Evidence map›Paper›PMID 34345802›Full record

ArticleJAMIA open2021

Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center.

Kensaku Kawamoto, Polina V Kukhareva, Charlene Weir, Michael C Flynn, Claude J Nanjo, Douglas K Martin, Phillip B Warner, David E Shields, Salvador Rodriguez-Loya, Richard L Bradshaw and 33 more

Registry-linked trialAbstract read
In one paragraph

Article in JAMIA open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07073898 (Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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.

NCT07073898 nacompletednot on this mapstarted 2025, after this paper: background citation

Population Health Management Approaches to Increase Lung Cancer Screening in Community Health Centers - UG3 Pilot Clinical Trial

TypeinterventionalSponsorUniversity of UtahRan2025 to 2026Enrolled65ConditionsLung CancerArmsRepeated Text Messages (TM+), Conversational Agent (CA), Educational Video, Proactive Patient Navigation (PPN), Reactive Patient Navigation (RPN)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Using CDS Hooks to increase SMART on FHIR app utilization: a cluster-randomized trial.Journal of the American Medical Informatics Association : JAMIA · 2022
    Trial
  5. Article
  6. Review
  7. Development of web- and mobile-based shared decision-making tools in the neurological intensive care unit.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Derivation and Validation of a Clinical Risk Assessment Model for Cancer-Associated Thrombosis in Two Unique US Health Care Systems.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  18. Article
  19. Impact of integrating genomic data into the electronic health record on genetics care delivery.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  20. Review
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

43 authors.

Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-4282-9338
Polina V KukharevaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0002-5576-1486
Charlene WeirDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Michael C FlynnUniversity of Utah Health, Salt Lake City, Utah, USA.
Claude J NanjoDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Douglas K MartinDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Phillip B WarnerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
David E ShieldsDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Salvador Rodriguez-LoyaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Richard L BradshawDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Ryan C CorniaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Thomas J ReeseDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Heidi S KramerDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Teresa TaftDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Rebecca L CurranDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-5337-8590
Keaton L MorganDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-9140-4454
Damian BorbollaDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Maia HightowerUniversity of Utah Health, Salt Lake City, Utah, USA.
William J TurnbullUniversity of Utah Health, Salt Lake City, Utah, USA.
Michael B StrongUniversity of Utah Health, Salt Lake City, Utah, USA.
Wendy W ChapmanDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Travis GregoryUniversity of Utah Health, Salt Lake City, Utah, USA.
Carole H StipelmanUniversity of Utah Health, Salt Lake City, Utah, USA.
Julie H ShakibUniversity of Utah Health, Salt Lake City, Utah, USA.
Rachel HessUniversity of Utah Health, Salt Lake City, Utah, USA.
Jonathan P BoltaxDivision of Pulmonary Medicine, Department of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
Joseph P HabbousheMD Aware, LLC, New York, New York, USA.
Farrant SakaguchiUniversity of Utah Health, Salt Lake City, Utah, USA.
Kyle M TurnerUniversity of Utah Health, Salt Lake City, Utah, USA.
Scott P NarusDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Shinji TarumiResearch & Development Group, Hitachi, Ltd, Tokyo, Japan.
Wataru TakeuchiResearch & Development Group, Hitachi, Ltd, Tokyo, Japan.
Hideyuki BanResearch & Development Group, Hitachi, Ltd, Tokyo, Japan.
David W WetterDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Cho LamDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Tanner J CaverlyVA Center for Clinical Management Research, Ann Arbor, Michigan, USA.
Angela FagerlinDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Chuck NorlinUniversity of Utah Health, Salt Lake City, Utah, USA.
Daniel C MaloneDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, Utah, USA.
Kimberly A KaphingstHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Wendy K KohlmannUniversity of Utah Health, Salt Lake City, Utah, USA.
Benjamin S BrookeDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-9954-6799

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
AHRQ HHS U18 HS027099HSRD VA IK2 HX002246NCATS NIH HHS UL1 TR002538
6 · The paper itself

Abstract

objectiveTo establish an enterprise initiative for improving health and health care through interoperable electronic health record (EHR) innovations. MATERIALS AND

methodsWe developed a unifying mission and vision, established multidisciplinary governance, and formulated a strategic plan. Key elements of our strategy include establishing a world-class team; creating shared infrastructure to support individual innovations; developing and implementing innovations with high anticipated impact and a clear path to adoption; incorporating best practices such as the use of Fast Healthcare Interoperability Resources (FHIR) and related interoperability standards; and maximizing synergies across research and operations and with partner organizations.

resultsUniversity of Utah Health launched the ReImagine EHR initiative in 2016. Supportive infrastructure developed by the initiative include various FHIR-related tooling and a systematic evaluation framework. More than 10 EHR-integrated digital innovations have been implemented to support preventive care, shared decision-making, chronic disease management, and acute clinical care. Initial evaluations of these innovations have demonstrated positive impact on user satisfaction, provider efficiency, and compliance with evidence-based guidelines. Return on investment has included improvements in care; over $35 million in external grant funding; commercial opportunities; and increased ability to adapt to a changing healthcare landscape. DISCUSSION: Key lessons learned include the value of investing in digital innovation initiatives leveraging FHIR; the importance of supportive infrastructure for accelerating innovation; and the critical role of user-centered design, implementation science, and evaluation.

conclusionEHR-integrated digital innovation initiatives can be key assets for enhancing the EHR user experience, improving patient care, and reducing provider burnout.

Indexed as

CDS Hooksclinical decision supportelectronic health recordFHIRinteroperability standardsSMART on FHIR

Identifiers

PMID34345802
PMCPMC8325485

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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.