Strategies for Governance of Electronic Health Record Modification for Research Studies at U.S. Academic Medical Centers

2025 Annual Symposium On Demand

Presentation Time: 03:30 PM - 04:45 PM

Abstract Keywords: Governance, Informatics Implementation, Usability, Interoperability and Health Information Exchange
Primary Track: Applications
Programmatic Theme: Clinical Informatics

In this panel, we present the experience of four academic medical centers that are actively innovating in Epic for academic research. In the current state, electronic health record modification is a necessary part of many types of academic research including clinical trials and digital health innovation. However, modification cannot be pursued without considering operational needs. The era of FHIR brings new complexities, where separating innovation from the EHR is possible, but still relies on EHR-specific processes. The presenters will discuss organizational governance, intake processes, prioritization, safety considerations, ongoing maintenance, and wind-down processes. Audience participation will be elicited, particularly around metrics of success for a governance process. Though this panel will address experiences with Epic, the lessons learned apply to academic medical centers and researchers working with other commercial EHRs.

Moderator:
Lipika Samal, MD
Brigham and Women's Hospital

Speakers:
David Dorr, MD, MS, FACMI, FAMIA, FIAHSI
Oregon Health & Science University

Devin Mann, MD
NYU Grossman School of Medicine

Adam Wright, PhD
Vanderbilt University Medical Center

Elaine Goodman, MD, MBA
Mass General Hospital/Brigham & Women's Hospital/ Harvard Med School

Authors:
Lipika Samal, MD - Brigham and Women's Hospital; David Dorr, MD, MS, FACMI, FAMIA, FIAHSI - Oregon Health & Science University; Devin Mann, MD - NYU Grossman School of Medicine; Adam Wright, PhD - Vanderbilt University Medical Center; Elaine Goodman, MD, MBA - Mass General Hospital/Brigham & Women's Hospital/ Harvard Med School;