ABSTRACT
In more than a dozen years as an informatician in organizations ranging from community hospitals to large enterprise healthcare systems, there was never a question that the Electronic Health Record (EHR) required an ongoing improvement cycle. It was evident that the EHR was disruptive to all except the most tech savvy of providers and that governance was the key to reigning in the chaos and unintended consequences associated with the emerging digital world of healthcare. EHR governance was redesigned to be provider centric and consensus driven. Until practitioners can customize how clinical decision support (CDS) works to meet their individual needs, EHR governance is the key to designing and deploying provider-friendly CDS logic. To do this, governance leverages validated design theory like the five rights: the right information, to the right person, in the right format, through the right channel, and at the right time in the workflow.
