TY - JOUR
T1 - Frequent but fragmented
T2 - use of note templates to document outpatient visits at an academic health center
AU - Rule, Adam
AU - Hribar, Michelle R.
N1 - Publisher Copyright:
© 2021 The Author(s). Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Recent changes to billing policy have reduced documentation requirements for outpatient notes, providing an opportunity to rethink documentation workflows. While many providers use templates to write notes - whether to insert short phrases or draft entire notes - we know surprisingly little about how these templates are used in practice. In this retrospective cross-sectional study, we observed the templates that primary providers and other members of the care team used to write the provider progress note for 2.5 million outpatient visits across 52 specialties at an academic health center between 2018 and 2020. Templates were used to document 89% of visits, with a median of 2 used per visit. Only 17% of the 100 230 unique templates were ever used by more than one person and most providers had their own full-note templates. These findings suggest template use is frequent but fragmented, complicating template revision and maintenance. Reframing template use as a form of computer programming suggests ways to maintain the benefits of personalization while leveraging standardization to reduce documentation burden.
AB - Recent changes to billing policy have reduced documentation requirements for outpatient notes, providing an opportunity to rethink documentation workflows. While many providers use templates to write notes - whether to insert short phrases or draft entire notes - we know surprisingly little about how these templates are used in practice. In this retrospective cross-sectional study, we observed the templates that primary providers and other members of the care team used to write the provider progress note for 2.5 million outpatient visits across 52 specialties at an academic health center between 2018 and 2020. Templates were used to document 89% of visits, with a median of 2 used per visit. Only 17% of the 100 230 unique templates were ever used by more than one person and most providers had their own full-note templates. These findings suggest template use is frequent but fragmented, complicating template revision and maintenance. Reframing template use as a form of computer programming suggests ways to maintain the benefits of personalization while leveraging standardization to reduce documentation burden.
KW - clinical documentation
KW - electronic health records
KW - note templates
UR - http://www.scopus.com/inward/record.url?scp=85123227292&partnerID=8YFLogxK
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U2 - 10.1093/jamia/ocab230
DO - 10.1093/jamia/ocab230
M3 - Article
C2 - 34664655
AN - SCOPUS:85123227292
SN - 1067-5027
VL - 29
SP - 137
EP - 141
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 1
ER -