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Area of Science:

  • Health Informatics
  • Medical Practice Management
  • Healthcare System Analysis

Background:

  • Electronic Health Records (EHRs) are integral to modern healthcare delivery.
  • Understanding physician EHR utilization is crucial for optimizing workflow and patient care.
  • Variations in EHR system vendors and implementation across institutions necessitate standardized measurement approaches.

Purpose of the Study:

  • To establish core electronic health record (EHR) use metrics.
  • To analyze EHR time among ambulatory physicians across two distinct healthcare systems.
  • To identify factors influencing physician EHR usage patterns.

Main Methods:

  • Cross-sectional analysis of ambulatory physician EHR use.
  • Utilized 7 proposed core EHR use metrics, normalized to an 8-hour workday.
  • Data collected from Yale-New Haven and MedStar Health systems in August 2019.

Main Results:

  • Five of the 7 proposed EHR metrics were measurable for non-teaching, ambulatory physicians.
  • Physicians spent a median of 5.23 hours on EHRs per 8-hour patient schedule.
  • Factors like gender, scheduled clinical hours, and medical specialty were significantly associated with EHR time.

Conclusions:

  • Ambulatory physicians dedicate substantial time to EHRs, exceeding 5 hours per 8-hour day.
  • Physician demographics and practice characteristics influence EHR time.
  • Enhanced transparency and standardization of EHR data definitions are essential for accurate EHR use measurement.