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AMIA set an ambitious goal for documentation burden reduction for U.S. Clinicians to 25% of current state in the next 5 years. To that end, we seek to optimize electronic health record (EHR) and related vendor solutions.

While there is a wealth of ideas and efforts within the HIT community to reduce documentation burden, many of them do not achieve their full potential due to challenges in changing dominant documentation practices in place today and structural barriers, such as interoperability.

Currently, AMIA’s 25x5 vendor workstream is building a five-year roadmap of HIT initiatives to reduce documentation burden. This group is seeking ideas from the broader health care community for concrete projects—aligned to the priorities listed below--that can be delivered with the support of AMIA’s 25x5 community.

25x5 Finalists

The AMIA 25x5 Task Force would like to thank everyone who submitted a pitch for sharing their ideas, innovations and current capabilities aimed to reduce documentation burden.

Submitted ideas will be reviewed and finalists will have an opportunity to pitch their projects, with the top finalists receiving the following support:

  • Recognition and inclusion of the innovation and capabilities on the AMIA 25x5 Roadmap to Reduce Documentation Burden.
  • AMIA press release recognizing finalists for finalist’s own promotional use.
  • A forum to address structural barriers to scaling and adoption of an innovation including:
    • A consortium of vendors to collaborate with on interoperability needs
    • An advocacy group actively focused on driving policy change
    • A collective of progressive health system leaders willing to promote and experiment with new innovations

Who Can Participate?

This call is open to all and anyone who believes their ideas and subsequent projects can reduce documentation burden. AMIA membership is not required and there is no cost to submit a pitch.


  • Products and tools that alter clinician workflow in ways that reduce the burden of documentation
    • Better and more affordable voice recognition integration into workflow
    • Vendor agnostic AI/heuristics to expedite the way clinicians document
  • Separate clinician notes for care process & completion of the extra record keeping required for billing by AI
  • Vendors to integrate capture of patient generated health data into clinician workflow automatically, so that clinicians do not have to re-enter this data again
  • Other solutions to prevent data re-entry
  • Eliminate any work for clinicians to document what patient data have been reviewed

  • Core HIT enablers that unblock the full HIT vendor community from contributing to reduce documentation burden by 75%
  • Eliminate the need for manual entry of patient data from external sources (e.g., devices, labs, etc.) into documentation by providing true interoperability and availability of this data into clinician workflows
  • Vendor agnostic support for use of multiple devices for information collection and documentation
  • Interoperability interfaces and user interfaces designed to support clinician workflow in a way that reduces documentation burden
  • Eliminating barriers to entry (technical AND business model) for accessing the ecosystem to integrate into EHR workflows
  • Create capability to decompose CCDA for granular reuse of data points beyond certification requirements
  • Establish standards with regards to documentation for compliance

  • Develop a metric that automatically grades notes on length/efficiency/redundancy; can utilize AI algorithm and schedules training; automated benchmarking/analysis of documentation trend, individual & department level
  • Methodology/tools to support EHR vendors improving their responsiveness to user suggestions/complaints; amplify the voice of the users; improved transparency with user feedback/problems

  • Vendors can propose ideas that fall outside of the above priorities if they reduce documentation burden

Scoring Criteria

Ideas will be judged based on the following criteria

  • Addresses one or more of the targeted action items and themes provided
  • Adheres to smart objective principles:
    • Specific
    • Measurable
    • Actionable / Attainable
    • Relevant / Reasonable
    • Time-based / Time-bound
  • Demonstrated or potential impact on documentation burden
  • Clear and feasible plan for scaling innovation, implementation, and/or adoption to drive toward 75% target

Pitch Event Rounds

Round One

Submit a written overview of the innovation idea (adhering to provided submission template) by September 8.

The AMIA 25x5 Task Force Vendor Workstream and public input will determine the top pitches invited to Round Two. Pitches will be posted on the AMIA website for public review and ranking/voting September 19-26.

All submitters will be notified on or before October 8 indicating if the pitch is selected to proceed to Round Two. Ideas graded and evaluated by the public and 25x5 Task Force Vendor Workstream on provided criteria.

Round Two

3-minute presentation of each of the top ideas.

  • Presentation and feedback open to the public
  • Round Two presentations will be held virtually on Thursday, October 20, from 3-4 pm ET.
  • A final panel of judges with significant experience developing or using EHR technology will determine the finalists whose projects will be pursued first.

Top finalists work with the AMIA 25x5 vendor task force to formalize their innovations in a vendor roadmap.