Development of an Electronic Medical Record-Integrated Enhanced After-Visit Summary (New York)
Summary:
Patients receive an after-visit summary (AVS) after a clinical encounter to inform them of key clinical, illness self-management, and followup and referral information. Federal regulations and incentives, including Meaningful Use and Patient-Centered Medical Home initiatives, are leading to greatly expanded use of the AVS. While the goal of promoting the AVS is to achieve greater patient-centeredness, many have high reading grade levels, great variation in content and order of items, and variable understandability and usability. The Institute of Medicine recently reported that research is needed to improve the design of the AVS to achieve its potential as a patient information and educational tool.
The overall objective of this study is to develop and pilot test an electronic medical record (EMR)-integrated enhanced after-visit summary (eAVS) that will incorporate evidence-based strategies for communicating printed health information to maximize comprehension and usability of the document.
The specific aims of the project are as follows:
The overall objective of this study is to develop and pilot test an electronic medical record (EMR)-integrated enhanced after-visit summary (eAVS) that will incorporate evidence-based strategies for communicating printed health information to maximize comprehension and usability of the document.
The specific aims of the project are as follows:
- Develop and refine a patient-centered eAVS that is easy for clinicians to use and contains patient-centered information that is understandable and actionable by patients and caregivers, including those with low health literacy
- Pilot test the eAVS to assess the experience of patients and providers, process, and impact on patients’ understanding of their medication regimens, medication adherence, and appointment keeping.
Grant Number:
R21 HS023844
Funding Mechanism:
Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology (IT) (R21)
AHRQ Funded Amount:
$300,000
Principal Investigator:
Federman, Alex D.
Organization:
Icahn School Of Medicine At Mount Sinai
City:
New York
Location:
New York
Project Dates:
July 1, 2015 to June 30, 2017
Project Status:
Ongoing
Project Categories
Type of Health Information Technology:
Electronic Medical Record (EMR)/Electronic Health Record (EHR)
Community:
Non-rural
Care Setting:
Ambulatory
Primary Care
Aspect of Care:
Primary Care
Target Population:
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