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Tawfik D, Rule A, Alexanian A, Cross D, Holmgren AJ, Lou SS, McPeek Hinz E, Rose C, Viswanadham RVN, Mishuris RG, Rodríguez-Fernández JM, Ford E, Florig S, Sinsky CA, Apathy N
Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata
Emerging Domains for Measuring Healthcare Delivery with Electronic Health Record Metadata
Daniel Tawfik;
Adam Rule;
Aram Alexanian;
Dori Cross;
A Jay Holmgren;
Sunny S. Lou;
Eugenia McPeek Hinz;
Christian Rose;
Ratnalekha V. N. Viswanadham;
Rebecca G. Mishuris;
Jorge M. Rodríguez-Fernández;
Eric Ford;
Sarah Florig;
Christine A. Sinsky;
Nate Apathy
ABSTRACT
This article aims to introduce emerging measurement domains made feasible through electronic health record (EHR) use metadata, to inform the changing landscape of healthcare delivery. We reviewed domains in which EHR metadata may be used to measure healthcare 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 healthcare delivery. By enabling measures that can be used to inform the next generation of healthcare delivery, EHR use metadata may be used to improve the quality of patient care and support clinician well-being. Careful attention is needed to ensure these measures are desirable, feasible, and viable.
Citation
Please cite as:
Tawfik D, Rule A, Alexanian A, Cross D, Holmgren AJ, Lou SS, McPeek Hinz E, Rose C, Viswanadham RVN, Mishuris RG, Rodríguez-Fernández JM, Ford E, Florig S, Sinsky CA, Apathy N
Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata