Evidence map›Paper›PMID 33328719›Full record

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

Template Design and Analysis: Integrating Informatics Solutions to Improve Clinical Documentation.

Justin Iannello, Nida Waheed, Patrick Neilan

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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. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

3 authors.

Justin Iannellois National Lead Physician Utilization Management Advisor for the Veterans Health Administration and Associate Chief of Staff for Clinical Informatics at the Southeast Louisiana Veterans Health Care System in New Orleans. is Chief Resident in Quality and Patient Safety for the Department of Internal Medicine, and is Chief Resident for the Department of Internal Medicine, both at University of Florida in Gainesville.
Nida Waheedis National Lead Physician Utilization Management Advisor for the Veterans Health Administration and Associate Chief of Staff for Clinical Informatics at the Southeast Louisiana Veterans Health Care System in New Orleans. is Chief Resident in Quality and Patient Safety for the Department of Internal Medicine, and is Chief Resident for the Department of Internal Medicine, both at University of Florida in Gainesville.
Patrick Neilanis National Lead Physician Utilization Management Advisor for the Veterans Health Administration and Associate Chief of Staff for Clinical Informatics at the Southeast Louisiana Veterans Health Care System in New Orleans. is Chief Resident in Quality and Patient Safety for the Department of Internal Medicine, and is Chief Resident for the Department of Internal Medicine, both at University of Florida in Gainesville.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic health record templates have served a variety of functions, such as improving documentation for reliable reporting of health care outcomes. Standardizing template documentation has been important for accurately capturing case workload and supporting quality improvement initiatives.

methodsNorth Florida/South Georgia Veterans Health System consists of 2 Florida-based hospitals: Malcom Randall Veterans Affairs Medical Center (MRVAMC) in Gainesville, and Lake City Veterans Affairs Medical Center (LCVAMC). In the first quarter of fiscal year 2017, MRVAMC and LCVAMC had a below-average case severity index (CSI) of 0.76 and 0.81, respectively, compared with that of the 0.96 national average for the Veterans Health Administration (VHA). An innovative history and physical template design with embedded informatics tools was created to improve clinical documentation.

resultsCompliance with standardized history and physical medicine template use was monitored for about 1 year after standardized template implementation. Compliance improved from 43.2% in June 2018 to 89.9% in June 2019 at MRVAMC and increased from 48.2% in June 2018 to 96.9% in June 2019 at LCVAMC. CSI improved to 0.97 at MRVAMC and 1.07 at LCVAMC in the first quarter of fiscal year 2019, which exceeded the VHA national average of 0.89 during the same period.

conclusionsNF/SGVHS integrated informatics solutions within template design was associated with an increase in CSI via improved clinical documentation.

Identifiers

PMID33328719
PMCPMC7735456

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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.