The goal of the project is to develop and test innovative health information technology (IT) tools that support an outpatient geriatrics care Age-Friendly Learning Healthcare System with a point of care clinical decision support (CDS) system that leverages patient generated health data (PGHD) and electronic health record (EHR) data and population-level reports that support Age-Friendly Health System care. Age-Friendly Health System care is a general approach to care – a transformational movement rather than a model of care – developed and promoted by the Institute for Healthcare Improvement. An Age-Friendly Care Healthcare System provides care for geriatrics patients related to the “4Ms” – what matters most, medication, mentation, and mobility. Age-friendly care is tailored to the needs and values of geriatrics patients (e.g., what matters most to them meaning their goals and motivations) as well as assessment and healthcare actions related to this population’s specific needs such as falls assessments (mobility), avoidance of medications interfering with what matters most (medications with problematic side effects), and assessment and treatment for dementia and depression (mentation). Data display tools for institutional decision-makers support sense-making by decision-maker users by facilitating their access to and synthesis of data to detect patterns in screening, understand variation in care practice, and explore associated healthcare outcomes.
The project ties into the University of Utah’s ReImagine EHR initiative.
Publications
Shared Decision Making Tools Implemented in the EHR: A Scoping Review
Joni H. Pierce, Jorie M. Butler, Teresa Taft, W. W. Richards, M. McFarland, Kensaku Kawamoto, G. Fiol, C. Weir
American Medical Informatics Association Annual Symposium, 2022
Clinician documentation of patient centered care in the electronic health record
Jorie M. Butler, B. Gibson, Olga V. Patterson, L. Damschroder, Corrinne H. Halls, Daniel W. Denhalter, M. Samore, Haojia Li, Yue Zhang, S. Duvall
BMC Medical Informatics and Decision Making, 2022
Age‐friendly care in the Veterans Health Administration: Past, present, and future
Timothy W. Farrell, Tiffany A Volden, Jorie M. Butler, G. Eleazer, R. Rupper, Katharina V. Echt, M. Shaughnessy, M. Supiano
Journal of The American Geriatrics Society, 2022
Information sharing via electronic health records in team-based care: the patient perspective.
Osman N Sanyer, Jorie M. Butler, Katherine Fortenberry, Tatiana Webb-Allen, D. Ose
Family Practice, 2021
Evaluating the Balance Between Privacy and Access in Digital Information Sharing
Sarah J. Beesley, Alex Powell, Danielle Groat, Jorie M. Butler, R. Hopkins, R. Rozenblum, H. Aboumatar, A. Butler, J. Sugarman, Leslie Francis, Samuel M. Brown
Critical Care Medicine, 2021