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Taking a Team Approach: Keep Up with the EHR with a Training and Optimization Program.

Rachel K McEntee1, Juvena R Hitt2, Amber Sieja3

  • 1Department of Medicine, University of Vermont Larner College of Medicine, University of Vermont Health Network, Burlington, Vermont, United States.

Applied Clinical Informatics
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Summary
This summary is machine-generated.

Electronic health record training and optimization programs (ETOPs) show promise in improving health care worker (HCW) satisfaction and reducing burnout. However, ETOP implementation is inconsistent across healthcare organizations, necessitating further research for optimal design and widespread adoption.

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Human Factors Engineering

Background:

  • Electronic Health Records (EHRs) are central to modern healthcare delivery.
  • Health care workers' (HCWs) experience with EHRs significantly impacts efficiency and job satisfaction.
  • Existing EHR training and optimization programs (ETOPs) vary widely in their implementation and effectiveness.

Purpose of the Study:

  • To describe the current landscape of EHR training and optimization programs (ETOPs).
  • To assess the impact of ETOPs on health care workers' (HCWs) experience with EHRs.
  • To identify commonalities and variations in ETOP design, resourcing, and outcomes.

Main Methods:

  • A 72-question electronic survey was distributed to health care organization (HCO) leaders in clinical informatics.
  • Data were collected on ETOP characteristics, resourcing, approach, and outcomes.
  • Descriptive statistics were used to analyze responses from 147 distinct HCOs.

Main Results:

  • 69% of HCOs offer ongoing EHR training, and 52% have some form of ETOP.
  • ETOPs vary significantly in timing, modality, audience, team composition, duration, and EHR build strategy.
  • Commonly measured outcomes include EHR satisfaction, efficiency, and provider burnout, with most ETOPs reporting improvements.

Conclusions:

  • ETOP implementation is inconsistent across HCOs, with diverse program designs and evaluation methods.
  • Variability in ETOPs may be influenced by organizational structure and culture.
  • ETOPs show potential to reduce HCW burnout by enhancing EHR efficiency and satisfaction, serving as a model for broader healthcare challenges.