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Visualizing collaborative electronic health record usage for hospitalized patients with heart failure.
J Am Med Inform Assoc. 2015 Mar; 22(2):299-311.JAMIA

Abstract

OBJECTIVE

To visualize and describe collaborative electronic health record (EHR) usage for hospitalized patients with heart failure.

MATERIALS AND METHODS

We identified records of patients with heart failure and all associated healthcare provider record usage through queries of the Northwestern Medicine Enterprise Data Warehouse. We constructed a network by equating access and updates of a patient's EHR to a provider-patient interaction. We then considered shared patient record access as the basis for a second network that we termed the provider collaboration network. We calculated network statistics, the modularity of provider interactions, and provider cliques.

RESULTS

We identified 548 patient records accessed by 5113 healthcare providers in 2012. The provider collaboration network had 1504 nodes and 83 998 edges. We identified 7 major provider collaboration modules. Average clique size was 87.9 providers. We used a graph database to demonstrate an ad hoc query of our provider-patient network.

DISCUSSION

Our analysis suggests a large number of healthcare providers across a wide variety of professions access records of patients with heart failure during their hospital stay. This shared record access tends to take place not only in a pairwise manner but also among large groups of providers.

CONCLUSION

EHRs encode valuable interactions, implicitly or explicitly, between patients and providers. Network analysis provided strong evidence of multidisciplinary record access of patients with heart failure across teams of 100+ providers. Further investigation may lead to clearer understanding of how record access information can be used to strategically guide care coordination for patients hospitalized for heart failure.

Authors+Show Affiliations

Division of Health and Biomedical Informatics, Department of Preventive Medicine, Northwestern University, Chicago, IL, USA nicholas.soulakis@northwestern.edu.Division of Health and Biomedical Informatics, Department of Preventive Medicine, Northwestern University, Chicago, IL, USA Center For Healthcare Studies, Institute for Public Health and Medicine, Northwestern University, Chicago, IL, USA.Division of Health and Biomedical Informatics, Department of Preventive Medicine, Northwestern University, Chicago, IL, USA.Northwestern University Clinical and Translational Sciences Institute, Chicago, IL, USA.Division of Health and Biomedical Informatics, Department of Preventive Medicine, Northwestern University, Chicago, IL, USA.Division of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, IL, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25710558

Citation

Soulakis, Nicholas D., et al. "Visualizing Collaborative Electronic Health Record Usage for Hospitalized Patients With Heart Failure." Journal of the American Medical Informatics Association : JAMIA, vol. 22, no. 2, 2015, pp. 299-311.
Soulakis ND, Carson MB, Lee YJ, et al. Visualizing collaborative electronic health record usage for hospitalized patients with heart failure. J Am Med Inform Assoc. 2015;22(2):299-311.
Soulakis, N. D., Carson, M. B., Lee, Y. J., Schneider, D. H., Skeehan, C. T., & Scholtens, D. M. (2015). Visualizing collaborative electronic health record usage for hospitalized patients with heart failure. Journal of the American Medical Informatics Association : JAMIA, 22(2), 299-311. https://doi.org/10.1093/jamia/ocu017
Soulakis ND, et al. Visualizing Collaborative Electronic Health Record Usage for Hospitalized Patients With Heart Failure. J Am Med Inform Assoc. 2015;22(2):299-311. PubMed PMID: 25710558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visualizing collaborative electronic health record usage for hospitalized patients with heart failure. AU - Soulakis,Nicholas D, AU - Carson,Matthew B, AU - Lee,Young Ji, AU - Schneider,Daniel H, AU - Skeehan,Connor T, AU - Scholtens,Denise M, Y1 - 2015/02/20/ PY - 2015/2/25/entrez PY - 2015/2/25/pubmed PY - 2015/7/1/medline KW - Care collaboration KW - electronic health records KW - heart failure KW - network analysis SP - 299 EP - 311 JF - Journal of the American Medical Informatics Association : JAMIA JO - J Am Med Inform Assoc VL - 22 IS - 2 N2 - OBJECTIVE: To visualize and describe collaborative electronic health record (EHR) usage for hospitalized patients with heart failure. MATERIALS AND METHODS: We identified records of patients with heart failure and all associated healthcare provider record usage through queries of the Northwestern Medicine Enterprise Data Warehouse. We constructed a network by equating access and updates of a patient's EHR to a provider-patient interaction. We then considered shared patient record access as the basis for a second network that we termed the provider collaboration network. We calculated network statistics, the modularity of provider interactions, and provider cliques. RESULTS: We identified 548 patient records accessed by 5113 healthcare providers in 2012. The provider collaboration network had 1504 nodes and 83 998 edges. We identified 7 major provider collaboration modules. Average clique size was 87.9 providers. We used a graph database to demonstrate an ad hoc query of our provider-patient network. DISCUSSION: Our analysis suggests a large number of healthcare providers across a wide variety of professions access records of patients with heart failure during their hospital stay. This shared record access tends to take place not only in a pairwise manner but also among large groups of providers. CONCLUSION: EHRs encode valuable interactions, implicitly or explicitly, between patients and providers. Network analysis provided strong evidence of multidisciplinary record access of patients with heart failure across teams of 100+ providers. Further investigation may lead to clearer understanding of how record access information can be used to strategically guide care coordination for patients hospitalized for heart failure. SN - 1527-974X UR - https://www.unboundmedicine.com/medline/citation/25710558/Visualizing_collaborative_electronic_health_record_usage_for_hospitalized_patients_with_heart_failure_ L2 - https://academic.oup.com/jamia/article-lookup/doi/10.1093/jamia/ocu017 DB - PRIME DP - Unbound Medicine ER -