Author + information
- Received September 13, 2019
- Revision received September 23, 2019
- Accepted September 23, 2019
- Published online February 24, 2020.
- aDivision of Cardiology, University of Colorado School of Medicine, Aurora, Colorado
- bDepartment of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado
- cDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado
- ↵∗Address for correspondence:
Dr. David P. Kao, University of Colorado School of Medicine, 12700 East 19th Avenue, Campus Box B-139, Aurora, Colorado 80045.
• Modern EHR provide many tools that can improve quality and efficiency of heart failure management, but these tools are underutilized.
• EHR tools can support remote patient engagement, effective documentation, multifaceted analytics, and point-of-care education and decision support.
• Close collaboration between clinicians and developers will increase awareness, convenience, use, and effectiveness of EHR tools, which in turn has the potential to revolutionize CHF care delivery and clinical research.
Patients with congestive heart failure (CHF) require complex medical management across the continuum of care. Electronic health records (EHR) are currently used for traditional tasks of documentation, reviewing and managing test results, computerized order entry, and billing. Unfortunately many clinicians view EHR as merely digitized versions of paper charts, which create additional work and cognitive burden without improving quality or efficiency of care. In fact, EHR are revolutionizing the care of chronic diseases such as CHF. This review describes how appropriate use of technologies offered by EHR can help standardize CHF care, promote adherence to evidence-based guidelines, optimize workflow efficiency, improve performance metrics, and facilitate patient engagement. This review discusses a number of tools including documentation templates, telehealth and telemedicine, health information exchange, order sets, clinical decision support, registries, and analytics. Where available, evidence of their potential utility in management of CHF is presented. Together these EHR tools can also be used to enhance quality improvement, patient management, and clinical research as part of a learning health care system model. This review describes how existing EHR tools can support patients, cardiologists, and care teams to deliver consistent, high-quality, coordinated, patient-centered, and guideline-concordant care of CHF.
Dr. Kao has received support from National Heart, Lung, and Blood Institute grant K08HL125725; and consulting fees from Medtronic. Dr. Trinkley has a contract with Pfizer. Dr. Lin has reported that he has no relationships relevant to the contents of this paper to disclose.
- Received September 13, 2019.
- Revision received September 23, 2019.
- Accepted September 23, 2019.
- 2020 American College of Cardiology Foundation
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