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

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...

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Bibliographic Details
Published in:Journal of the American Medical Informatics Association : JAMIA 2013-06, Vol.20 (e1), p.e175-e177
Main Authors: Saleem, Jason J, Flanagan, Mindy E, Wilck, Nancy R, Demetriades, Jim, Doebbeling, Bradley N
Format: Article
Language:English
Subjects:
Brief Communication
Electronic Health Records - organization & administration
Electronic Health Records - trends
Humans
Interviews as Topic
Leadership
United States
United States Department of Veterans Affairs - organization & administration
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Summary: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.
ISSN:1067-5027
1527-974X
DOI:10.1136/amiajnl-2013-001748