Table 3.
Calculations to Estimate Resources for EHR Refinement Based on Calibration Metrics
| Change Process | Applicable Calibration Metric Categorization | Time Estimate |
|---|---|---|
| EHR Configuration Build | Not Complex: High undergeneration rate indicating need to add missing clinical data elements (CDEs) | 5 min/ CDE |
| Average Complexity: High substitution or overgeneration indicating need to swap out CDEs or delete superfluous CDEs | 25 min/ CDE | |
| Highly Complex: High rate of at least two of three (undergeneration, substitution, overgeneration) indicating need to redesign artifacts | 200 min/ CDE | |
| Subject Matter Expert Review (as needed) | Not Complex: no communication or review required | 0 hours |
| Average Complexity: communication that change occurred | 1 - 2.5 hours/DF | |
| Highly Complex: review of changes to ensure clinical appropriateness | 2.5 - 5 hours/DF | |
| EHR Unit Testing | Not Complex: High undergeneration rate indicating need to add missing CDEs | 10 min/CDE |
| Average Complexity: High substitution or overgeneration indicating need to swap out CDEs or delete superfluous CDEs | 50 min/CDE | |
| Highly Complex: High rate of at least two of three (undergeneration, substitution, overgeneration) indicating need to redesign artifacts | 400 min/CDE |