TY - JOUR
T1 - Emerging Domains for Measuring Health Care Delivery With Electronic Health Record Metadata
AU - Tawfik, Daniel
AU - Rule, Adam
AU - Alexanian, Aram
AU - Cross, Dori
AU - Holmgren, Jay J.
AU - Lou, Sunny S.
AU - Hinz, Eugenia Mc Peek
AU - Rose, Christian
AU - Viswanadham, Ratnalekha V.N.
AU - Mishuris, Rebecca G.
AU - Rodríguez-Fernández, Jorge M.
AU - Ford, Eric W.
AU - Florig, Sarah T.
AU - Sinsky, Christine A.
AU - Apathy, Nate C.
N1 - Publisher Copyright:
©Daniel Tawfik, Adam Rule, Aram Alexanian, Dori Cross, A Jay Holmgren, Sunny S Lou, Eugenia McPeek Hinz, Christian Rose, Ratnalekha V N Viswanadham, Rebecca G Mishuris, Jorge M Rodríguez-Fernández, Eric W Ford, Sarah T Florig, Christine A Sinsky, Nate C Apathy.
PY - 2025
Y1 - 2025
N2 - This article aims to introduce emerging measurement domains made feasible through the electronic health record (EHR) use metadata, to inform the changing landscape of health care delivery. We reviewed emerging domains in which EHR metadata may be used to measure health care delivery, outlining a framework for evaluating measures based on desirability, feasibility, and viability. We argue that EHR use metadata may be leveraged to develop and operationalize novel measures in the domains of team structure and dynamics, workflows, and cognitive environment to provide a clearer understanding of modern health care delivery. Examples of measures feasible using metadata include quantification of teamwork and collaboration, patient continuity measures, workflow conformity measures, and attention switching. By enabling measures that can be used to inform the next generation of health care delivery, EHR metadata may be used to improve the quality of patient care and support clinician well-being. Careful attention is needed to ensure that these measures are desirable, feasible, and viable.
AB - This article aims to introduce emerging measurement domains made feasible through the electronic health record (EHR) use metadata, to inform the changing landscape of health care delivery. We reviewed emerging domains in which EHR metadata may be used to measure health care delivery, outlining a framework for evaluating measures based on desirability, feasibility, and viability. We argue that EHR use metadata may be leveraged to develop and operationalize novel measures in the domains of team structure and dynamics, workflows, and cognitive environment to provide a clearer understanding of modern health care delivery. Examples of measures feasible using metadata include quantification of teamwork and collaboration, patient continuity measures, workflow conformity measures, and attention switching. By enabling measures that can be used to inform the next generation of health care delivery, EHR metadata may be used to improve the quality of patient care and support clinician well-being. Careful attention is needed to ensure that these measures are desirable, feasible, and viable.
KW - audit logs
KW - clinician-patient relationship
KW - cognitive environment
KW - electronic health record data
KW - event logs
KW - health care delivery
KW - health services research
KW - healthcare teams
KW - metadata
KW - patient care
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U2 - 10.2196/64721
DO - 10.2196/64721
M3 - Review article
C2 - 40053814
AN - SCOPUS:86000300612
SN - 1439-4456
VL - 27
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
M1 - e64721
ER -