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Surprisingly Helpful: The Introduction of Portal Practice Slots to Address the Inbasket Explosion.

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Summary
This summary is machine-generated.

Structured time for electronic health record (EHR) in-basket tasks improved physician well-being and task completion during work hours. This initiative, the portal practice slot (PPS), helped reduce feelings of overwhelm, though it did not decrease after-hours EHR work.

Keywords:
bell-beingburnoutinbasketpatient portal

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Area of Science:

  • Health Informatics
  • Medical Education
  • Physician Well-being

Background:

  • Increasing electronic health record (EHR) in-basket volumes strain physicians.
  • Lack of dedicated time for asynchronous care delivery impacts physician workload.
  • Current workflows do not adequately address the growing EHR in-basket demands.

Purpose of the Study:

  • To enhance physician well-being by reducing EHR time outside work hours.
  • To implement structured time for managing in-basket workload during the workday.
  • To assess the impact of dedicated time slots on physician workload and work-life balance.

Main Methods:

  • An academic health system implemented a 20-minute
  • portal practice slot
  • (PPS) per half-day clinic session.
  • Physicians in general medicine and medicine pediatrics participated.
  • Surveys assessed physician perceptions of workload and work-life balance post-intervention.

Main Results:

  • Most physicians reported improved in-basket task completion during work hours.
  • No significant change was observed in after-hours EHR work ('pajama time').
  • No significant changes in patient visits, visit hours, or relative value units (RVUs) were noted.

Conclusions:

  • The portal practice slot (PPS) effectively improved physicians' ability to manage asynchronous care tasks during the workday.
  • PPS helped mitigate the sense of overwhelm associated with in-basket work.
  • While not reducing after-hours EHR work, PPS positively impacted physician well-being and timely task completion.