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ROCKVILLE, MD – The American Medical Informatics Association (AMIA) hosted the National Burden Reduction Collaborative (NBRC), sponsored by Epic, during the AMIA 2022 Annual Symposium, Nov. 5-9, in collaboration with the Association of Medical Directors of Information Systems, and the Alliance for Nursing Informatics. The NBRC spent two days sharing their ongoing research, knowledge and initiatives around documentation burden and clinician burnout reduction to understand organizational priorities and align efforts. This meeting, building on the ongoing work of the AMIA 25x5 Task Force, is the start of ongoing collaboration with these stakeholders, and was successful in bringing leaders in informatics together to address this daunting problem that is pervasive across healthcare.

“We were thrilled to share our 25x5 work with leaders from each of the organizations that participated so we can make sure to align efforts and grow the organizations that we partner with to achieve our mission of reducing documentation burden for our clinicians.” said Sarah Rossetti, RN, PhD, FAAN, FACMI, FAMIA, AMIA 25x5 Task Force Chair. “We need to all work together and support our shared goals for this important work.”

The following topics were determined to be highest priority by the group:

  1. Definition and Measurement of Burden
  2. Training, Support, Communication – Change Management
  3. Streamlined Provider Note (codable/required)
  4. Reducing Clinician Documentation Beyond Notes
  5. Electronic Prior Authorization Processes

These topics are robust, and the group is determining and convening initial collaborators to begin work on these priorities with a plan to report progress in early 2023.  

Other participants in the meeting, beyond the pacesetter organizations, included:

  • American College of Medical Informatics Association
  • American Medical Association
  • DaVinci HL7 FHIR Project
  • Electronic Health Records Associations
  • HL7 International
  • Healthcare Information and Management Systems Society (HIMSS) Physician Committee
  • HIMSS Nursing Informatics Committee
  • The Joint Commission
  • KLAS, Arch Collaborative
  • National Library of Medicine (for day 2)
  • Office of the National Coordinator for Health Information Technology
  • Office of the Surgeon General (for day 2)

While not everyone who was invited was able to attend, AMIA does plan to follow up with all invitees, including staff at the Centers for Medicare & Medicaid Services.


AMIA, the leading professional association for informatics professionals, is the center of action for 5,500 informatics professionals from more than 65 countries. As the voice of the nation’s top biomedical and health informatics professionals, AMIA and its members play a leading role in assessing the effect of health innovations on health policy and advancing the field of informatics. AMIA actively supports five domains in informatics: translational bioinformatics, clinical research informatics, clinical informatics, consumer health informatics, and public health informatics.