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

Subha Madhavan; Lisa Bastarache; Jeffrey S. Brown; Atul J. Butte; David A. Dorr; Peter J. Embi; Charles P. Friedman; Kevin B. Johnson; Jason H. Moore; Isaac S. Kohane; Philip R.O. Payne; Jessica D. Tenenbaum; Mark G. Weiner; Adam B. Wilcox; Lucila Ohno-Machado

doi:10.1093/jamia/ocaa287

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

Subha Madhavan, Lisa Bastarache, Jeffrey S. Brown, Atul J. Butte, David A. Dorr, Peter J. Embi, Charles P. Friedman, Kevin B. Johnson, Jason H. Moore, Isaac S. Kohane, Philip R.O. Payne, Jessica D. Tenenbaum, Mark G. Weiner, Adam B. Wilcox, Lucila Ohno-Machado

Medical Informatics and Clinical Epidemiology

Research output: Contribution to journal › Review article › peer-review

46 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	393-401
Number of pages	9
Journal	Journal of the American Medical Informatics Association
Volume	28
Issue number	2
DOIs	https://doi.org/10.1093/jamia/ocaa287
State	Published - Feb 1 2021

Keywords

Covid-19
Data network
Ehr
Policy
Public health

ASJC Scopus subject areas

Health Informatics

Access to Document

10.1093/jamia/ocaa287

Cite this

Madhavan, S., Bastarache, L., Brown, J. S., Butte, A. J., Dorr, D. A., Embi, P. J., Friedman, C. P., Johnson, K. B., Moore, J. H., Kohane, I. S., Payne, P. R. O., Tenenbaum, J. D., Weiner, M. G., Wilcox, A. B., & Ohno-Machado, L. (2021). 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. Journal of the American Medical Informatics Association, 28(2), 393-401. https://doi.org/10.1093/jamia/ocaa287

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. et al.
In: Journal of the American Medical Informatics Association, Vol. 28, No. 2, 01.02.2021, p. 393-401.

Research output: Contribution to journal › Review article › peer-review

Madhavan, S, Bastarache, L, Brown, JS, Butte, AJ, Dorr, DA, Embi, PJ, Friedman, CP, Johnson, KB, Moore, JH, Kohane, IS, Payne, PRO, Tenenbaum, JD, Weiner, MG, Wilcox, AB & Ohno-Machado, L 2021, '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', Journal of the American Medical Informatics Association, vol. 28, no. 2, pp. 393-401. https://doi.org/10.1093/jamia/ocaa287

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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

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