Customizing EMR Functionality and User Experience

EMR Innovations SummitJune 21, 2013

Jon Duke, Jeremy Leventhal, Chris Beesley

The Need for Innovation

• EMRs have numerous stakeholders including providers, administrators, researchers, and other consumers of clinical data

• User needs and expectations vary, often resulting in time-consuming development efforts to customize the system

• Reducing barriers to customization would increase user satisfaction, broaden system functionality, and promote innovation within a platform

Customization @ RI

• The Rule Authoring and Validation Environment (RAVE) is an advanced rule authoring tool

• The RAVE is designed to empower stakeholders to customize the system for clinical, quality, research, and other purposes

Good artists copy.Great artists steal. - Pablo Picasso

ifttt.com

Great Artists Steal

Rule Authoring

• Rules are necessary to drive decision support logic as well as other system actions

• Rule authoring is generally a complex task requiring code-like syntax

RAVE = IFTTT for EMRs

• Can mix and match channels to create a remarkable array of functionality without need for programmer intervention

• Can write rules just for yourself or (with permission) your clinic, specialty, or all users

• Rule syntax is generated automatically in a standard rules syntax (Drools)

Rule Authoring and Validation Environment

• Picture HERE

Chart Actions

Observation

HL7

Observation

Patient Alert

Chart Actions

Observation

HL7

Observation

Patient Alert

Chart Actions

Observation

HL7

Observation

Patient AlertUser

Chart Actions

Observation

HL7

Observation

Patient Alert

Encounter

Chart Actions

Observation

HL7

Observation

Patient Alert

Encounter

Rule Authoring and Validation Environment

Advaced Rule Authoring

• Use GUI to create diverse, sophisticate rules• Generate alerts, logs, emails, or other

downstream functions• Outputs Drools syntax for direct

implementation in clinical system

For Demonstration of the RAVEContact

Regenstrief is hiring for faculty positions and fellowships in Biomedical Informatics. Contact

schleyer@regenstrief.org for more information.

jonduke@regenstrief.org