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Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers

Our goal is to summarize the collective experience of 15 organizations in dealing with uncoordinated efforts that result in unnecessary delays in understanding, predicting, preparing for, containing, and mitigating the COVID-19 pandemic in the US. Response efforts involve the collection and analysis...

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Autores principales: Madhavan, Subha, Bastarache, Lisa, Brown, Jeffrey S, Butte, Atul J, Dorr, David A, Embi, Peter J, Friedman, Charles P, Johnson, Kevin B, Moore, Jason H, Kohane, Isaac S, Payne, Philip R O, Tenenbaum, Jessica D, Weiner, Mark G, Wilcox, Adam B, Ohno-Machado, Lucila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7665546/
https://www.ncbi.nlm.nih.gov/pubmed/33260207
http://dx.doi.org/10.1093/jamia/ocaa287
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author Madhavan, Subha
Bastarache, Lisa
Brown, Jeffrey S
Butte, Atul J
Dorr, David A
Embi, Peter J
Friedman, Charles P
Johnson, Kevin B
Moore, Jason H
Kohane, Isaac S
Payne, Philip R O
Tenenbaum, Jessica D
Weiner, Mark G
Wilcox, Adam B
Ohno-Machado, Lucila
author_facet Madhavan, Subha
Bastarache, Lisa
Brown, Jeffrey S
Butte, Atul J
Dorr, David A
Embi, Peter J
Friedman, Charles P
Johnson, Kevin B
Moore, Jason H
Kohane, Isaac S
Payne, Philip R O
Tenenbaum, Jessica D
Weiner, Mark G
Wilcox, Adam B
Ohno-Machado, Lucila
author_sort Madhavan, Subha
collection PubMed
description Our goal is to summarize the collective experience of 15 organizations in dealing with uncoordinated efforts that result in unnecessary delays in understanding, predicting, preparing for, containing, and mitigating the COVID-19 pandemic in the US. Response efforts involve the collection and analysis of data corresponding to healthcare organizations, public health departments, socioeconomic indicators, as well as additional signals collected directly from individuals and communities. We focused on electronic health record (EHR) data, since EHRs can be leveraged and scaled to improve clinical care, research, and to inform public health decision-making. We outline the current challenges in the data ecosystem and the technology infrastructure that are relevant to COVID-19, as witnessed in our 15 institutions. The infrastructure includes registries and clinical data networks to support population-level analyses. We propose a specific set of strategic next steps to increase interoperability, overall organization, and efficiencies
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spelling pubmed-76655462020-11-16 Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers Madhavan, Subha Bastarache, Lisa Brown, Jeffrey S Butte, Atul J Dorr, David A Embi, Peter J Friedman, Charles P Johnson, Kevin B Moore, Jason H Kohane, Isaac S Payne, Philip R O Tenenbaum, Jessica D Weiner, Mark G Wilcox, Adam B Ohno-Machado, Lucila J Am Med Inform Assoc Perspective Our goal is to summarize the collective experience of 15 organizations in dealing with uncoordinated efforts that result in unnecessary delays in understanding, predicting, preparing for, containing, and mitigating the COVID-19 pandemic in the US. Response efforts involve the collection and analysis of data corresponding to healthcare organizations, public health departments, socioeconomic indicators, as well as additional signals collected directly from individuals and communities. We focused on electronic health record (EHR) data, since EHRs can be leveraged and scaled to improve clinical care, research, and to inform public health decision-making. We outline the current challenges in the data ecosystem and the technology infrastructure that are relevant to COVID-19, as witnessed in our 15 institutions. The infrastructure includes registries and clinical data networks to support population-level analyses. We propose a specific set of strategic next steps to increase interoperability, overall organization, and efficiencies Oxford University Press 2020-11-03 /pmc/articles/PMC7665546/ /pubmed/33260207 http://dx.doi.org/10.1093/jamia/ocaa287 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Perspective
Madhavan, Subha
Bastarache, Lisa
Brown, Jeffrey S
Butte, Atul J
Dorr, David A
Embi, Peter J
Friedman, Charles P
Johnson, Kevin B
Moore, Jason H
Kohane, Isaac S
Payne, Philip R O
Tenenbaum, Jessica D
Weiner, Mark G
Wilcox, Adam B
Ohno-Machado, Lucila
Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title_full Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title_fullStr Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title_full_unstemmed Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title_short Use of electronic health records to support a public health response to the COVID-19 pandemic in the United States: a perspective from 15 academic medical centers
title_sort use of electronic health records to support a public health response to the covid-19 pandemic in the united states: a perspective from 15 academic medical centers
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7665546/
https://www.ncbi.nlm.nih.gov/pubmed/33260207
http://dx.doi.org/10.1093/jamia/ocaa287
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