{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T01:10:01Z","timestamp":1747271401998,"version":"3.40.5"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Engagement of clinicians who understand clinical workflows and technology constraints can accelerate the development and implementation of better electronic health record (EHR) designs that improve quality and reduce burnout. Provider builder programs can accelerate clinical informatics education for a broader coalition of clinical specialties.<\/jats:p><jats:p>\n          Objectives\u2003In this State of the Art\/Best Practice paper, we aim to (1) propose a provider builder maturity model informed by the experience of three institutions using a single EHR vendor (Epic Systems) and (2) describe the program elements and relationships necessary to advance along this model to yield organizational benefits.<\/jats:p><jats:p>\n          Methods\u2003We used a modified version of the Glaser State-of-the-Art approach, gathering consensus among a small group of experts at institutions with successful provider builder programs. The model was updated through meetings with a larger group of experts and then feedback from presentation at national conferences and the American Medical Informatics Association's Maturity Model Working Group.<\/jats:p><jats:p>\n          Results\u2003The final maturity model describes the characteristics and suggested next steps beginning from Planting the Seed (Stage 0) and progressing through Lone Wolves (Stage 1), a Community of Builders (Stage 2), Organizational Structure (Stage 3), a Council of Builders (Stage 4), and Informatics in the Room Where it Happens (Stage 5). We also describe the journeys of three organizations through these stages.<\/jats:p><jats:p>\n          Conclusion\u2003A provider builder maturity model can help guide organizations on their journey engaging clinicians in collaborative EHR design to promote quality and safety and reduce burnout.<\/jats:p>","DOI":"10.1055\/a-2512-9647","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:34:21Z","timestamp":1736469261000},"page":"418-428","source":"Crossref","is-referenced-by-count":0,"title":["Toward a Provider Builder Maturity Model to Empower Clinicians to Actively Participate in Electronic Health Record Design"],"prefix":"10.1055","volume":"16","author":[{"given":"Wayne H.","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States"},{"name":"Aflac Cancer and Blood Disorders, Children's Healthcare of Atlanta, Atlanta, Georgia, United States"},{"name":"Information Services and Technology, Children's Healthcare of Atlanta, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey M.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Division of Clinical Informatics, Nationwide Children's Hospital, Columbus, Ohio, United States"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lia","family":"McNeely","sequence":"additional","affiliation":[{"name":"Digital and Technology Services, Children's Hospital of Philadelphia, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephon","family":"Proctor","sequence":"additional","affiliation":[{"name":"Digital and Technology Services, Children's Hospital of Philadelphia, Pennsylvania, United States"},{"name":"Department of Child and Adolescent Services and Behavioral Sciences, Children's Hospital of Philadelphia, Pennsylvania, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan W.","family":"Orenstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States"},{"name":"Information Services and Technology, Children's Healthcare of Atlanta, Atlanta, Georgia, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,14]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"e207385","DOI":"10.1001\/jamanetworkopen.2020.7385","article-title":"Association of electronic health record use with physician fatigue and efficiency","volume":"3","author":"S Khairat","year":"2020","journal-title":"JAMA Netw 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