25 × 5 Symposium to reduce documentation burden: report-out and call for action
Open accessAbstract
Background The widespread adoption of electronic health records and a simultaneous increase in regulatory demands have led to an acceleration of documentation requirements among clinicians. The corresponding burden from documentation requirements is a central contributor to clinician burnout and can lead to an increased risk of suboptimal patient care. Objective To address the problem of documentation burden, the 25 by 5: Symposium to Reduce Documentation Burden on United States Clinicians by 75% by 2025 (Symposium) was organized to provide a forum for experts to discuss the current state of documentation burden and to identify specific actions aimed at dramatically reducing documentation burden for clinicians. Methods The Symposium consisted of six weekly sessions with 33 presentations. The first four sessions included panel presentations discussing the challenges related to documentation burden. The final two sessions consisted of breakout groups aimed at engaging attendees in establishing interventions for reducing clinical documentation burden. Steering Committee members analyzed notes from each breakout group to develop a list of action items. Results The Steering Committee synthesized and prioritized 82 action items into Calls to Action among three stakeholder groups: Providers and Health Systems, Vendors, and Policy and Advocacy Groups. Action items were then categorized into as short-, medium-, or long-term goals. Themes that emerged from the breakout groups' notes include the following: accountability, evidence is critical, education and training, innovation of technology, and other miscellaneous goals (e.g., vendors will improve shared knowledge databases). Conclusion The Symposium successfully generated a list of interventions for short-, medium-, and long-term timeframes as a launching point to address documentation burden in explicit action-oriented ways. Addressing interventions to reduce undue documentation burden placed on clinicians will necessitate collaboration among all stakeholders.
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A reduction in documentation burden would improve physician burnout and overall patient care.
“A reduction in documentation burden would function to improve physician burnout and overall patient care [2, 12].”
From Artificial Intelligence (AI) – Powered Documentation Systems in Healthcare: A Systematic Review (2025) · cites this paper as [12]
The Clinical Relevance Statement says reducing documentation burden could help address clinician burnout, with implications for patient care. The Conclusion describes improved patient safety and care delivery as a potential outcome. The claim applies this reasoning to physicians, who are included among the clinicians discussed, but presents the improvement as more certain than the source does. (LLM, conf=0.82)
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- [31]31. Rossetti Sarah Collins Rosenbloom ST, Levy DR, Cato KD, et al. Summary Report from the 25 By 5: Symposium Series to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025.; 2021. https://www.dbmi.columbia.edu/wp-content/uploads/2021/12/ 25Â5-Summary-Report.pdf
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- Authors
- Hobensack, M., Levy, D. R., Cato, K., Detmer, D. E., Johnson, K. B., Williamson, J., Murphy, J., Moy, A., Withall, J., Lee, R., Rossetti, S. C., & Rosenbloom, S. T.
- Affiliations
- Columbia University (US)
- Oregon Health & Science University (US)
- Columbia University Irving Medical Center (US)
- University of Virginia (US)
- University of Pennsylvania (US)
- American Medical Informatics Association (US)
- Minneapolis, Minnesota, United States
- Vanderbilt University (US)
- ORCID
- Venue
- Applied Clinical Informatics
- Publisher
- Georg Thieme Verlag KG
- Published
- 2022-03
- Volume
- 13
- Issue
- 02
- Pages
- 439-446
- ISSN
- 1869-0327 (ISSN-L)
- PMC
- PMC9095342
- OpenAlex
- W4280520120
- Semantic Scholar
- 4072e832bc8129bd6e9ce8a275b9aeca93027f9b
- Cited by
- 37
- References
- 27
- Citations by year
- 2026: 5 · 2025: 14 · 2024: 5 · 2023: 9 · 2022: 4
- FWCI
- 6.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Clinical Informatics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NLM (1R13LM013581)
- AMIA (5T15LM007079)
- The National Institute of Nursing Research (5T32NR007969)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
- Keywords
- clinical documentation burden, electronic health records, clinician burnout, documentation requirements, stakeholder collaboration, health system accountability, regulatory requirements, call to action
- MeSH terms
- Burnout, Psychological, Burnout, Professional, Documentation, Humans, United States, Electronic Health Records, Research Report
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