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. 2013 Jun;20(e1):e175-7.
doi: 10.1136/amiajnl-2013-001748. Epub 2013 Apr 18.

The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs

Jason J Saleem  1 , Mindy E Flanagan, Nancy R Wilck, Jim Demetriades, Bradley N Doebbeling
Affiliations

The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs

Jason J Saleem et al. J Am Med Inform Assoc. 2013 Jun.

Abstract

The rapid change in healthcare has focused attention on the necessary development of a next-generation electronic health record (EHR) to support system transformation and more effective patient-centered care. The Department of Veterans Affairs (VA) is developing plans for the next-generation EHR to support improved care delivery for veterans. To understand the needs for a next-generation EHR, we interviewed 14 VA operational, clinical and informatics leaders for their vision about system needs. Leaders consistently identified priorities for development in the areas of cognitive support, information synthesis, teamwork and communication, interoperability, data availability, usability, customization, and information management. The need to reconcile different EHR initiatives currently underway in the VA, as well as opportunities for data sharing, will be critical for continued progress. These findings may support the VA's effort for evolutionary change to its information system and draw attention to necessary research and development for a next-generation information system and EHR nationally.

Keywords: Clinical decision support systems; Cognitive support; Electronic health records; Interoperability; Usability.

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