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Metrics for assessing physician activity using electronic health record log data.

Christine A Sinsky1, Adam Rule2, Genna Cohen3

  • 1Department of Medicine, American Medical Association, Chicago, Illinois, USA.

Journal of the American Medical Informatics Association : JAMIA
|February 7, 2020
PubMed
Summary

This study introduces 7 core measures from electronic health record (EHR) log data to assess physician practice efficiency. Standardizing these EHR measures can improve clinical environment understanding and comparative research.

Keywords:
EHR log datametricoperational efficiencytime studies, burnout

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Area of Science:

  • Health Informatics
  • Clinical Workflow Analysis
  • Physician Performance Metrics

Background:

  • Electronic health record (EHR) log data offers potential for measuring physician time allocation.
  • Understanding physician time spent on clinical activities is crucial for optimizing healthcare delivery.
  • Current methods for analyzing EHR data lack standardization, hindering comparative research.

Purpose of the Study:

  • To propose 7 core measures derived from EHR log data to quantify multiple dimensions of physician practice efficiency.
  • To provide sample use cases for these proposed EHR measures for various stakeholders.
  • To advocate for the standardization of EHR log data measure specifications to facilitate cross-study synthesis.

Main Methods:

  • Development of 7 core EHR use measures: total EHR time, work outside of work, documentation time, prescription time, inbox time, teamwork for orders, and physician undivided attention.
  • Illustration of practical applications and use cases for these measures.
  • Proposal for standardization of EHR log data measure specifications.

Main Results:

  • The proposed 7 core measures capture diverse aspects of practice efficiency, including time management and patient interaction.
  • Sample use cases demonstrate the utility of these measures for stakeholders like administrators and clinicians.
  • Standardization of these measures is presented as a pathway to enhanced research synthesis.

Conclusions:

  • The 7 core EHR measures provide a framework for evaluating and optimizing physician practice efficiency.
  • Standardized EHR log data measures are essential for robust comparative research and clinical environment improvements.
  • Adoption of these measures can lead to a deeper understanding and optimization of clinical workflows.