2020
Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era
Baxter S, Gali H, Chiang M, Hribar M, Ohno-Machado L, El-Kareh R, Huang A, Chen H, Camp A, Kikkawa D, Korn B, Lee J, Longhurst C, Millen M. Promoting Quality Face-to-Face Communication during Ophthalmology Encounters in the Electronic Health Record Era. Applied Clinical Informatics 2020, 11: 130-141. PMID: 32074650, PMCID: PMC7030957, DOI: 10.1055/s-0040-1701255.Peer-Reviewed Original ResearchConceptsElectronic Health Record EraDocumentation efficiencyEHR implementationPhysician-patient interactionAcademic ophthalmology departmentsElectronic health recordsOutpatient ophthalmologyQuality improvement strategiesUse of scribesOutpatient encountersProspective studyOphthalmology departmentQI interventionsQI strategiesPatientsTeam-based workflowsEHR efficiencyNote templateArray of interventionsOphthalmologistsEHR useHealth recordsDocumentation timePhysician burnoutTablet-based application
2019
Impact of Electronic Health Record Implementation on Ophthalmology Trainee Time Expenditures
Gali H, Baxter S, Lander L, Huang A, Millen M, El-Kareh R, Nudleman E, Chao D, Robbins S, Heichel C, Camp A, Korn B, Lee J, Kikkawa D, Longhurst C, Chiang M, Hribar M, Ohno-Machado L. Impact of Electronic Health Record Implementation on Ophthalmology Trainee Time Expenditures. Journal Of Academic Ophthalmology 2019, 11: e65-e72. PMID: 33954272, PMCID: PMC8095731, DOI: 10.1055/s-0039-3401986.Peer-Reviewed Original ResearchTime-motion observationsElectronic health recordsOphthalmology traineesPatient encountersOphthalmology residentsEHR implementationEHR useMean total timeAcademic ophthalmology departmentsTime-motion studyElectronic health record implementationSubspecialty clinicsOphthalmology departmentClinical activityPatientsLinear mixed effects modelsEHR impactTotal timeTrainee burnoutPaper chartsHealth recordsDocumentation timeMixed effects modelsEffects modelWeeksTime Requirements of Paper-Based Clinical Workflows and After-Hours Documentation in a Multispecialty Academic Ophthalmology Practice
Baxter S, Gali H, Huang A, Millen M, El-Kareh R, Nudleman E, Robbins S, Heichel C, Camp A, Korn B, Lee J, Kikkawa D, Longhurst C, Chiang M, Hribar M, Ohno-Machado L. Time Requirements of Paper-Based Clinical Workflows and After-Hours Documentation in a Multispecialty Academic Ophthalmology Practice. American Journal Of Ophthalmology 2019, 206: 161-167. PMID: 30910517, PMCID: PMC6755078, DOI: 10.1016/j.ajo.2019.03.014.Peer-Reviewed Original ResearchConceptsPatient encountersNew patient evaluationsClinical workflowElectronic health record useOutpatient ophthalmology clinicHigh clinical volumeAcademic ophthalmology departmentsAcademic ophthalmology practicePaper-based documentationAge 43.9Postoperative visitRoutine followClinic hoursOphthalmology clinicOphthalmology departmentPatient evaluationOphthalmology practiceOutcome measurementsPatientsPatient careHours workRecord useOphthalmologistsClinical volumeTotal time