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The Post-Encounter Form System: Efficient Data Collection within Electronic Health Records
Philip Held;
Randy A Boley;
Walter G Faig;
John A O'Toole;
Imran Desai;
Alyson K Zalta;
Jawad Khan;
Shannon Sims;
Michael B Brennan;
Rebecca Van Horn;
Angela C Glover;
Bala N Hota;
Brian D Patty;
Shafiq Rab;
Mark H Pollack;
Niranjan S Karnik
ABSTRACT
Electronic health records (EHR) offer opportunities for research and improved patient care. However, challenges exist in using data from EHRs due to volumes of information existing within clinical notes, which can be labor intensive and costly to transform into usable data with existing strategies. This case report details the collaborative development and implementation of the post-encounter form (PEF) system into the EHR at the Road Home Program at Rush University Medical Center in Chicago, IL to address these concerns with little burden to clinical workflows. The PEF system proved to be an effective tool with over 98% of all clinical encounters including a completed PEF within 5 months of implementation and the generation of over 325,188 unique, readily accessible data points in under 4 years of use. The PEF system has since been deployed to other settings demonstrating that the system may be of broader clinical utility.