Developing clinical informatics to support direct care and population health management: the VIEWER story.

Abstract

Electronic health records (EHRs) provide comprehensive patient data, which could be better used to enhance informed decision-making, resource allocation and coordinated care, thereby optimising healthcare delivery. However, in mental healthcare, critical information, such as on risk factors, precipitants and treatment responses, is often embedded in unstructured text, limiting the ability to automate at scale measures to identify and prioritise local populations and patients, which potentially hinders timely prevention and intervention. We describe the development and proof-of-concept implementation of Visual & Interactive Engagement With Electronic Records, a clinical informatics platform designed to enhance direct patient care and population health management by improving the accessibility and usability of EHR data. We further outline strategies that were employed in this work to foster informatics innovation through interdisciplinary and cross-organisational collaboration to support integrated, personalised care and detail how these advancements were piloted and implemented within a large UK mental health National Health Service Foundation Trust to improve patient outcomes at an individual patient, clinician, clinical team and organisational level.