This 2018 article by Alex Federman et al. is about the challenges of implementing a redesigned after visit summary (AVS) in Epic—an electronic health record (EHR) system. It’s based on interviews with information technology and clinical leaders at hospital and community-based healthcare institutions. The article also discusses what happened when researchers redesigned the AVS at their own hospital (using health literacy design principles, among other changes) and implemented it in Epic.
Researchers concluded that the limitations of Epic make AVS redesign challenging. They urged EHR vendors to build flexibility into future products.