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Reducing documentation burden on U.S. Clinicians is an urgent priority within the healthcare community, và leaders around the field continue lớn collaborate on this effort since the conclusion of the 25×5 Symposium, held over six weeks early in 2021 khổng lồ set the foundation for those efforts.
The 25×5 Symposium was developed lớn establish strategies and approaches to lớn reduce clinician documentation burden on US clinicians to lớn 25% by 2025.
In December 2021, AMIA assumed leadership responsibility for the 25×5 initiative khổng lồ address this nation-wide problem by leveraging the collective expertise of key stakeholders in health care, industry, & policy lớn prioritize and implement the Calls to action and Recommendations established by the 25×5 Symposium.
Funded by the National Library of Medicine (1R13LM013581-01)
Follow 25x5 Updates on AMIA.org
Full Symposium Series Materials
Final Summary Report
Executive Summary
Appendix of kích hoạt Items
Individual Session Agenda và Materials
Friday, Jan. 15: Introduction và Current Challenges Related to lớn What We Document (1-3 pm ET)
Session Leaders: Kevin Johnson, MD, MS, FAAP, FACMI (Professor & Chair of Biomedical Informatics, Vanderbilt University) and Judy Murphy, RN, FACMI, LFHIMSS, FAAN (Previous IBM CNO & ONC Deputy National Coordinator for Programs and Policy)
Download De-identified Session 1 Chat Here
• Current Challenges Related to What We Document
• Symposium Introduction and Overview • Slides
• Keynote Panel: Policy và Reimbursement Issues – ONC Cures Act Final Rule & Challenges Tackled: Andrew Gettinger, MD (Chief Clinical Officer, ONC) • Video – Documentation Requirements: Balancing Quality, Safety và Program Integrity: Mary Greene, MD (Director, Office of Burden Reduction và Health Informatics, CMS) • Video • Slides – chất lượng Measurement for Ranking versus Change and Implications on Expense and Burnout: Brent James, MD (Clinical Professor (Affiliated), Dept of Medicine, Stanford University School of Medicine) • Video • Slides
• Policy & Reimbursement Discussion / Q&A • Video
Keynote Panel: Clinical Practice and Documentation Issues – Nursing Documentation and Med Rec: Sharon Kirby, MSN, RN-BC (Previous Chief Nursing Informatics Officer, Department of Nursing, Mayo Clinic) • Video • Slides– Cognitive Burden: Sherri Hess, MS-IS, BSN, RN-BC, FHIMSS (Chief Nursing Informatics Officer, Banner Health) • Video • Slides– Diversity, Equity & Inclusion: Kenrick Cato, PhD, RN, CPHIMS (Assistant Professor, magdalenarybarikova.com University School of Nursing; Nurse Researcher, NewYork-Presbyterian Hospital) • Video • Slides
• Clinical Practice & Documentation Discussion/Q&A • Video
• Summarization và Prioritization of Challenges/use audience polling • Video
• Wrap-Up và Set the Stage for Session 2 and beyond • Video
Session Leaders: Kenrick Cato, PhD, RN, CPHIMS (Assistant Professor, magdalenarybarikova.com University School of Nursing; Nurse Researcher, NewYork-Presbyterian Hospital) và Karthik Natarajan, PhD (Assistant Professor in the Department Biomedical Informatics at magdalenarybarikova.com University)
Download De-identified Session 3 Chat Here
• Introduction • đoạn phim
• Exemplars panel – CDARS – Clinical Data Analysis & Reporting System: NT Cheung (Chief Medical Informatics Officer, Hong Kong’s Hospital Authority) • clip • Slides – NHSX: Natasha Phillips, RN (Chief Nursing Information Officer NHSX, London, England, United Kingdom) • clip • Slides – HL7: Viet Nguyen, MD (Founder, Stratametrics; Technical Director, HL7 domain authority Vinci Project) • video clip • Slides – Evidence-Based Documentation: William Dan Roberts, PhD (Vice President Care Delivery and Performance at HCA Healthcare) • video • Slides
• Discussion • video clip
• Exemplars panel – Project JOY: Bonnie Adrian, PhD (RN-BC, Research Nurse Scientist, Clinical Informatics, UC Health) • đoạn clip • Slides – Clickbusters: Adam Wright, PhD, FACMI, FAMIA, FIAHSI (Professor Department of Biomedical Informatics, Vanderbilt University) • video clip – CareAlign: Subha Airan-Javia, MD (CEO và Founder CareAlign.AI; Associate Professor of Clinical Medicine, University of Pennsylvania) • đoạn clip – Approaching DEI from a Cancer Survivorship planning perspective: Helen Palomino, LCSW (Chief Executive Officer, The Cancer Resource Center of the Desert) • Video • Slides
• Discussion, wrap-up and set the stage for Session 4 and beyond • video clip
Session Leader & Panel Moderator: Kenneth D. Mandl, MD, MPH (Director, Computational Health Informatics Program, Boston Children’s Hospital; Donald A.B. Lindberg Professor of Biomedical Informatics & Pediatrics, Harvard Medical School)
Download De-identified Session 4 Chat Here
• Introduction • Video
• COVID-19 Documentation Reduction Survey Results • đoạn phim • Slides
• Moderated Panel Discussion: What is the Job of Documentation in the Future? • Video – Jesse M. Ehrenfeld, MD, MPH (Immediate Past Chair, Board of Trustees, American Medical Association; Senior Associate Dean, Tenured Professor of Anesthesiology, Medical College of Wisconsin; Professor of Anesthesiology and Health Policy, Vanderbilt University) – Molly K. McCarthy MBA, RN-BC (National Director, US Health Providers & Plans, Microsoft) • Slides – Marc Overhage, MD, PhD (Healthcare Information giải pháp công nghệ Executive, Indianapolis, Indiana) – Eric Topol, MD (Founder & Director, Scripps Research Translational Institute, Executive Vice-President, Scripps Research Institute) – Ross Koppel, PhD, FACMI (Professor of Biomedical Informatics và Sociology, University of Pennsylvania; Professor of Biomedical Informatics, University at Buffalo (SUNY))
• Industry Panel Discussion: What are the solutions coming out of industry? • Video – Marshall Ruffin, MD, MPH, MBA (Founder & Chief Executive Officer, Salutary, Inc.) – Susan Kressly, MD, FAAP (Kressly Pediatrics, and Medical Director Office Practicum) – Michael Wang (CEO và Founder, Inspiren) – Jacqueline Gerhart, MD, FAAFP (Director of Clinician Engagement, Epic) – Jeff Wall, MD (Senior Director, Clinical Innovation, Cerner)– Peter Durlach (Senior Vice President, Healthcare Strategy & New Business Development, Nuance Communications)
• Wrap-Up and Set the Stage for Session 5 • Video
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Session Leader: Trent Rosenbloom, MD, MPH, FACMI, FAMIA (Vice Chair of Faculty Affairs và Associate Professor, Departments of Biomedical Informatics, Internal Medicine & Pediatrics, Vanderbilt University)
Download De-identified Session 5 Chat Here
• Introduction • Video
• Keynote Presentation: Where Might We Go From Here? • Video – Isaac Kohane, MD, PhD (Marion V. Nelson Professor và Chair, Department of Biomedical Informatics, Harvard Medical School)
• Breakout Sessions – Facilitator: Peter Durand – Goal: khổng lồ identify actions based on prior sessions & prioritize short-term, medium term, long-term actions
– Breakout Topics: – Reimbursement – Regulatory – unique – Usability – Interoperability/Standards – Self-Imposed (by the healthcare organization) aka – “We’ve Done it to Ourselves”
• Brief report back from breakout sessions / Wrap-Up • Video
Session Leader: Sarah Collins Rossetti, RN, PhD, FACMI, FAMIA (Assistant Professor of Biomedical Informatics và Nursing, magdalenarybarikova.com University)
Download De-identified Session 6 Chat Here
• Introduction • Video
• Plenary Speaker for convergent actions • Video – Christine A. Sinsky MD FACP (VP, Professional Satisfaction, American Medical Association)
• Breakout Sessions: Insights for Action – Reimbursement – Regulatory – quality – Usability – Interoperability/Standards – Self-Imposed (by the healthcare organization) aka – “We’ve Done it to lớn Ourselves”