A brand new paper within the journal Utilized Medical Informatics seeks to make clear and standardize the idea of documentation burden throughout well being professions.
The evaluate was authored by AMIA 25×5 Process Power members Deborah Levy, M.D., M.P.H., M.S., Jennifer Withall, Ph.D., and colleagues.
The AMIA 25×5 Process Power is charged with lowering extreme documentation burden to 25 p.c of the present state. Along with standardizing the mandatory definitions, the duty pressure makes use of knowledge collected via surveys to measure and pattern perceived documentation burden amongst all well being professionals documenting affected person care within the EHR. The TrendBurden open dataset is on the market for educational and scientific analysis.
The authors word that documentation burden has lacked a exact, universally accepted definition—till now. They are saying {that a} clear standardized definition is essential for aligning efforts geared toward lowering each “DocBurden” and extreme DocBurden, in addition to monitoring progress in the direction of this aim. This scoping evaluate introduces an inclusive, interprofessional standardized definition of DocBurden, offering a basis for future analysis, initiatives, and insurance policies. Moreover, it enhances readability on the evolving discourse surrounding extreme DocBurden inside the U.S. healthcare system.
The target of the examine was to align efforts to cut back DocBurden, such because the AMIA 25×5 Process Power Initiative and the Nationwide Burden Discount Collaborative, with different nationwide initiatives focusing on clinician wellness and affected person security by offering a vital standardized definition of documentation burden for well being professionals.
“Whereas there may be an abundance of peer-reviewed and grey literature, not all stakeholders discuss persistently about documentation burden,” mentioned Sarah Rossetti, R.N., Ph.D., chair of the AMIA 25×5 Process Power, in an announcement. “It’s exhausting to maneuver the needle and impactfully cut back documentation burden when all stakeholders aren’t universally approaching the issue. The aim of the 25×5 Process Power from the start was to facilitate a regular definition for simpler dialog round mitigating and lowering documentation burden.”
