EHR-based Visualization Tool: Adoption Rates, Satisfaction, and Patient Outcomes.
BACKGROUND
Electronic health records (EHRs) have the potential to enhance patient-provider communication and improve patient outcomes. However, in order to impact patient care, clinical decision support (CDS) and communication tools targeting such needs must be integrated into clinical workflow and be flexible with regard to the changing health care landscape.


METHODS
The Stroke Prevention in Healthcare Delivery Environments (SPHERE) team developed and implemented the SPHERE tool, an EHR-based CDS visualization, to enhance patient-provider communication around cardiovascular health (CVH) within an outpatient primary care setting of a large academic medical center.


METHODS
We describe our successful CDS alert implementation strategy and report adoption rates. We also present results of a provider satisfaction survey showing that the SPHERE tool delivers appropriate content in a timely manner. Patient outcomes following implementation of the tool indicate one-year improvements in some CVH metrics, such as body mass index and diabetes.


CONCLUSIONS
Clinical decision-making and practices change rapidly and in parallel to simultaneous changes in the health care landscape and EHR usage. Based on these observations and our preliminary results, we have found that an integrated, extensible, and workflow-aware CDS tool is critical to enhancing patient-provider communications and influencing patient outcomes.
The Ohio State University.
Randi E
RE
Foraker
The Ohio State University.
Bobbie
B
Kite
The Ohio State University.
Marjorie M
MM
Kelley
The Ohio State University.
Albert M
AM
Lai
The Ohio State University.
Caryn
C
Roth
The Ohio State University.
Marcelo A
MA
Lopetegui
The Ohio State University.
Abigail B
AB
Shoben
The Ohio State University.
Michael
M
Langan
The Ohio State University.
Nicole L
NL
Rutledge
The Ohio State University.
Philip R O
PR
Payne
Data visualization; Health information technology; Patient involvement