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Improving Provider Compliance With Adult Inflammatory Bowel Disease Patient Care Guidelines in the Ambulatory Setting Through the Use of Electronic Health Records

Bernasko, Nana E. DNP, APRN, WHNP-BC; Coviello, Jessica Shank DNP, APRN, ANP-BC

doi: 10.1097/SGA.0000000000000382

Electronic health record (EHR) systems have the ability to improve the quality of patient care, patient safety, and provide benefits to providers and clinic practices. These systems can transform quality measurement and quality improvement methods, facilitate workflow, and track patients over time to ensure that they receive guideline-recommended, evidence-based care. Simply having an EHR system, however, may not be enough to improve the quality and safety of healthcare, especially if the system is not designed to include features specific to the treatment population. A comprehensive literature review of the evidence on EHRs and the implementation of clinical guidelines was conducted. The positive outcomes in this review supports the notion that using well-designed, evidence-based clinical decision tools or checklists within the workflow of the EHR system can improve provider compliance with inflammatory bowel disease (IBD) clinical practice guidelines. Critical content to include in the IBD checklist for the adult patient in the ambulatory setting is also recommended.

Nana E. Bernasko, DNP, APRN, WHNP-BC, is Nurse Practitioner, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.

Jessica Shank Coviello, DNP, APRN, ANP-BC, is Associate Professor, Yale School of Nursing, West Haven, Connecticut.

Correspondence to: Nana E. Bernasko, DNP, APRN, WHNP-BC, Penn State Health Milton S. Hershey Medical Center, Mail Code HU33, 500 University Dr, P.O. Box 850, Hershey, PA 17033 (

The authors declare no conflicts of interest.

Received August 15, 2017

Accepted January 24, 2018

© 2019 by the Society of Gastroenterology Nurses and Associates, Inc.