Reducing EHR navigation time with an advanced hyperlipidemia management Tool: An evaluation of efficiency

Background: Effective management of hyperlipidemia is crucial for preventing cardiovascular diseases. However, traditional monitoring systems often lack efficiency, particularly in navigating electronic health records (EHRs) to identify and track at-risk patients. Objective: This study aims to evaluate the impact of a Hyperlipidemia Medication Reminder System (HLD-MRS) implemented in a district hospital to streamline EHR navigation and enhance patient management. Methods: A pre-post prospective study was conducted at a district hospital. This study designed the HLD-MRS to integrate patient data, guideline recommendations, and risk factor assessments into a single interface, simplifying EHR navigation. This study compared EHR navigation times and patient tracking rates before and after HLD-MRS implementation across the Cardiology, Endocrinology, and Family Medicine departments. Results: Among 750 patients with follow-up appointments, 334 were identified as having HLD or being at high-risk status. The HLD-MRS significantly reduced mean EHR navigation time from 83.9 s (SD = 8.6) to 53.8 s (SD = 6.6) across all departments (p < 0.001). The proportion of actively monitored HLD patients increased from 42.5 to 56.6 , while cases with unknown or withheld assessment status decreased from 57.5 to 28.4 . Conclusion: The HLD-MRS improved efficiency in EHR navigation and increased the frequency of active patient monitoring. This guideline-driven decision support system shows promise for enhancing hyperlipidemia care in high-volume outpatient settings. © 2025 Elsevier B.V.