Implementation Challenges for Clinical and Research Information Systems: Recommendations from the 2007 Winter Symposium of the American College of Medical Informatics

Abstract

The American College of Medical Informatics (ACMI), is “a college of elected fellows from the United States and abroad who have made significant and sustained contributions to the field of medical informatics” and is a component of the American Medical Informatics Association (AMIA). Over the last few years in its winter symposium, ACMI has discussed a variety of issues related to the adoption and deployment of electronic health records (EHRs). Beginning in winter 2004, ACMI addressed what would be needed to promote greater adoption of electronic health records. The recommendations led to AMIA's “Got EHR?” initiative (www.amia.org/gotehr) and a series of articles summarizing the ACMI participants' recommendations.1–4 In 2005, the ACMI symposium focused on personal health records (PHRs), and the resulting article outlined recommendations for the deployment of PHRs, an area that is now showing increasing development nationwide.5 In 2006, with the growing interest in clinical decision support (see AMIA's Clinical Decision Support Roadmap initiative http://www.amia.org/inside/initiatives/cds/), ACMI addressed the knowledge management that would be needed for effective broad-based use of clinical decision support systems. These recommendations were presented at the 2006 AHRQ Patient Safety and Healthcare …