Design and Development of an Electronic Health Record Add-on App to Support the Care of Children and Youth with Special Health Care Needs

Background: Clinicians have reported low satisfaction and described problems with efficiency and a lack of support for clinical cognition in using electronic health record (EHR) systems. Cognitive support is particularly important as clinicians care for children and youth with special health care needs (CYSHCN). We found in a prior study, that pediatricians and care coordinators rely on the EHR for situational understanding and spend significant time obtaining and organizing information from fragmented patient records from different healthcare organizations. EHR add-on apps, coupled with standards-based electronic health information exchange (HIE), have the …