AMIA's Annual Symposium is the premier learning and networking conference attended by more than 2,500 health informaticians from across the world. Now, you can access full presentations and slides from the live event at your convenience while earning CME/CNE online.
AMIA 2024 Annual Symposium On Demand is designed to provide you with the very latest health informatics content with maximum value and convenience. Revisit one or all top 20 sessions from the conference, featuring leading voices from across the informatics field. Choose the format that fits your preferred learning style. Take up to two years to claim your education credits. Recorded at AMIA’s Annual Symposium, held November 9-13, 2024, in San Francisco, CA.
Choose Your Format
Presenter, Slides, and Audio
Members: $225 $180*
Nonmembers: $315 $252*
*Includes 20% discount through March 31. Log in to see your discount.
Slides and Audio
Members: $180 $144*
Nonmembers: $255 $204*
*Includes 20% discount through March 31. Log in to see your discount.
Integrated Hands-Free Electronic Patient Care Report (ePCR) Charting (IHeC): Designing the Architecture
The nature of paramedic workloads typically results in incomplete or lack of patient care reports on patient handover to emergency department staff. Patient information gaps can increase emergency department staff's workload, cause care delays, and increase risks of adverse events. An integrated hands-free electronic patient care report (ePCR) could eliminate this gap. We conducted an environmental scan of the available literature on technologies to improve paramedic documentation and current advanced paramedic charting systems. Two technologies, speech recognition documentation and live telemetry sharing systems, were identified as potential improvements. A theoretical architecture for an integrated hands-free ePCR charting (IHeC) system was developed by combining these technologies. The ePCR could be completed and available upon patient arrival at the hospital using speech recognition and vital sign-sharing technology. The IHeC system could solve the problem of patient information gaps and provide a platform for more advanced integration of paramedic services.
Learning Outcomes
- Describe challenges faced by paramedics in delivering accurate and timely documentation on patient handover.
- Explain the current landscape of paramedicine documentation in terms of improving care continuity and preventing adverse events using technology.
Speakers
- Desmond Hedderson, BSc, MSc student, University of Victoria, school of Health Information Science
Automating and Evaluating LLM-Generated ED Handoff Notes
It has been burdensome for physicians to review and document large unstructured clinical data. We develop a summarization system that automatically generates Emergency Medicine handoff notes using LLMs, specifically designed for text generation in the clinical domain. We also propose a novel clinical evaluation rubric focused on the quality and safety of generated texts. The evaluation results show the effectiveness of the proposed framework.
Learning Outcomes
- Appreciate the importance and limitations to current emergency medicine handoff process.
- Understand the context of how LLMs can automate emergency medicine handoff documentation at near-physician documentation levels
- Understand how our novel LLM evaluation framework measures quality, accuracy, and usefulness of the hand-off notes, in relationship to patient safety.
- Explain our LLM path-to-implementation plan to navigate AI safety and governance obligations.
Speakers
- Vince Hartman, MS, Information Systems, Abstractive Health
Standardized documentation of nursing communication with advanced providers identifies evident and occult hypoxemia
We hypothesized that nursing documentation may increase when hypoxemia is present, but undetected by the pulse oximeter, in events termed “occult hypoxemia.” Methods: We conducted a retrospective study of patients with COVID-19 at five hospitals in a healthcare system with paired SpO2 and SaO2 readings (measurements within 10 minutes of oxygen saturation levels in arterial blood, SaO2, and by pulse oximetry, SpO2). We applied multivariate logistic regression to assess if having any nursing documentation of provider notification in the four hours prior to a paired reading confirming occult hypoxemia was more likely compared to a paired reading confirming normal oxygen status. Results: Among the 1,910 patients with 44,972 paired readings, having any nursing documentation of provider notification was 46% more common in the 4 hours before an occult hypoxemia paired reading compared to a normal oxygen status paired reading (OR 1.46, 95% CI: 1.28-1.67), and 84% more common before an evident hypoxemia paired reading (OR 1.84, 95% CI: 1.62-2.09). Discussion This study finds that nursing documentation of provider notification significantly increases prior to confirmed occult hypoxemia, which has potential in proactively identifying occult hypoxemia and other clinical issues.
Learning Outcomes
- Describe how nurse documentation frequency may change in the setting of hypoxemia, even when the hypoxemia is not evident on the pulse oximeter.
Speakers
- Kelly Gleason, PhD, RN, Johns Hopkins University
Ambient AI Scribes: Utilization and Impact on Documentation Practice
This study examines the initial implementation and evaluation of an ambient digital scribe powered by large language models at Stanford Health Care. During the 3-month pilot period, the tool was utilized for over half of the encounters and resulted in decreased time spent on clinical documentation. Adoption of the tool and the resulting documentation practices varied between physicians, suggesting a need for further development of this technology to accommodate personal preferences to maximize its potential.
Learning Outcomes
- Understand the potential benefits of ambient AI scribes.
Speakers
- Stephen Ma, MD, PhD, Stanford University School of Medicine
A Web-based Interface for Visualizing and Documenting SEEG Strategic Planning (WISP): Development and Qualitative Evaluation
WISP stands as an efficacious solution to the challenges associated with Stereoelectroencephalography (SEEG) strategic planning, offering lightweight and interactive web interfaces for rendering multiple brain views. These interfaces facilitate collaborative engagement among care team members across various disciplines during patient case conferences and SEEG strategic planning sessions. Moreover, WISP incorporates a collaborative electrode and electrode group library, serving as a standardized repository of knowledge. The application enables seamless conversion of case conference outcomes and SEEG plans into images and PDF files, with transmission to Electronic Health Record (EHR) systems through a customized HL7 engine. The initial assessment findings demonstrate WISP provides good usability according to the System Usability Scale (SUS) score, with physicians exhibiting a clear preference for its utilization over conventional approaches to case conference documentation and SEEG planning. Furthermore, physicians have actively embraced WISP in their collaborative sessions, indicating its seamless integration into their clinical workflows.
Learning Outcomes
- Know how many brain views are implemented in WISP to render SEEG electrodes.
Speakers
Shiqiang Tao, PhD, The University of Texas Health Science Center at Houston
Assessing the Impact of EHR Documentation Burden on Health Information Exchange Use
While electronic health record (EHR) documentation burden is known to be associated with reduced clinician well-being and burnout, it may have even worse unintended consequences if documentation work also crowds out other high-value EHR tasks. We examine this novel question by assessing the relationship between documentation burden and a high-value but optional EHR task – use of health information exchange (HIE) to view patient records from outside organizations. Our study takes advantage of an exogenous shock to documentation time, appointment no-shows. We find that documentation time has a strong impact on HIE use, with each additional hour spent documenting resulting in a 7.1 percent reduction in the proportion of a patients with an outside record viewed by the physician seeing them that day. This crowd out effect may explain why the US has yet to realize broad benefits from HIE and could also be true for other high-value EHR and non-EHR tasks as busy physicians simply lack time to incorporate them into their workflows. Our results point to the urgent need for policymakers to do more to reduce documentation burden.
Speakers
- A J Holmgren, PhD, University of California, San Francisco
Continuing Education Credit
Physicians
The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The American Medical Informatics Association designates this online enduring material for 1.5 AMA PRA Category 1™ credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Claim credit no later than January 20, 2028 or within two years of your purchase date, whichever is sooner. No credit will be issued after January 20, 2028.
Nurses
The American Medical Informatics Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
- Approved Contact Hours: 1.5 participant maximum
- Nurse planner for this activity: Jenna Thate, PhD, RN, CNE
- Jenna Thate discloses that she has no financial relationships with ACCME/ANCC-defined ineligible companies.
Upon completion of each video and corresponding evaluation portion of this activity, all learners will be able to download the appropriate credit certificate, or a certificate of participation.
Claim credit no later than January 20, 2028 or within two years of your purchase date, whichever is sooner. No credit will be issued after January 20, 2028.
ACHIPsTM
AMIA Health Informatics Certified ProfessionalsTM (ACHIPsTM) can earn 1 professional development unit (PDU) per contact hour.
ACHIPsTM may use CME/CNE certificates or the ACHIPsTM Recertification Log to report 2024 Symposium sessions attended for ACHIPsTM Recertification.
Claim credit no later than January 20, 2028 or within two years of your purchase date, whichever is sooner. No credit will be issued after January 20, 2028.