LEARNING HEALTH SYSTEMS

REF - Rotenstein LS, Melnick ER, Sinsky CA. A Learning Health System Agenda for Organizational Approaches to Enhancing Occupational Well-being Among Clinicians. JAMA. 2022;327(21):2079–2080. doi:10.1001/jama.2022.7461

the last decade has deepened the understanding of clinicians’ occupational well-being, including
having characterized the prevalence of burnout (traditionally defined as Emotional Exhaustion,
Depersonalization, and a Reduced sense of personal accomplishment OR DEER) and the variation in
burnout across specialties and professions. Accordingly, addressing clinicians’ occupational well-being (hereafter referred to solely as well-being) has become a national priority, as evidenced by the focus of the National Academy of Medicine1 and the US surgeon general. The importance of this topic has been amplified by the effects of the COVID-19 pandemic, including clinicians experiencing deep exhaustion and concerns about their own safety, a proliferation of message- and technology-based care, and some clinicians reevaluating their desire to remain in the health care workforce. Evidence from before the pandemic has increased understanding of how well-being relates to quality of care2 and factors that might influence well-being, such as time spent using electronic health records, cognitive load, and team and leadership structures. THIS ARTICLE IS SEEN IN THIE REFERENCE
D://LIBRARY/eHealth-LearningHealthSysetms.pdf

These potential interventions could be considered
in 4 maincategories.

The first category,
new and adapted workflows, includes
ways of working that enhance the clinician experience whil ealso improving efficiency.
These could range from team-based workflow interventions, such as office visits with
substantial involvement of other team members, to optimized medication refill workflows.7

The second category, technologies,
could include artificial intelligence–powered documentation support,
which has the potential to significantly reduce documentation burdens, or
innovative information displays that enhance the processing of information necessary for
clinical care or population health interventions.

The third category, enhanced clinical supports,
might involve documentation assistance (whether in-person or remote) and other
administrative supports that facilitate clinician focus on clinical care and patient relationships.

The fourth category, clinician training, has the potential to support clinicians in managing change
and systems improvement, leading teams, and building strong organizational cultures

IN OTHER WORDS :
1. NEW WORFLOWS - TRADITIONAL WORKFLOWS ARE NOT GOING TO REAP HIT BENEFITS
2. HIT
3. CDSS
4. TRAINING

EMR-PHR-EHR
SHOULD FOCUS ON
1. DATA ENTRY
2. DATA CURATION
3. DOCUMENTATION SUPPORT
4. CDSS