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The burden of clinical documentation on professionals has had a proven negative impact on health care. This burden leads to a variety of negative outcomes including clinician burnout and decreased job satisfaction, increased medical errors and hospital-acquired conditions.

In December 2021, AMIA assumed leadership responsibility for the 25x5 initiative to address this nation-wide problem by leveraging the collective expertise of key stakeholders in health care, industry, and policy to prioritize and implement the Calls to Action and Recommendations established by the 25x5 Symposium.

Calls to Action

  • Establish guiding principles for adding documentation to the EHR and generating evidence for reduced documentation
  • Develop a national roadshow and educate clinicians and clinicians in training on balancing brevity and completeness in documentation
  • Support functions like real-time information retrieval, documentation, and ordering
  • Implement interdisciplinary notes

  • Promote an ecosystem of interoperable systems to allow for complementary technology
  • Develop metrics to review and grade a user’s documentation
  • Package best training practices into toolkits to promote “best practice” EHR use and plan recognition programs to publicize exemplars
  • Create simplistic EHR views to see that new clinical data has been reviewed-then bookmark for the user and document as reviewed by that user in the EHR
  • Implement personalized Clinical decision support (CDS) to drive user-specific workflows

  • Urge agencies to fund research that captures billing code information without engaging clinician time
  • Select the best of breed and implement throughout the healthcare system
  • Develop technology to reliably and accurately create reimbursement/payment data for all care setting

Task Force

Chaired by Sarah Rossetti, RN, PhD, FACMI, FAMIA AMIA, the 25x5 Task Force and 25x5 student subcommittee held a kickoff meeting on April 14, 2022. The task force membership is structured around three workstreams:

  • Providers/Health Systems
  • Health IT vendors
  • Policy/Advocacy

To accomplish the mission, each workstream has specific short-term goals to be accomplished within one year (2022) and long-term goals (within 5 years). 

Workstreams are currently developing specific actionable goals, benchmarks, and measurement(s) of success.

Meet the AMIA 25x5 Task Force members

Task Force Mission

Reduce documentation burden for U.S. Clinicians to 25% of current state in the next 5 years1 and optimize electronic health record (EHR) and related vendor solutions by prioritizing and implementing the 25x5 Symposium Calls to Action/Recommendations2  through partnerships and advocacy with health systems, professional societies, and public/private sector organizations in order to spread these solutions across the U.S. health system.


Adoption of 25x5 is the culmination of a series of thought-leadership activities driven by AMIA members to acknowledge and respond to the emergent crisis. Columbia University, Vanderbilt University, and the American Medical Informatics Association (AMIA), through support from the National Library of Medicine (NLM), convened the 25x5 Symposium of decision-makers and influencers representing clinical settings, academia, industry, government, payers, professional organizations, and patients to establish strategies and approaches to reduce documentation burden on U.S. clinicians by 75%.

The symposium series included more than 30 presentations from stakeholders across healthcare ecosystem. The Final Summary Report and Executive Summary describing this work includes current challenges, exemplars, and 82 specific calls to action describe in detail.

The 82 action items were then further synthesized and prioritized into Calls to Action for three stakeholder groups: Providers and Health Systems, Vendors, and Policy and Advocacy.


1 5-year period of 1/1/2022-12/31/2026​

2 Calls to Action (page 21-22) and recommendations (page 25-26) from the 25x5 Symposium Final Summary Report

Stay Up-to-date

If you or your organization would like to learn more and/or participate in the AMIA 25x5 initiative, please reach out to Katy Sidwell.

Keep me informed

25x5 Community

Open to everyone

Join the AMIA 25x5: Reducing Documentation Burden Connect community on AMIA Connect to network, collaborate and share information on this critical initiative.

Nonmembers will need to create an AMIA account in order to access the community.

Join the 25x5 community