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Improving physician clinical documentation quality: evaluating two self-efficacy-based training programs.
Ruthann Russo1, Stephen P Fitzgerald, J D Eveland
1Health Information Technology, City University of New York/Borough of Manhattan Community College, NY, USA. ruthannrusso@gmail.com
Health Care Management Review
|April 5, 2012
Summary
Enhancing clinical documentation quality (CDQ) requires comprehensive training. Incorporating all four self-efficacy constructs significantly improves clinician performance and documentation quality.
Area of Science:
- Medical Education
- Health Informatics
- Quality Improvement
Background:
- Clinical documentation quality (CDQ) is vital for healthcare quality and cost, yet training for medical professionals is often inadequate.
- Existing CDQ training frequently omits crucial self-efficacy components like vicarious learning and mastery practice.
- Resource-intensive training incorporating these self-efficacy constructs may offer superior outcomes, justifying investment.
Purpose of the Study:
- To evaluate the impact of clinical documentation quality (CDQ) training on clinician self-efficacy and performance.
- To compare the effectiveness of training designs utilizing two versus all four self-efficacy constructs.
Main Methods:
- Ninety-one internal medicine residents participated in a study at a major academic medical center.
- Participants were randomized into two self-efficacy-based training groups or a control group.
- Clinical documentation quality (CDQ) and self-efficacy were measured pre- and post-intervention, analyzed using structural equation modeling and regression.
Main Results:
- Both training interventions led to improvements in clinical documentation quality (CDQ).
- The training incorporating all four self-efficacy constructs demonstrated a significantly greater positive impact on CDQ.
- This comprehensive training also resulted in increased clinician self-efficacy.
Conclusions:
- Clinical documentation quality (CDQ) can be substantially improved and sustained through targeted physician training.
- Training designs that integrate all four self-efficacy constructs are more effective in enhancing CDQ and self-efficacy.
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