, Daniel, Rule, Adam, Alexanian, Aram, Cross, Dori, Holmgren, A Jay, Lou, Sunny S, McPeek Hinz, Eugenia, Rose, Christian, Viswanadham, Ratnalekha V N, Mishuris, Rebecca G, Rodríguez-Fernández, Jorge M, Ford, Eric W, Florig, Sarah T, Sinsky, Christine A, Apathy, Nate C
Format: Journal Article
Language:English
Published: Canada Journal of Medical Internet Research 06.03.2025
Gunther Eysenbach MD MPH, Associate Professor
JMIR Publications
Subjects:
Attention
Collaboration
Conformity
Continuity of care
Data entry
Delivery of Health Care
Electronic Health Records
Electronic records
Feasibility
Health care delivery
Health care policy
Health services
Humans
Information technology
Measurement
Measures
Medical care
Medical records
Metadata
Methods
Patient satisfaction
Patients
Quality management
Quality of care
Teams
Teamwork
Web portals
Well being
United States
health services research
audit logs
metadata
clinician-patient relationship
electronic health record data
health care delivery
event logs
cognitive environment
healthcare teams
patient care
ISSN:1438-8871, 1439-4456, 1438-8871
Online Access:Get full text
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Summary:This article aims to introduce emerging measurement domains made feasible through the electronic health record (EHR) use metadata, to inform the changing landscape of health care delivery. We reviewed emerging domains in which EHR metadata may be used to measure health care delivery, outlining a framework for evaluating measures based on desirability, feasibility, and viability. We argue that EHR use metadata may be leveraged to develop and operationalize novel measures in the domains of team structure and dynamics, workflows, and cognitive environment to provide a clearer understanding of modern health care delivery. Examples of measures feasible using metadata include quantification of teamwork and collaboration, patient continuity measures, workflow conformity measures, and attention switching. By enabling measures that can be used to inform the next generation of health care delivery, EHR metadata may be used to improve the quality of patient care and support clinician well-being. Careful attention is needed to ensure that these measures are desirable, feasible, and viable.
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ISSN:1438-8871
1439-4456
1438-8871
DOI:10.2196/64721