WASHINGTON, July 13, 2015 – Recent reports indicate that providers are taking patient satisfaction more seriously, while patients are becoming more active participants in their health. These changes in values have set the stage to redesign health care in ways that better integrate evidence with patient and clinician perspectives at the point of care.
In an effort to share promising strategies to leverage clinical decision support, user experience, and system redesign, AcademyHealth’s peer-reviewed open access journal, eGEMs, today releases “Evidence into Action: Improving User Interface to Improve Patient Outcomes.” Edited by Thomas McGinn, M.D., M.P.H., Chair of Medicine of the Hofstra North-LIJ School of Medicine, the issue spotlights innovative testing and design approaches to developing electronic tools that fit into clinical workflows while improving patient-provider communication and quality of care.
“How we marry this high quality evidence and the practice of medicine through effective decision support is a major challenge,” notes Dr. McGinn. “The papers in this special issue are a critical first step to addressing this question.”
The 11 papers detail patient and clinician-centered solutions being developed to bridge the gap between evidence and implementation. For example, a manuscript from Andrea Hartzler and colleagues from Group Health Research Institute and the University of Washington shares the design process used to integrate patient-reported outcomes after spinal surgery into a visual digital dashboard that helps clinicians better understand a patient’s level of pain or disability following surgery. Another prototype tool—designed by Edward Melnick and colleagues from the Yale School of Medicine, Mayo Clinic and University of Connecticut–allows patients and clinicians in emergency departments to use tablets at the bedside to together decide whether a CT scan is appropriate for a minor head injury.
“Our new issue on clinical decision support, user experience, and system redesign exemplifies the reasons eGEMs was created - to share innovative methods as well as new approaches to enhance interoperability and communication in patient-centered ways that can improve health. Translating evidence into practice relies on good usability and clinical decision support to engage patients and the community,” said Electronic Data Methods (EDM) Forum Principal Investigator and eGEMs Editor-in-Chief Erin Holve, Ph.D., M.P.H., M.P.P.
- CDS, UX, and System Redesign - Promising Techniques and Tools to Bridging the Evidence Gap (McGinn)
- Integrating Patient-Reported Outcomes into Spine Surgical Care through Visual Dashboards: Lessons Learned from Human-Centered Design (Hartzler et al.)
- Initial Usability and Feasibility Evaluation of a Personal Health Record-Based Self-Management System for Older Adults (Sheehan et al.)
- Using Qualitative Methods to Create a Home Health Web Application User Interface for Patients with Low Computer Proficiency (Baier et al.)
- EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes (Foraker et al.)
- Back to the Bedside: Developing a Bedside Aid for Concussion and Brain Injury Decisions in the Emergency Department (Melnick et al.)
- Teaching Evidence Assimilation for Collaborative Health Care (TEACH) 2009-2014: Building Evidence-Based Capacity Within Health Care Provider Organizations (Wyer et al.)
- A Multi-step Maturity Model for the Implementation of Electronic and Computable Diagnostic Clinical Prediction Rules (CPRs) (Corrigan et al.)
- TeenBP: Development and Piloting of an EHR-linked Clinical Decision Support System to Improve Recognition of Hypertension in Adolescents (Kharbanda et al.)
- A Framework for Usable and Effective Clinical Decision Support: Experience from the iCPR Randomized Clinical Trial (Kannry et al.)
- Improving Clinical Workflow in Ambulatory Care: Implemented Recommendations in an Innovation Prototype for the Veteran's Health Administration (Patterson et al.)
eGEMs (Generating Evidence & Methods to improve patient outcomes) is a peer-reviewed, open access journal that seeks to accelerate research and quality improvement using electronic health data. The EDM Forum launched eGEMs in 2013, and the journal has since published more than 100 papers featuring cutting-edge projects from leaders in the field. eGEMs is led by an editorial board of experts from across the country and is a premier journal for approaches to redesigning the health system, including methods, interoperability, and governance. Visit the eGEMs website and follow us on Twitter to learn more about the journal, how to submit a manuscript, or to serve as a reviewer.
The EDM Forum is supported by the Agency for Healthcare Research and Quality (AHRQ), Grant 1U18HS022789-01.
AcademyHealth is a leading national organization serving the fields of health services and policy research and the professionals who produce and use this important work. Together with our members, we offer programs and services that support the development and use of rigorous, relevant and timely evidence to increase the quality, accessibility, and value of health care, to reduce disparities, and to improve health. A trusted broker of information, AcademyHealth brings stakeholders together to address the current and future needs of an evolving health system, inform health policy, and translate evidence into action.