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Evaluating the Relationship Between Electronic Health Record Workload and Advanced Practice Provider Work Status in

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Summary

Electronic health record (EHR) workload did not impact primary care Advanced Practice Provider (APP) work status. Further research is needed to understand factors influencing APP retention and capacity in primary care settings.

Keywords:
electronic health recordsnurse practitionerspersonnel turnoverphysician assistantsprimary health care

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Area of Science:

  • Health Services Research
  • Primary Care Medicine
  • Healthcare Workforce Studies

Background:

  • Advanced Practice Providers (APPs) are crucial in primary care due to physician shortages.
  • Understanding factors influencing APP retention is vital for healthcare system capacity.
  • Work status changes among primary care APPs require further investigation.

Purpose of the Study:

  • To examine the association between electronic health record (EHR) workload metrics and primary care APP work status.
  • To identify if EHR workload influences APP retention, reduction in hours, or relocation out of primary care.

Main Methods:

  • Retrospective cohort study (2020-2022) in a Midwestern healthcare system.
  • Analyzed primary care APP work status (retained, reduced FTE, relocated) against EHR workload measures (in-basket, system, note time per appointment).
  • Utilized descriptive statistics, univariate, and multivariable analyses.

Main Results:

  • No significant differences in APP work status were found across EHR workload metrics on univariate analysis (P > .05).
  • Multivariable analysis also showed no association between EHR workload variables and combined relocation/reduction in APP work status (P > .05).

Conclusions:

  • EHR workload metrics were not associated with work status changes for primary care APPs in this study.
  • Additional research is necessary to determine factors affecting primary care APP workforce capacity and retention.