25 × 5 Symposium to Reduce Documentation Burden: Report-out and Call for Action.

Background: The widespread adoption of electronic health records and a simultaneous increase in regulatory demands have led to an acceleration of documentation requirements among clinicians. The corresponding burden from documentation requirements is a central contributor to clinician burnout and can lead to an increased risk of suboptimal patient care.

Objective: To address the problem of documentation burden, (Symposium) was organized to provide a forum for experts to discuss the current state of documentation burden and to identify specific actions aimed at dramatically reducing documentation burden for clinicians.

Association of Immediate Release of Test Results to Patients With Implications for Clinical Workflow.

This cross-sectional study assesses changes in the volume of patient-initiated messages to clinicians associated with release of test results before and after implementation of the 21st Century Cures Act.

Characterizing the impact of health literacy, computer ability, patient demographics, and portal usage on patient satisfaction with a patient portal.

Objective: We sought to measure patient portal satisfaction with patient portals and characterize its relationship to attitude towards computers, health literacy, portal usage, and patient demographics.

Materials And Methods: We invited 13 040 patients from an academic medical center to complete a survey measuring satisfaction, perceived control over computers, and health literacy using validated instruments (End User Computing Satisfaction, Computer Attitude Measure, and Brief Health Literacy Screen). We extracted portal usage and demographic information from the medical center data warehouse.

Implementing an interface terminology for structured clinical documentation.

Clinically oriented interface terminologies support interactions between humans and computer programs that accept structured entry of healthcare information. This manuscript describes efforts over the past decade to introduce an interface terminology called CHISL (Categorical Health Information Structured Lexicon) into clinical practice as part of a computer-based documentation application at Vanderbilt University Medical Center. Vanderbilt supports a spectrum of electronic documentation modalities, ranging from transcribed dictation, to a partial template of free-form notes, to strict, structured data capture.