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Invited Commentary
June 20, 2019

Making Progress Toward an Electronic Infrastructure for Ophthalmic Care

Author Affiliations
  • 1Department of Ophthalmology, Oregon Health & Science University, Portland
  • 2Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland
  • 3Casey Eye Institute, Oregon Health & Science University, Portland
JAMA Ophthalmol. 2019;137(9):975-976. doi:10.1001/jamaophthalmol.2019.1996

Electronic health record (EHR) systems have transformed the practice of ophthalmology during the past decade. These systems were implemented with the promise of improving the quality and cost of medical care. However, their association with the efficiency of ophthalmic care, particularly in the operating room, is somewhat unknown.1

In this issue of JAMA Ophthalmology, Gulati and Boland2 perform an analysis of ophthalmic operative times at a single institution after transitioning from 1 EHR system in the operating room (Operating Room Management Information System [GE Healthcare]) to another (EpiCare [Epic Systems]). They report 2 key findings. First, the mean total operating room time per surgical care lengthened by 3 minutes after the EHR system transition in the operating room but returned to baseline levels after 100 days following the transition. Second, statistical modeling showed that operative time measures were longer for cataract surgeries performed in the hospital outpatient department relative to surgeries performed in ambulatory surgical centers.