{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:44:00Z","timestamp":1773290640863,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS024057"],"award-info":[{"award-number":["R01HS024057"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To use the electronic medical record (EMR) to optimize patient care, facilitate documentation, and support quality improvement and practice\u2010based research, in a headache specialty clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Many physicians enter data into the EMR as unstructured free text and not as discrete data. This makes it challenging to use data for quality improvement or research initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe the process of building a customized structured clinical documentation support toolkit, specific for patients seen in a headache specialty clinic. The content was developed through frequent physician meetings to reach consensus on elements that define clinical Best Practices. Tasks were assigned to the care team and data mapped to the progress note.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The toolkit collects hundreds of fields of discrete, standardized data. Auto scored and interpreted score tests include the Generalized Anxiety Disorder 7\u2010item, Center for Epidemiology Studies Depression Scale, Migraine Disability Assessment questionnaire, Insomnia Sleep Index, and Migraine\u2010Specific Quality of Life. We have developed Best Practice Advisories (BPA) and other clinical documentation support tools that alert physicians, when appropriate. As of April 1, 2018, we have used the toolkits at 4346 initial patient visits. We provide screenshots of our toolkits, details of data fields collected, and diagnoses of patients at the initial visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The EMR can be used to effectively structure and standardize headache clinic visits for quality improvement and practice\u2010based research. We are sharing our proprietary toolkit with other clinics as part of the Neurology Practice\u2010Based Research Network. These tools are also facilitating clinical research enrollment and a pragmatic trial of comparative effectiveness at the point\u2010of\u2010care among migraine patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/head.13348","type":"journal-article","created":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T10:24:38Z","timestamp":1533119078000},"page":"1211-1218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Structured Clinical Documentation to Improve Quality and Support Practice\u2010Based Research in Headache"],"prefix":"10.1111","volume":"58","author":[{"given":"Steven","family":"Meyers","sequence":"first","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Claire Simon","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart","family":"Bergman\u2010Bock","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Campanella","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Revital","family":"Marcus","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Mark","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Freedom","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Semenov","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebekah","family":"Lai","sequence":"additional","affiliation":[{"name":"Health Information Technology, NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Hillman","sequence":"additional","affiliation":[{"name":"Health Information Technology, NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Tideman","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta","family":"Frigerio","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Demetrius M.","family":"Maraganore","sequence":"additional","affiliation":[{"name":"Department of Neurology NorthShore University HealthSystem  Evanston IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Office of the National Coordinator for Health Information Technology. \u2018Office\u2010based Physician Electronic Health Record Adoption \u2019 Health IT Quick\u2010Stat #50. Available athttps:\/\/dashboard.healthit.gov\/quickstats\/pages\/physician-ehr-adoption-trends.php. Accessed January 23 2018."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4571(199512)46:10<772::AID-ASI9>3.0.CO;2-0"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2010-000019"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2007.01009.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-010-0107-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/head.12482"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1993.00540080036010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1987.00520170016015"},{"key":"e_1_2_9_10_1","first-page":"943","article-title":"Topiramate in migraine prophylaxis\u2013results from a placebo\u2010controlled trial with propranolol as an active control","volume":"251","author":"Diener H\u2010C","year":"2004","journal-title":"JNeurol."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2008.05.025"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2008.01087.x"},{"key":"e_1_2_9_13_1","first-page":"1225","article-title":"Preventive pharmacologic treatments for episodic migraine in adults","volume":"28","author":"Shamliyan TA","year":"2013","journal-title":"JGen Intern Med."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2009.03.020"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000176"},{"key":"e_1_2_9_16_1","unstructured":"The International Classification of Headache Disorders: 2nd edition. Cephalalgia.2004;24(Suppl 1):9\u2010160."},{"key":"e_1_2_9_17_1","unstructured":"American Academy of Neurology. Guidelines. Available athttps:\/\/www.aan.com\/Guidelines. Accessed January 23 2018."},{"key":"e_1_2_9_18_1","unstructured":"American Academy of Neurology. Quality Measures. Available athttps:\/\/www.aan.com\/policy-and-guidelines\/quality\/quality-measures2\/quality-measures\/. Accessed January 23 2018."},{"key":"e_1_2_9_19_1","unstructured":"National Institute of Neurological Disorders and Stroke. Common Data Elements. Available athttp:\/\/www.commondataelements.ninds.nih.gov\/. Accessed January 23 2018."},{"key":"e_1_2_9_20_1","unstructured":"The American Headache Society Guidelines Position Statements Evidence Assessments and Consensus Opinions. Available at:https:\/\/americanheadachesociety.org\/guidelines-position-statements-evidence-assessments-and-consensus-opinions\/. Accessed January 23 2018."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_9_23_1","volume-title":"Treatment Manuals for Practitioners. Insomnia: Psychological Assessment and Management","author":"Morin CM.","year":"1993"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.56.suppl_1.S20"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4610.1996.3608484.x"},{"key":"e_1_2_9_26_1","unstructured":"International Headache Society The International Classification of Headache Disorders 3 beta Available at:https:\/\/www.ichd-3.org\/. Accessed January 23 2018."},{"key":"e_1_2_9_27_1","doi-asserted-by":"crossref","unstructured":"Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders 3rd edition.Cephalalgia.2018;38:1\u2010211.","DOI":"10.1177\/0333102417738202"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12561-014-9117-1"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000174"},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","unstructured":"Best Advances of 2015: Picks from the Neurology Today Editorial Advisory Board. Neurology Today [Internet].2016;16(1). Available from:http:\/\/journals.lww.com\/neurotodayonline\/Fulltext\/2016\/01070\/Best_Advances_of_2015__Picks_from_the_Neurology.1.aspx. Accessed January23 2018.","DOI":"10.1097\/01.NT.0000479854.29800.20"}],"container-title":["Headache: The Journal of Head and Face Pain"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhead.13348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/head.13348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T08:21:11Z","timestamp":1762071671000},"score":1,"resource":{"primary":{"URL":"https:\/\/headachejournal.onlinelibrary.wiley.com\/doi\/10.1111\/head.13348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/head.13348"],"URL":"https:\/\/doi.org\/10.1111\/head.13348","archive":["Portico"],"relation":{},"ISSN":["0017-8748","1526-4610"],"issn-type":[{"value":"0017-8748","type":"print"},{"value":"1526-4610","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"2018-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-08-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}