Improving Physician Electronic Health Record Usability and Perception Through Personalized Coaching.

Area of Science:

• Health Informatics
• Medical Education
• Human-Computer Interaction

Background:

• Poor electronic health record (EHR) training is linked to decreased usability.
• Physician satisfaction and efficiency are impacted by EHR system design and training.
• Objective data on EHR usage patterns are crucial for understanding usability challenges.

Purpose of the Study:

• To investigate the impact of personalized EHR coaching on EHR usability.
• To assess changes in physician perceptions of EHR usability following a coaching intervention.
• To utilize objective EHR audit log data to inform personalized training strategies.

Main Methods:

• Objective EHR audit log data were collected and analyzed.
• Personalized EHR coaching interventions were developed based on audit log findings.
• Physician perceptions of EHR usability were surveyed pre- and post-intervention.
• Key metrics included time in system and "Pajama time" (time spent on EHR tasks outside of direct patient care).

Main Results:

• Personalized EHR coaching led to a decrease in overall time spent in the EHR system.
• A reduction in "Pajama time" was observed post-intervention.
• Significant differences in physician perceptions of EHR usability were reported before and after coaching.
• Overall usability and physician satisfaction with the EHR system improved.

Conclusions:

• Personalized EHR coaching is an effective strategy for enhancing EHR usability.
• Objective data analysis can guide tailored interventions to address specific physician needs.
• Improving EHR usability through targeted training positively impacts physician experience and potentially patient care.