Harmonized patient-reported data elements in the electronic health record: Supporting meaningful use by primary care action on health behaviors and key psychosocial factors

Paul A. Estabrooks, Maureen Boyle, Karen M. Emmons, Russell E. Glasgow, Bradford W. Hesse, Robert M. Kaplan, Alexander H. Krist, Richard P. Moser, Martina V. Taylor

Research output: Contribution to journalArticle

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Abstract

Background Electronic health records (EHR) have the potential to improve patient care through efficient access to complete patient health information. This potential may not be reached because many of the most important determinants of health outcome are rarely included. Successful health promotion and disease prevention requires patient-reported data reflecting health behaviors and psychosocial issues. Furthermore, there is a need to harmonize this information across different EHR systems. Methods To fill this gap a three-phased process was used to conceptualize, identify and recommend patientreported data elements on health behaviors and psychosocial factors for the EHR. Expert panels (n=13) identified candidate measures (phase 1) that were reviewed and rated by a wide range of health professionals (n=93) using the grid-enabled measures wiki social media platform (phase 2). Recommendations were finalized through a town hall meeting with key stakeholders including patients, providers, researchers, policy makers, and representatives from healthcare settings (phase 3). Results Nine key elements from three areas emerged as the initial critical patient-reported elements to incorporate systematically into EHR-health behaviors (eg, exercise), psychosocial issues (eg, distress), and patient-centered factors (eg, demographics). Recommendations were also made regarding the frequency of collection ranging from a single assessment (eg, demographic characteristics), to annual assessment (eg, health behaviors), or more frequent (eg, patient goals). Conclusions There was strong stakeholder support for this initiative reflecting the perceived value of incorporating patient-reported elements into EHR. The next steps will include testing the feasibility of incorporating these elements into the EHR across diverse primary care settings.

Original languageEnglish (US)
Pages (from-to)575-582
Number of pages8
JournalJournal of the American Medical Informatics Association
Volume19
Issue number4
DOIs
StatePublished - Jul 1 2012

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Electronic Health Records
Health Behavior
Primary Health Care
Psychology
Health
Demography
Social Media
Health Promotion
Administrative Personnel
Patient Care
Research Personnel
Exercise
Delivery of Health Care

ASJC Scopus subject areas

  • Health Informatics

Cite this

Harmonized patient-reported data elements in the electronic health record : Supporting meaningful use by primary care action on health behaviors and key psychosocial factors. / Estabrooks, Paul A.; Boyle, Maureen; Emmons, Karen M.; Glasgow, Russell E.; Hesse, Bradford W.; Kaplan, Robert M.; Krist, Alexander H.; Moser, Richard P.; Taylor, Martina V.

In: Journal of the American Medical Informatics Association, Vol. 19, No. 4, 01.07.2012, p. 575-582.

Research output: Contribution to journalArticle

Estabrooks, Paul A. ; Boyle, Maureen ; Emmons, Karen M. ; Glasgow, Russell E. ; Hesse, Bradford W. ; Kaplan, Robert M. ; Krist, Alexander H. ; Moser, Richard P. ; Taylor, Martina V. / Harmonized patient-reported data elements in the electronic health record : Supporting meaningful use by primary care action on health behaviors and key psychosocial factors. In: Journal of the American Medical Informatics Association. 2012 ; Vol. 19, No. 4. pp. 575-582.
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