--- title: "Shared decision making using pt-specific risk in EHR. | Sutter Health" description: "Tests were made of an automated clinical care process for using quantitative risk in routine primary care." url: "https://www.sutterhealth.org/research/publications/shared-decision-making-using-pt-specific-risk-in-ehr-1055312661" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Shared decision making using pt-specific risk in EHR. # Meaningful use in practice using patient-specific risk in an electronic health record for shared decision making. Jones JB, Shah NR, Bruce CA, & Stewart WF. _Am J Prev Med. 40(5 Suppl 2):S179-86. doi: 10.1016/j.amepre.2011.01.017._ 2011-05-01 ## Abstract Quantitative risk (QR) formulas have been developed for multiple conditions but are not routinely used in clinical practice. Tests were made of the feasibility of an automated clinical care process for using QR in routine primary care. Several modifications were made to the Framingham Risk Score (FRS) and it was applied to routine care in three areas: (1) for risk-stratification, (2) patient education about care options, and (3) guidance on optimizing choice of care options. Evidence-based methods were used to convert the smoking status variable from a binary- to a continuous-scale format and to add variables for alcohol use and HbA1c. An automated protocol tested in 2008-2010 was successful for all three applications. At-risk patients (defined according to criteria from the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure \[JNC\]-7 or the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults \[adult treatment panel/ATP-III\]) were automatically identified during routine encounters. Patient-reported data were obtained (n = 1826) by touchscreen questionnaire and automatically used with electronic health record (EHR) data to calculate risks on 1068 patients who had complete data. Patients were risk-stratified. Higher-risk patients viewed an interactive web-based tool and chose options to modify risk factors. Feasibility was successful for use of the FRS in the interactive web tool. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/21521593) ![J.B. Jones, Ph.D., MBA](https://dyn.mktgcdn.com/p/rIQfkoa5XfKJYCHSVrDKsACQSNJ7jTljZTHKC4Lae2E/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) J.B. Jones, Ph.D., MBA Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/jb-jones-phd-mba-1049680984) ## Research topics - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) - [Diabetes Type 2](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Diabetes+Type+2%5C%22%22) - [General Cardiology](https://www.sutterhealth.org/research-search-results?query=%22%5C%22General+Cardiology%5C%22%22) - [Medical Informatics](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Medical+Informatics%5C%22%22) - [Smoking](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Smoking%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.](https://www.sutterhealth.org/research/publications/patterns-of-ehr-portal-use-in-pts-with-cvd-or-diabetes-1055312712) Jones JB, Weiner JP, Shah NR, Stewart WF. J Med Internet Res. 17(2):e42. doi: 10.2196/jmir.3157. 2015 Feb 20 - Publication ### [A randomized telephone intervention trial to reduce primary medication nonadherence.](https://www.sutterhealth.org/research/publications/telephone-intervention-to-reduce-medication-nonadherence-1055312624) Fischer MA, Jones JB, Wright E, Van Loan RP, Xie J, Gallagher L, Wurst AM, Shrank WH. J Manag Care Spec Pharm. 21(2):124-31. 2015 Feb 01 - Publication ### [Patient-reported experiences in discussing prescribed medications with a health care provider: evidence for racial/ethnic disparities in a large health care delivery system.](https://www.sutterhealth.org/research/publications/pt-experiences-discussing-meds-with-healthcare-provider-1055312420) Chung S, Huang Q, LaMori J, Doshi D, Romanelli RJ. Popul Health Manag. doi: 10.1089/pop.2018.0206. \[Epub ahead of print\] 2019 Apr 23 - Publication ### [Personalized hypertension management using patient-generated health data integrated with electronic health records (EMPOWER-H): six-month pre-post study.](https://www.sutterhealth.org/research/publications/htn-mgmt-pt-generated-data-and-ehrs-1055312515) Lv N, Xiao L, Simmons ML, Rosas LG, Chan A, Entwistle M. J Med Internet Res. 19(9):e311. doi: 10.2196/jmir.7831. 2017 Sep 19 - Publication ### [Under diagnosis of hypertension using electronic health records.](https://www.sutterhealth.org/research/publications/under-diagnosis-of-hypertension-using-ehr-1055312667) Banerjee D, Chung S, Wong EC, Wang EJ, Stafford RS, Palaniappan LP. Am J Manag Care. 16(2):e35-42 2010 Feb 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/shared-decision-making-using-pt-specific-risk-in-ehr-1055312661#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Shared decision making using pt-specific risk in EHR."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/shared-decision-making-using-pt-specific-risk-in-ehr-1055312661#medicalscholarlyarticle","name":"Meaningful use in practice using patient-specific risk in an electronic health record for shared decision making.","headline":"Shared decision making using pt-specific risk in EHR.","abstract":"Quantitative risk (QR) formulas have been developed for multiple conditions but are not routinely used in clinical practice. 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