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Developing an interdisciplinary automated clinical documentation system is not simply automating existing paper forms and workflows. Automating a clinical documentation system begins with a clear vision and is enhanced with a professional practice framework. This session will focus on automated clinical documentation design principles that support practice interoperability and the integration of evidence-based practice at the point of care. The presenter will share the principles of intentionally designed automation (IDA) that serve as the critical guideposts for a well designed system that supports the interdisciplinary team at that point of care. Examples of evidence-based practice integration within an automated clinical documentation system will be shared to demonstrate the application of the intentional design principles.

A key aspect of usability and good clinical design is to engage the bedside care givers in the process of automation design. The presenter will give explicit examples how diverse caregivers from Collaborative Learning Communities (CLCs) were engaged in the development of automated design that best fit the principles of IDA and their specialty area and/or discipline. The methodology of evidence integration was based on consensus of practice experts and bedside practitioners. Examples of application in paper, clinical data bases and pre-configured clinical systems will be shared.

Practice interoperability needs to support pre-birth to death for every patent and family. This session will conclude with an update on current areas of development across the international consortium to support the on-going expansion of the professional practice framework prepared for technology.