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Improving Resident Hospital Discharge Communication by Changing Electronic Health Record Templates to Enhance Primary Care Provider Satisfaction.

Qual Manag Health Care

March 2024

Veterans Affairs Greater Los Angeles and UCLA National Clinician Scholars Program, VA Greater Los Angeles Healthcare System Center for the Study of Healthcare Innovation, Implementation, and Policy, Los Angeles, California (Dr Lynch); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York (Drs Lynch, Baron, Rikin, Kanevsky, Kelly, Carrozzi, Wey, and Yang); NYC Health + Hospitals/Elmhurst, Department of Medicine, Queens, New York (Dr Kanevsky); and NYU School of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Manhattan, New York (Dr Yang).

Background And Objectives: Despite use of standardized electronic health record templates, the structure of discharge summaries may hinder communication from inpatient settings to primary care providers (PCPs). We developed an enhanced electronic discharge summary template to improve PCP satisfaction with written discharge summaries targeting diagnoses, medication reconciliation, laboratory test results, specialist follow-up, and recommendations.

Methods: Resident template usage was measured using statistical process control charts.

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