To Measure The Burden Of EHR Use, Audit Logs Offer Promise—But Not Without Further Collaboration

Health Affairs February 28, 2020
Genna Cohen, Llewelyn Brown, Megan Fitzgerald, Anita Somplasky

Since the passage of the HITECH Act, electronic health records (EHRs) have become nearly ubiquitous in the United States, serving as focal points of practice transformation across an array of alternative payment models. But, there is growing evidence that EHRs have unintentionally burdened clinicians by increasing their work without value (as distinct from their work with value), hindering their ability to efficiently and effectively deliver care. Indeed, the Office of the National Coordinator for Health Information Technology (ONC) recently released a comprehensive strategy to reduce the regulatory and administrative burden related to the use of health information technology (IT), including EHRs. More rigorous, national evidence is needed to better understand this burden, how different EHR users may see that burden...

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