Evidence map›Paper›PMID 32908344›Full record

ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2020

Effects of Computer-Based Documentation Procedures on Health Care Workload Assessment and Resource Allocation: An Example From VA Sleep Medicine Programs.

Kathleen F Sarmiento, Eilis A Boudreau, Connor J Smith, Bhavika Kaul, Nancy Johnson, Robert L Folmer

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05419323 (Improving Access to Sleep Apnea Care), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
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.

NCT05419323 completednot on this map

Improving Access to Sleep Apnea Care: A Pragmatic Study of New Consultation Models

TypeobservationalSponsorVA Office of Research and DevelopmentRan2020 to 2026Enrolled6,501ConditionsObstructive Sleep Apnea (OSA)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors at 1 institution in 1 country.

Kathleen F Sarmientois the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
Eilis A Boudreauis the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
Connor J Smithis the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
Bhavika Kaulis the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
Nancy Johnsonis the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
Robert L Folmeris the National VHA TeleSleep Lead and is a Research Fellow, both at the San Francisco VA Healthcare System in California. is a Neurologist, and is a Research Investigator, both at VA Portland Healthcare system in Oregon. is an Informatics Research Associate, Eilis Boudreau is an Associate Professor of Neurology, and Robert Folmer is an Associate Professor of Otolaryngology, all at Oregon Health & Science University in Portland. is the Lead Clinical Analyst, Systems Design and Standardization in the Managerial Cost Accounting Office, VHA Office of Finance. Kathleen Sarmiento is an Associate Professor of Medicine, and Bhavika Kaul is a Critical Care Medicine Fellow, both at the University of California, San Francisco.
VA Portland Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComputer-based documentation (CBD) is used commonly throughout the world to track patient care and clinical workloads. However, if capture of clinical services within the electronic health record (EHR) is not implemented properly, patient care services and workload credit will be inaccurate, which impacts business decisions related to demand for care and resources allocated to meet the demand. Understaffing of medical personnel can contribute to delays in treatment, missed treatments, and workforce turnover.

objectiveTo illustrate the impact of CBD procedures on health care workload assessment and resource allocation, this article uses data from the US Department of Veterans Affairs Corporate Data Warehouse to provide examples from the Veterans Health Administration (VHA) sleep medicine programs. DISCUSSION: Inaccurate CBD led to underreporting of sleep medicine services provided at VHA facilities nationwide and contributed to insufficient allocation of resources and personnel. Recent modifications in CBD protocols (Stop Codes) improved the accuracy of data capture and reporting while providing VHA sleep programs with data they can use to advocate for workforce expansion to meet patient care needs.

conclusionsInaccurate CBD of clinical workloads can result in inadequate allocation of health care personnel and resources to meet the needs of patients. Untreated sleep disorders are associated with increased risk of depression, anxiety, impaired neurocognitive functions, cardiovascular disease, motor vehicle accidents, and premature death. Educating health care providers and administrators on the importance of accurate designation of clinical services within the EHR is necessary to facilitate improvements in health care availability and delivery.

Identifiers

PMID32908344
PMCPMC7473737
OpenAlexW3083033835

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.