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Electronic health record (EHR) training program identifies a new tool to quantify the EHR time burden and improves
Yumi T DiAngi1, Lindsay A Stevens2,3, Bonnie Halpern-Felsher3
1Department of Internal Medicine, Primary Care, Sutter Health/Palo Alto Medical Foundation, San Carlos, California, USA.
Supplemental electronic health record (EHR) training improved provider satisfaction with workload control but did not reduce EHR use outside clinic hours. Clinician Logged-In Outside Clinic (CLOC) time may serve as a surrogate metric for provider satisfaction.
Area of Science:
- Health Informatics
- Medical Education
- Healthcare Management
Background:
- Electronic Health Records (EHR) are integral to modern healthcare delivery.
- Optimizing EHR use is crucial for provider efficiency and satisfaction.
- Supplemental training aims to address persistent challenges with EHR utilization.
Purpose of the Study:
- To evaluate the impact of additional EHR training on provider satisfaction.
- To assess changes in personal EHR usage time and task turnaround times post-training.
- To explore the relationship between EHR training and provider workload control.
Main Methods:
- A pre-post study design was employed without a control group.
- Academic and community clinicians with 20 months of EHR experience received supplemental training.
- Data collected included self-reported metrics, calculated EHR usage time, and vendor-reported turnaround times.
Main Results:
- Providers reported significant improvement in knowledge of EHR efficiency tools and doubled preference list entries.
- Satisfaction significantly improved for 'Control over my workload in the EHR' (P<.01).
- No significant decrease in EHR usage outside clinic (CLOC time) or turnaround time for patient calls/results was observed.
Conclusions:
- Individualized EHR training can enhance EHR tool knowledge and perceived workload control.
- Supplemental training did not reduce Clinician Logged-In Outside Clinic (CLOC) time or improve inbox task turnaround.
- CLOC time may be a cost-effective surrogate metric for provider EHR satisfaction; further research on interventions is warranted.
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