I study the use of health information technology and its role in improving care quality.

My research is situated at the intersection of health services research, health policy, and health informatics.

MyNCBI Bibliography:

Peer-Reviewed Publications

Apathy, NC; Rotenstein, LR; Bates, DW; Holmgren, AJ. Documentation dynamics: Note composition, burden, and physician efficiency. Health Services Research.

Holmgren, AJ; Apathy, NC. Trends in US Hospital Electronic Health Record Vendor Market Concentration, 2012 – 2021. Journal of General Internal Medicine.

Apathy, NC; Hare, AJ; Fendrich, S; Cross DA. I Had Not Time to Make it Shorter: An exploratory analysis of how physicians reduce note length and time in notes. Journal of the American Medical Informatics Association.

Rotenstein, LR; Apathy, NC; Holmgren, AJ; Bates, DW. Physician Note Composition Patterns and Time on the EHR Across Specialty Types: A National, Cross-Sectional Study. Journal of General Internal Medicine. 2022

Rule, A; Melnick, ER; Apathy, NC. Using Event Logs to Observe Interactions with Electronic Health Records: An Updated Scoping Review Shows Increasing Use of Vendor-Derived Measures. Journal of the American Medical Informatics Association. 2022.

Apathy, NC; Howe, JL; Krevat, SA; Hettinger, AZ; Bates, DW; Classen, D; Ratwani, RM. Federal Electronic Health Record Legal Settlements Since the HITECH Act. JAMA Health Forum. 2022 (In Press)

Apathy, NC; Sanner, LM; Adams, MCB; Mamlin, B; Grout, R; Fortin, S; Hillstrom, J; Saha, A; Teal, E; Vest, JR; Menachemi, N; Hurley, RW; Harle, CA; Mazurenko, O. Assessing the use of a clinical decision support tool for pain management in primary care. JAMIA Open. 2022;5(3).

Holmgren, AJ; Apathy, NC. Assessing the Impact of Patient Access to Electronic Health Information on Clinician Electronic Health Record Documentation. Journal of the American Medical Informatics Association. 2022;29(10).

Rotenstein, LR; Apathy, NC; Bates, DW; Landon, B. Variation in Support for Documentation Among Primary Care Physicians by Gender. Journal of the American Board of Family Medicine. 2022;35(4)

Mazurenko, O; Sanner, LM; Apathy, NC; Mamlin, BW; Menachemi, N; Adams, MCB; Hurley, RW; Fortin-Erazo, S; Harle, CA. Evaluation of electronic recruitment efforts of primary care providers as research subjects during the COVID-19 pandemic. BMC Primary Care. 2022;23(95).

Rotenstein, LR; Apathy, NC; Landon, B; Bates, DW. Satisfaction with the Electronic Health Record Among Physicians in Physician-Owned vs Non-Physician Owned Practices. JAMA Network Open. April 2022.

Apathy, NC; Hare, AJ; Fendrich, S; Cross DA. Early Changes in Billing and Notes after the Evaluation and Management Guideline Change. Annals of Internal Medicine. Feb 2022.

Apathy, NC; Holmgren, AJ; Werner, RM. Growth in health information exchange with ACO market penetration. American Journal of Managed Care. 2022;28(1).

Werner, RM; Templeton, Z; Apathy, NC; Skira, MM; Konetzka, RT. Trends in post-acute care in US nursing homes: 2001 to 2017. Journal of the American Medical Directors Association. 2021;22(12).

Apathy, NC; Holmgren, AJ; Adler-Milstein, J. A Decade Post-HITECH: Critical Access Hospitals have EHRs but Struggle to Keep Up with Other Advanced Functions. Journal of the American Medical Informatics Association. 2021;28(9).

Apathy, NC; Vest, JR; Adler-Milstein, J; Blackburn, J; Harle, CA. Practice and market factors associated with provider volume of health information exchange. Journal of the American Medical Informatics Association. 2021 March.

Baxter, SL; Apathy, NC; Cross, DA; Sinsky, C; Hribar, ME. Measures of electronic health record use in outpatient settings across vendors. Journal of the American Medical Informatics Association. 2020 Nov.

Taylor, HL; Apathy, NC; Vest, JR. Health information exchange use during dental visits. AMIA Annual Symposium Proceedings. 2020 Nov. Student Paper Competition Finalist

Apathy, NC; Everson, J. High rates of partial participation in the first year of the Merit-Based Incentive Program. Health Affairs. 2020 Sept.

Apathy, NC; Harle, CA; Vest, JR; Morea, JG; Menachemi, N. Use of Electronic Health Records on Days Off: Comparing Physicians to Other EHR Users. J Gen Intern Med. 2020 Aug.

Holmgren, AJ; Apathy, NC; Adler-Milstein, J. Barriers to Hospital Public Health Reporting and Implications for the COVID-19 Pandemic. Journal of the American Medical Informatics Association. 2020 May.

Holmgren, AJ; Apathy, NC. Evaluation of Prescription Drug Monitoring Program Integration With Hospital Electronic Health Records by US County-Level Opioid Prescribing Rates. JAMA Network Open. 2020 Jun 1;3(6).

Apathy, NC; Holmgren, AJ. Opt-in consent policies: potential barriers to hospital health information exchangeAmerican Journal of Managed Care. 2020;26(1).

Holmgren, AJ; Apathy, NC. Hospital adoption of API-enabled patient data access. Healthcare: The Journal of Delivery Science and Innovation. 2019;8.

Balio, CP; Apathy, NC; Danek, R. Health information technology and accountable care organizations: synthesis of the literature and future directions. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2019;7(1):24.

Apathy, NC; Yeager, VA. Examining training motivations among public health workers. Journal of Public Health Management and Practice. 2019 Vol 25 Special Supplement 2. PH WINS 2017.

Harle, CA; Apathy, NC; Cook, RL; Danielson, EC; DiIulio, J; Downs, SM; Hurley, RW; Mamlin, BW; Militello, LG; Anders, S. Information Needs and Requirements for Decision Support in Primary Care: An Analysis of Chronic Pain Care. AMIA Annual Symposium Proceedings. 2018 Nov 3-7.

Apathy, NC; Menser, T; Keeran, L; Ford, EW; Harle, CA; Huerta, TR. Trends and gaps in awareness of direct-to-consumer genetic tests from 2007-2014. American Journal of Preventive Medicine. 2018 Jun 1;54(6):806-13.

Mosa, AS; Yoo, I; Apathy, NC; Ko, KJ; Parker, JC. Secondary Use of Clinical Data to Enable Data-Driven Translational Science with Trustworthy Access Management. Missouri Medicine. 2015;112(6):443-448.

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