EHR Inbox @UCSF Julia Adler-Milstein PhD

Transformation of work from paper to electronic inbox. Historical perspective and also ideas about where we might go next.

Concept of 1-touch resolution of an inbox message ?!

A lot of improving this is based on excellent availability and use of EHR audit log data.

Can we now phenotype providers and teams on how they handle messages?!

What happens when we change user interface design? When it is easier to see outside data, do behavior of providers change (turns out, YES).

What happens when we allow for billing for e-Visits?

Both clinicians and patients are affected by this. Small increase in physician billing of messages. Patient message threads dropped once they saw the disclaimer about possible billing.

These are excellent questions we can start to ask and decide on new directions for our organizations.

Hmm pause for creativity. There are more opportunities for health systems to make things better.

I’m going to have to study her words and think what we do next in this space for our organization.

Author: CT Lin

CMIO, UCHealth (Colorado); Professor, University of Colorado School of Medicine

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