title: Problem management module: an innovative system to improve problem list workflow.
abstract: Electronic problem lists are essential to modern health record systems, with a primary goal to serve as the repository of a patient's current health issues. Additionally, coded problems can be used to drive downstream activities such as decision support, evidence-based medicine, billing, and cohort generation for research. Meaningful Use also requires use of a coded problem list. Over the course of three years, Intermountain Healthcare developed a problem management module (PMM) that provided innovative functionality to improve clinical workflow and boost problem list adoption, e.g. smart search, user customizable views, problem evolution, and problem timelines. In 23 months of clinical use, clinicians entered over 70,000 health issues, the percentage of free-text items dropped to 1.2%, completeness of problem list items increased by 14%, and more collaborative habits were initiated.
authors.affiliation: Department of Biomedical Informatics, University of Utah, Salt Lake City, UT ; Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Chad M
authors.initials: CM
authors.lastname: Hodge
authors.affiliation: Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Kathryn G
authors.initials: KG
authors.lastname: Kuttler
authors.affiliation: Department of Biomedical Informatics, University of Utah, Salt Lake City, UT ; Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Watson A
authors.initials: WA
authors.lastname: Bowes
authors.affiliation: Department of Biomedical Informatics, University of Utah, Salt Lake City, UT ; Intermountain Healthcare, Salt Lake City, UT.
authors.forename: Scott P
authors.initials: SP
authors.lastname: Narus
mesh_terms: D019033:Delivery of Health Care, Integrated; D006801:Humans; D008501:Medical Records, Problem-Oriented; D014584:User-Computer Interface; D014589:Utah; D057188:Workflow