Few Family Medicine Physicians Experience Ideal Interoperability
In a survey of over 7500 family medicine physicians with a 100% response rate in 2024, only a small fraction of physicians reported ideal interoperability experiences for clinical data (for instance, just 13% reported ideal interoperability for medications), defined as often automatically obtaining documents from outside organizations, easily finding the document, and easily finding information within the document in their EHR.
Learning Objectives
- Understand how family physicians described ideal interoperability.
Speaker
- Julia Adler-Milstein, PhD (University of California, San Francisco)
Capturing the Visitome: Sociotechnical Ethnography Through Clinical Video in the Observer Repository
The Observer Repository includes video recordings of clinical encounters, electronic health record (EHR) data, and patient and provider satisfaction information. This dataset aims to address challenges in healthcare including clinician burnout, inefficient EHR workflows, and limited visit access by innovators by enabling research, testing hypotheses about improving primary care, and bridging engineering and healthcare. The Observer Repository uses a privacy- preserving pipeline, making it an accessible resource for understanding patient-provider interactions and improving care qualit
Learning Objectives
- Establish robust protocols in collaboration with their institution’s IRB to streamline data collection processes
Speaker
- Basam Alasaly, Biomedical Informatics, M.S. (Perelman School of Medicine at the University of Pennsylvania)
Evaluating the Adoption of Billing Patient Messages as ‘E-Visits’ and Impact on Physician Burnout
Clinician-patient messaging grew dramatically at the beginning of the pandemic and has persisted at high levels. In 2020, CMS allowed new reimbursement for patient medical advice requests (e-visits): secure messages that require both medical decision-making and at least five minutes of clinician time. In response, several health systems implemented clinician-initiated billing for these messages, including UCSF Health in November 2021. To understand adoption and efficacy of this intervention, we first used Epic Clarity EHR metadata to identify physician adopters of e-visits and matched these to self-reported physician wellbeing survey data. We used a difference-in-differences analysis with ordinary least squares regression to assess how e-visit adopter physicians’ responses on overall burnout and callousness towards others changed compared to those who did not adopt e-visits. We then conducted semi-structured interviews with UCSF physician adopters of e-visit billing in order to understand how they opted to employ this functionality and perceived its effect on symptoms of burnout. Our quantitative results show that e-visit adopters reported significant reductions in callousness towards others. Interviews revealed that the initial implementation did not align with how physicians perceive this work. Specifically, interviewees cited low valuation, additional clicks, and discomfort initiating billing as barriers to billing for e-visits to a fuller extent and as factors contributing to burnout. However, physicians were optimistic about its potential to assign value to an important care modality and alleviate burnout symptoms. Future efforts should focus on aligning incentives to encourage physicians to continue utilizing this care modality and adopt billing for it.
Learning Objectives
- Identify key barriers to physician adoption of e-visit billing, based on physician-reported experiences.
Speaker
- A J Holmgren, PhD (University of California, San Francisco )
About CME/CNE Credit
The following information pertains to individual sessions included in the AMIA 2025 Clinical Informatics Conference On Demand product. A total of 16.75 CME/CNE credits may be earned if all sessions are completed.
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 16.75 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 within two years of the release date or within one year of your purchase date, whichever is sooner.
ANNC Accreditation Statement
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.
- Nurse Planner (Content): Robin Austin, PhD, DNP, DC, RN, NI-BC, FAMIA, FAAN
- Approved Contact Hours: 16.75 participant maximum CME/CNE
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 2025 CIC sessions attended for ACHIPsTM Recertification.
Claim credit no later than within two years of the release date or within one year of your purchase date, whichever is sooner.