This white paper summarizes a methodology for evaluating how one’s Electronic Health Record (EHR) supports quality improvement and patient safety. It includes a framework (The 4E’s of EHR Evaluation) to assess the relative strengths and weaknesses of an EHR as well as data and insights from cross-institution benchmarking to provide real-world evidence and examples.
The Phrase Health team canvassed the literature to determine applicable frameworks to assess performance of the EHR as it relates to quality and patient safety. Key studies (e.g. Crossing the Quality Chasm from the Institute of Medicine) informed the model as the team iterated and tested it with quality, safety, and informatics leaders. The group then developed and aligned EHR-tool related metrics to the framework in order to compare participating health systems’ performances along these dimensions.