{"id":"https://openalex.org/W3006426907","doi":"https://doi.org/10.1093/jamia/ocz222","title":"Have you got the time? Challenges using vendor electronic health record metrics of provider efficiency","display_name":"Have you got the time? Challenges using vendor electronic health record metrics of provider efficiency","publication_year":2019,"publication_date":"2019-12-17","ids":{"openalex":"https://openalex.org/W3006426907","doi":"https://doi.org/10.1093/jamia/ocz222","mag":"3006426907","pmid":"https://pubmed.ncbi.nlm.nih.gov/32016394"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocz222","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocz222","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647287","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085053401","display_name":"Jonathan D. Hron","orcid":"https://orcid.org/0000-0003-2198-6174"},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jonathan D Hron","raw_affiliation_strings":["Department of Pediatrics, Division of General Pediatrics, Boston Children\u2019s Hospital, Massachusetts, USA","Department of Pediatrics,\u00a0Harvard Medical School, Boston, Massachusetts, USA","Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Massachusetts, USA"],"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Division of General Pediatrics, Boston Children\u2019s Hospital, Massachusetts, USA","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I4210087915"]},{"raw_affiliation_string":"Department of Pediatrics,\u00a0Harvard Medical School, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Pediatrics, Division of General Pediatrics, Boston Children's Hospital, Massachusetts, USA","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5017349468","display_name":"Eli M. Lourie","orcid":"https://orcid.org/0000-0003-3141-3900"},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]},{"id":"https://openalex.org/I1335321130","display_name":"Children's Hospital of Philadelphia","ror":"https://ror.org/01z7r7q48","country_code":"US","type":"funder","lineage":["https://openalex.org/I1335321130"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Eli Lourie","raw_affiliation_strings":["Department of Pediatrics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA","Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA","Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"],"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I1335321130"]},{"raw_affiliation_string":"Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I1335321130"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5085053401"],"corresponding_institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984","https://openalex.org/I4210087915"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":6.0389,"has_fulltext":false,"cited_by_count":27,"citation_normalized_percentile":{"value":0.96375041,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":98},"biblio":{"volume":"27","issue":"4","first_page":"644","last_page":"646"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9987000226974487,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.995199978351593,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.991599977016449,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vendor","display_name":"Vendor","score":0.7872101664543152},{"id":"https://openalex.org/keywords/metric","display_name":"Metric (unit)","score":0.7616956830024719},{"id":"https://openalex.org/keywords/electronic-health-record","display_name":"Electronic health record","score":0.7022303938865662},{"id":"https://openalex.org/keywords/health-records","display_name":"Health records","score":0.5963107943534851},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5693668127059937},{"id":"https://openalex.org/keywords/order","display_name":"Order (exchange)","score":0.4689488112926483},{"id":"https://openalex.org/keywords/burnout","display_name":"Burnout","score":0.4661487340927124},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.356428325176239},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.2981695532798767},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.24197885394096375},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.16981056332588196},{"id":"https://openalex.org/keywords/marketing","display_name":"Marketing","score":0.12980926036834717}],"concepts":[{"id":"https://openalex.org/C2777338717","wikidata":"https://www.wikidata.org/wiki/Q1762621","display_name":"Vendor","level":2,"score":0.7872101664543152},{"id":"https://openalex.org/C176217482","wikidata":"https://www.wikidata.org/wiki/Q860554","display_name":"Metric (unit)","level":2,"score":0.7616956830024719},{"id":"https://openalex.org/C3020144179","wikidata":"https://www.wikidata.org/wiki/Q10871684","display_name":"Electronic health record","level":3,"score":0.7022303938865662},{"id":"https://openalex.org/C3019952477","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Health records","level":3,"score":0.5963107943534851},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5693668127059937},{"id":"https://openalex.org/C182306322","wikidata":"https://www.wikidata.org/wiki/Q1779371","display_name":"Order (exchange)","level":2,"score":0.4689488112926483},{"id":"https://openalex.org/C143916079","wikidata":"https://www.wikidata.org/wiki/Q2629248","display_name":"Burnout","level":2,"score":0.4661487340927124},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.356428325176239},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2981695532798767},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.24197885394096375},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.16981056332588196},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.12980926036834717},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D002055","descriptor_name":"Burnout, Professional","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D003132","descriptor_name":"Commerce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003132","descriptor_name":"Commerce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003132","descriptor_name":"Commerce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004526","descriptor_name":"Efficiency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004526","descriptor_name":"Efficiency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004526","descriptor_name":"Efficiency","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017598","descriptor_name":"Efficiency, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019985","descriptor_name":"Benchmarking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019985","descriptor_name":"Benchmarking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019985","descriptor_name":"Benchmarking","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1093/jamia/ocz222","is_oa":false,"landing_page_url":"https://doi.org/10.1093/jamia/ocz222","pdf_url":null,"source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:32016394","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32016394","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:europepmc.org:6762791","is_oa":false,"landing_page_url":"http://europepmc.org/pmc/articles/PMC7647287","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:7647287","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647287","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:7647287","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7647287","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"},"sustainable_development_goals":[{"score":0.6100000143051147,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":7,"referenced_works":["https://openalex.org/W2167549250","https://openalex.org/W2752314234","https://openalex.org/W2754518417","https://openalex.org/W2802884616","https://openalex.org/W2902257721","https://openalex.org/W2968776700","https://openalex.org/W4322728677"],"related_works":["https://openalex.org/W187932805","https://openalex.org/W2965213801","https://openalex.org/W1641026212","https://openalex.org/W2078646730","https://openalex.org/W2911982698","https://openalex.org/W2087134418","https://openalex.org/W2323588885","https://openalex.org/W3047677938","https://openalex.org/W4312053962","https://openalex.org/W2920854314"],"abstract_inverted_index":{"The":[0],"rise":[1],"of":[2,12,28,38,117,129],"clinician":[3,132],"burnout":[4],"has":[5],"been":[6],"correlated":[7],"with":[8,109],"the":[9,26,32,63,79,127],"increased":[10],"adoption":[11],"electronic":[13],"health":[14],"records":[15],"(EHRs).":[16],"Some":[17],"vendors":[18,110],"have":[19,35,47],"used":[20,124],"data":[21,46],"entry":[22],"logs":[23],"to":[24,43,89,99,113,125],"measure":[25],"amount":[27],"time":[29],"spent":[30],"using":[31],"EHR":[33,118],"and":[34,95,103],"developed":[36],"metrics":[37,80],"provider":[39,59],"efficiency.":[40],"Initial":[41],"attempts":[42],"utilize":[44],"these":[45],"proven":[48],"difficult":[49,98],"as":[50],"it":[51],"is":[52],"not":[53],"always":[54],"apparent":[55],"whether":[56],"variations":[57],"reflect":[58],"behavior":[60],"or":[61],"simply":[62],"metric":[64],"definitions.":[65],"Metric":[66],"definitions":[67],"are":[68,81,87,96],"also":[69,97],"updated":[70],"intermittently":[71],"without":[72,91],"warning,":[73],"making":[74],"longitudinal":[75],"assessment":[76],"problematic.":[77],"Because":[78],"based":[82],"on":[83,131],"proprietary":[84],"algorithms,":[85],"they":[86],"impossible":[88],"validate":[90],"costly":[92],"time-motion":[93],"studies":[94],"compare":[100],"across":[101],"institutions":[102],"vendors.":[104],"Clinical":[105],"informaticians":[106],"must":[107],"partner":[108],"in":[111],"order":[112],"develop":[114],"industry":[115],"standards":[116],"use,":[119],"which":[120],"could":[121],"then":[122],"be":[123],"examine":[126],"impact":[128],"EHRs":[130],"burnout.":[133]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":5}],"updated_date":"2025-11-06T03:46:38.306776","created_date":"2025-10-10T00:00:00"}