title: The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs.
abstract: The rapid change in healthcare has focused attention on the necessary development of a next-generation electronic health record (EHR) to support system transformation and more effective patient-centered care. The Department of Veterans Affairs (VA) is developing plans for the next-generation EHR to support improved care delivery for veterans. To understand the needs for a next-generation EHR, we interviewed 14 VA operational, clinical and informatics leaders for their vision about system needs. Leaders consistently identified priorities for development in the areas of cognitive support, information synthesis, teamwork and communication, interoperability, data availability, usability, customization, and information management. The need to reconcile different EHR initiatives currently underway in the VA, as well as opportunities for data sharing, will be critical for continued progress. These findings may support the VA's effort for evolutionary change to its information system and draw attention to necessary research and development for a next-generation information system and EHR nationally.
authors.affiliation: VA Health Services Research and Development (HSR&D) Center on Implementing Evidence-Based Practice, Roudebush VA Medical Center, Indianapolis, Indiana 46202, USA. Jason.Saleem@va.gov
authors.forename: Jason J
authors.initials: JJ
authors.lastname: Saleem
authors.forename: Mindy E
authors.initials: ME
authors.lastname: Flanagan
authors.forename: Nancy R
authors.initials: NR
authors.lastname: Wilck
authors.forename: Jim
authors.initials: J
authors.lastname: Demetriades
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Doebbeling
mesh_terms: D057286:Electronic Health Records / Q000458:organization & administration / Q000639:trends; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration*
keywords: Clinical decision support systems; Cognitive support; Electronic health records; Interoperability; Usability