Evidence map›Paper›PMID 26171074›Full record

ArticleApplied clinical informatics2015

Clinical Informatics Fellowship Programs: In Search of a Viable Financial Model: An open letter to the Centers for Medicare and Medicaid Services.

C U Lehmann, C A Longhurst, W Hersh, V Mohan, B P Levy, P J Embi, J T Finnell, A M Turner, R Martin, J Williamson and 1 more

Abstract readEditorial
In one paragraph

Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Applied Clinical Informatics Journal: A Brief History.Applied clinical informatics · 2022
    Article
  5. Article
  6. Clinical informatics subspecialists: characterizing a novel evolving workforce.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  7. Article
  8. Article
  9. Early experiences with combined fellowship training in clinical informatics.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Assessment-based health informatics curriculum improvement.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
  14. Early experiences of accredited clinical informatics fellowships.Journal of the American Medical Informatics Association : JAMIA · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

C U LehmannDepartments of Pediatrics and Biomedical Informatics, Vanderbilt University , Nashville, TN.
C A LonghurstDepartments of Pediatrics and Medicine, Stanford University , Palo Alto, CA.
W HershDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University , Portland, OR.
V MohanDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University , Portland, OR.
B P LevyDepartments of Pathology and Biomedical and Health Information Sciences, University of Illinois at Chicago , Chicago, IL.
P J EmbiDepartments of Biomedical Informatics and Internal Medicine, The Ohio State University , Columbus, OH.
J T FinnellDepartment of Emergency Medicine and Regenstrief Institute, Indiana University , Indianapolis, IN.
A M TurnerDepartments of Biomedical Informatics and Medical Education, University of Washington , Seattle, WA.
R MartinAmerican Medical Informatics Association , Bethesda, MD.
J WilliamsonAmerican Medical Informatics Association , Bethesda, MD.
B MungerExecutive Director (Ret.), American Board of Emergency Medicine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the US, the new subspecialty of Clinical Informatics focuses on systems-level improvements in care delivery through the use of health information technology (HIT), data analytics, clinical decision support, data visualization and related tools. Clinical informatics is one of the first subspecialties in medicine open to physicians trained in any primary specialty. Clinical Informatics benefits patients and payers such as Medicare and Medicaid through its potential to reduce errors, increase safety, reduce costs, and improve care coordination and efficiency. Even though Clinical Informatics benefits patients and payers, because GME funding from the Centers for Medicare and Medicaid Services (CMS) has not grown at the same rate as training programs, the majority of the cost of training new Clinical Informaticians is currently paid by academic health science centers, which is unsustainable. To maintain the value of HIT investments by the government and health care organizations, we must train sufficient leaders in Clinical Informatics. In the best interest of patients, payers, and the US society, it is therefore critical to find viable financial models for Clinical Informatics fellowship programs. To support the development of adequate training programs in Clinical Informatics, we request that the Centers for Medicare and Medicaid Services (CMS) issue clarifying guidance that would allow accredited ACGME institutions to bill for clinical services delivered by fellows at the fellowship program site within their primary specialty.

Indexed as

Centers for Medicare and Medicaid Services, U.S.Fellowships and ScholarshipsMedical InformaticsUnited StatesCenters for Medicare and Medicaid ServicesClinical InformaticsEducationGraduate Medical EducationHealth Information Technology

Identifiers

PMID26171074
PMCPMC4493329

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.