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Mbwana JS, Grinspan ZM, Bailey R, Berl M, Buchhalter J, Bumbut A, Danner Z, Glauser T, Glotstein A, Goodkin H, Jacobs B, Jones L, Kroner B, Lapham G, Loddenkemper T, Maraganore DM, Nordli D, Gaillard WD. Using EHRs to advance epilepsy care. Neurol Clin Pract 2018; 9:83-88. [PMID: 30859011 DOI: 10.1212/cpj.0000000000000575] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Accepted: 09/18/2018] [Indexed: 12/19/2022]
Abstract
The improved use of Electronic Health Record (EHR) Systems provides an opportunity to improve the overall efficiency and quality of care of patients with epilepsy. Tools and strategies that may be incorporated into the use of EHRs include utilizing patient generated data, clinical decision support systems and natural language processing systems. Standardization of data from EHR systems may lead to improvement in clinical research through the creation of data collections and multi-center collaborations. Challenges to collaborative use of EHR Systems across centers include costs and the diversity of EHR systems.
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Affiliation(s)
- Juma S Mbwana
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Zachary M Grinspan
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Russell Bailey
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Madison Berl
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Jeffrey Buchhalter
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Adrian Bumbut
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Zach Danner
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Tracy Glauser
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Angie Glotstein
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Howard Goodkin
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Brian Jacobs
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Lisa Jones
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Barbara Kroner
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Gardiner Lapham
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Tobias Loddenkemper
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Demetrius M Maraganore
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - Doug Nordli
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
| | - William D Gaillard
- Children's National Health System (JSM, MB, AB, BJ, GL, WDG), Washington, DC; Weill Cornell Medicine (ZMG), New York; Department of Neurology (RB), University of Virginia, Charlottesville; Alberta Children's Hospital (JB), Calgary; Cerner Corporation (ZD, AG, LJ), Kansas City, MO; Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine (TG), OH; Departments of Neurology and Pediatrics (HG), UVA Health System, Charlottesville, VA; RTI International (BK), Rockville, MD; Boston Children's Hospital (TL), MA; NorthShore University Health System (DMM), Evanston, IL; and Ann and Robert H. Lurie Children's Hospital of Chicago (DN), Northwestern University, Chicago, IL
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