Increasing Patient Portal Usage: Outcomes From the MyChart Genius Pilot Project

Lanzo, Erin; Taeger, Alexandra; Huston-Paterson, Hattie; Tomaszewski, Kathy; Trent, Maria

doi:10.1016/j.jadohealth.2015.10.050

Cited by 2 publications

(2 citation statements)

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“…Haurani et al [239], 2020 Not specified Koo et al [240], 2020; Lanzo et al [241], 2016; Rameau et al [242], 2018; Wagner et al [243], 2022 Pediatric Gessner et al [244], 2023 Pediatric and adolescent Mehta et al [245], 2016; Wamsley et al [246], 2014 Physicians Chernitsky et al [247], 2014 Providers and clinic staff…”

Section: Adult and Pediatricmentioning

confidence: 99%

“…In addition, analyzing unstructured medical notes requires advanced data analysis skills [250,274]. Finally, if data are extracted from different sites or geographic regions, the quality of the data depends on convergent timelines and alignment with existing administrative and clinical systems [68,241]. These differences can result in incongruent, varied, and missing information [176].…”

Section: Data Governance Access and Qualitymentioning

confidence: 99%

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Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

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Background Electronic health records (EHRs) enable health data exchange across interconnected systems from varied settings. Epic is among the 5 leading EHR providers and is the most adopted EHR system across the globe. Despite its global reach, there is a gap in the literature detailing how EHR systems such as Epic have been used for health care research. Objective The objective of this scoping review is to synthesize the available literature on use cases of the Epic EHR for research in various areas of clinical and health sciences. Methods We used established scoping review methods and searched 9 major information repositories, including databases and gray literature sources. To categorize the research data, we developed detailed criteria for 5 major research domains to present the results. Results We present a comprehensive picture of the method types in 5 research domains. A total of 4669 articles were screened by 2 independent reviewers at each stage, while 206 articles were abstracted. Most studies were from the United States, with a sharp increase in volume from the year 2015 onwards. Most articles focused on clinical care, health services research and clinical decision support. Among research designs, most studies used longitudinal designs, followed by interventional studies implemented at single sites in adult populations. Important facilitators and barriers to the use of Epic and EHRs in general were identified. Important lessons to the use of Epic and other EHRs for research purposes were also synthesized. Conclusions The Epic EHR provides a wide variety of functions that are helpful toward research in several domains, including clinical and population health, quality improvement, and the development of clinical decision support tools. As Epic is reported to be the most globally adopted EHR, researchers can take advantage of its various system features, including pooled data, integration of modules and developing decision support tools. Such research opportunities afforded by the system can contribute to improving quality of care, building health system efficiencies, and conducting population-level studies. Although this review is limited to the Epic EHR system, the larger lessons are generalizable to other EHRs.

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Section: Adult and Pediatricmentioning

confidence: 99%

Section: Data Governance Access and Qualitymentioning

confidence: 99%

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Chishtie,

Sapiro,

Wiebe

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

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Use of Epic Electronic Health Record System for Health Care Research: Scoping Review (Preprint)

Chishtie,

Sapiro,

Wiebe

et al. 2023

Preprint

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BACKGROUND Electronic health records (EHR) enable health data exchange across interconnected systems from varied settings. Epic is among the five leading EHR providers, and the highest adopted EHR across the globe. Despite its global reach, there is a gap in the literature detailing how it has been used for research. The objective of this systematic scoping review is to synthesize available literature on the use of the EHR for research in areas of clinical and health sciences. OBJECTIVE The objective for this systematic scoping review is to synthesize available literature on use cases of the Epic EHR for research in various areas of clinical and health sciences. METHODS We used established scoping review methods, searching nine major information repositories, including databases and grey literature sources. For categorizing the research data, we developed detailed criteria with major research domains for presenting our results. RESULTS A total of 4669 articles were screened by two independent reviewers at each stage, and 206 articles were abstracted. Most studies were from the USA, with a sharp increase from 2015 onwards. Most studies were from clinical, health services research, and clinical decision support. The majority employed longitudinal designs, followed by interventional studies implemented at single sites with an adult population. Important facilitators and barriers to the use of EPIC and EHRs in general were also identified. CONCLUSIONS EHRs are a new source of health data, with an ever-expanding repertoire of functions. This places them as a unique tool for primary and secondary research. The Epic EHR is a globally known, well established and growing EHR. This review attempts at filling a critical gap in the literature on the use of EHRs for research, outlining the current state of science in this realm. We additionally offer opportunities, key considerations and recommendations for future use of the Epic EHR and other EHRs in general. While the Epic system provides a wide variety of functions, important considerations for researchers include architecture, data access, and data quality issues. Significant recommendations relate to training, creating clinician buy-in, and creating trans-institutional collaborations for effective research. While this review was limited to Epic systems, the larger lessons are generalizable to other EHRs. CLINICALTRIAL Not applicable.

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Increasing Patient Portal Usage: Outcomes From the MyChart Genius Pilot Project

Cited by 2 publications

References 0 publications

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review

Use of Epic Electronic Health Record System for Health Care Research: Scoping Review (Preprint)

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