A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard
Objective Despite interest in optimizing the electronic health record (EHR) to facilitate chronic disease care for conditions like rheumatoid arthritis (RA), progress in this area has been slow. EHR sidecar applications offer one solution, but little guidance exists to facilitate their successful de...
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2024-10-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241288739 |
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| author | Gabriela Schmajuk Catherine Nasrallah Beth Berrean Jonathan Prugh Cherish Wilson Alicia Hamblin Cammie Young Lindsay Jacobsohn Julia Kay Jing Li Emma Kersey Meera Subash Sara Murray Jinoos Yazdany |
| author_facet | Gabriela Schmajuk Catherine Nasrallah Beth Berrean Jonathan Prugh Cherish Wilson Alicia Hamblin Cammie Young Lindsay Jacobsohn Julia Kay Jing Li Emma Kersey Meera Subash Sara Murray Jinoos Yazdany |
| author_sort | Gabriela Schmajuk |
| collection | DOAJ |
| description | Objective Despite interest in optimizing the electronic health record (EHR) to facilitate chronic disease care for conditions like rheumatoid arthritis (RA), progress in this area has been slow. EHR sidecar applications offer one solution, but little guidance exists to facilitate their successful development, deployment, and maintenance in the healthcare setting. We aimed to provide a roadmap for how to develop and deploy an EHR sidecar application based on our experience building a new EHR-integrated, patient-facing visualization tool that displayed disease outcomes to RA patients during a clinical visit (the “RA PRO dashboard”) in a large academic health center. Methods We describe the technical design and implementation of the RA PRO dashboard; report clinic workflow adaptations to incorporate this new technology; and discuss the resources required and challenges encountered in maintaining this application. Results The RA PRO dashboard required extensive human-centered design work, regulatory approvals, software development, user testing, integration with Epic-based workflows, and maintenance. Key requirements were prioritized based on the anticipated effects on usefulness and ease of use. Implementation science strategies were used to improve use of the dashboard in clinic and included education for patients, staff, and clinicians; reports of actual use of the dashboard and data quality; and regular meetings between the research team and clinicians to discuss and address barriers to use. Conclusion Successful development and deployment of an EHR-integrated application are resource-intensive and require technical, operational, and educational innovations. The roadmap presented in this study can serve as a resource for future developers. |
| format | Article |
| id | doaj-art-9987fef998e64f5a93a5734e404eb478 |
| institution | OA Journals |
| issn | 2055-2076 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-9987fef998e64f5a93a5734e404eb4782025-08-20T02:15:12ZengSAGE PublishingDigital Health2055-20762024-10-011010.1177/20552076241288739A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboardGabriela Schmajuk0Catherine Nasrallah1Beth Berrean2Jonathan Prugh3Cherish Wilson4Alicia Hamblin5Cammie Young6Lindsay Jacobsohn7Julia Kay8Jing Li9Emma Kersey10Meera Subash11Sara Murray12Jinoos Yazdany13 University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA , San Francisco, CA, USA , San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USA University of California - San Francisco, CA, USAObjective Despite interest in optimizing the electronic health record (EHR) to facilitate chronic disease care for conditions like rheumatoid arthritis (RA), progress in this area has been slow. EHR sidecar applications offer one solution, but little guidance exists to facilitate their successful development, deployment, and maintenance in the healthcare setting. We aimed to provide a roadmap for how to develop and deploy an EHR sidecar application based on our experience building a new EHR-integrated, patient-facing visualization tool that displayed disease outcomes to RA patients during a clinical visit (the “RA PRO dashboard”) in a large academic health center. Methods We describe the technical design and implementation of the RA PRO dashboard; report clinic workflow adaptations to incorporate this new technology; and discuss the resources required and challenges encountered in maintaining this application. Results The RA PRO dashboard required extensive human-centered design work, regulatory approvals, software development, user testing, integration with Epic-based workflows, and maintenance. Key requirements were prioritized based on the anticipated effects on usefulness and ease of use. Implementation science strategies were used to improve use of the dashboard in clinic and included education for patients, staff, and clinicians; reports of actual use of the dashboard and data quality; and regular meetings between the research team and clinicians to discuss and address barriers to use. Conclusion Successful development and deployment of an EHR-integrated application are resource-intensive and require technical, operational, and educational innovations. The roadmap presented in this study can serve as a resource for future developers.https://doi.org/10.1177/20552076241288739 |
| spellingShingle | Gabriela Schmajuk Catherine Nasrallah Beth Berrean Jonathan Prugh Cherish Wilson Alicia Hamblin Cammie Young Lindsay Jacobsohn Julia Kay Jing Li Emma Kersey Meera Subash Sara Murray Jinoos Yazdany A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard Digital Health |
| title | A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard |
| title_full | A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard |
| title_fullStr | A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard |
| title_full_unstemmed | A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard |
| title_short | A step-by-step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes: The RA PRO dashboard |
| title_sort | step by step roadmap for the development and deployment of an electronic health record sidecar application that tracks patient outcomes the ra pro dashboard |
| url | https://doi.org/10.1177/20552076241288739 |
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