Abstract: The new administration has promised new approaches to regulation, reimbursement, and improving value in healthcare. This workshop will explore hopes and challenges building on last year’s pre-symposium workshop: Primary Care Informatics in the Second Decade of Health Information Technology; Challenges, Lessons Learned and Work Remaining to be Done regarding the failure to achieve EHR certification and meaningful use goals. This year, each presentation will be followed by audience discussion to document what is working, what is sub-optimal, and to set priorities and new strategies for meeting primary care practice needs. The structure of this session will be divided into four sections of ninety minutes in length. Each subsection will consist of brief presentations of the topic followed by collaborative sessions to discuss and strategize on solutions to the problems presented.

Beginning with an overview of the challenges and constraints on primary care informatics in a changing world of reimbursement and regulation, we will explore MACRA, the Trump Administration and Primary Care Informatics, highlighting the new reporting requirements. Continuing our previous exploration of new primary care models, we will examine SmartCare: An Innovative Health Care Delivery option for Primary Care, an example of informatics facilitating practice change.

Last year, a limited set of essential priorities and requirements emerged to meet core goals. Topics selected in advance by the PCIWG through webinars and surveys are expected to include: efficient documentation, integrating data from communications into EHR, transfer of complete patient records to other systems, portable and sharable tools for quality assessment and clinical decision support, export of data to clinical data repositories, and data visualization tools. Implementing these priorities will employ two strategies identified last year: Fast Health Interoperability Resources (FHIR) to facilitate extending vendor provided EHR, and education to improve the understanding of providers, vendors, and patients

Concluding with a strategy for dissemination of priorities, we plan to generate a policy paper summarizing findings of the workshop, and initiate collaborations with other groups such as the new AMIA Interoperability and Health Information Exchange working group and various primary care professional societies.

Learning Objective 1: Identify three key constraints on primary care practice using an EHR

Learning Objective 2: Describe how MACRA will change primary care expectations of what an EHR can provide

Learning Objective 3: Illustrate two primary care practice innovations to improve quality of care

Learning Objective 4: List five tasks that a primary care EHR should be able to perform efficiently


Stephen Morgan (Presenter)
Partners Healthcare Inc.

Mark Parkulo (Presenter)
Mayo Clinic

Deepti Pandita (Presenter)
Park Nicollet Health System

David Dorr (Presenter)

Alan Zuckerman (Presenter)
Georgetown University

Jeffery Weinfeld (Presenter)
Georgetown University

Robert Hausam (Presenter)
Hausam Consulting, LLC

Melinda Jenkins (Presenter)
Rutgers University

Presentation Materials: