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Physician use of an ambulatory medical record system: matching form and function
N Folz-Murphy1, M Partin, L Williams
1Information Technology Division, Cleveland Clinic Foundation, Ohio, USA.
Abstract:
An ambulatory medical record system was implemented as a pilot project to determine the clinical and operational impacts of using interactive, computer-based systems in the outpatient setting. Of the 58 physicians who attempted to use the AMR system, 28 continue as active users. Physicians who discontinued use of the system reported a variety of reasons for their dissatisfaction. As a result of the pilot, the AMR implementation team and physicians understand better how to fit the AMR system to a physician's specific requirements, as well as enhance the operation of the physician's practice. Armed with the experience gained during the early phases of the implementation, the Cleveland Clinic Foundation now intends a cautious expansion and continued evaluation of the AMR system, with the objective of meeting organizational needs with appropriate technical functions.
Insights
Implementing an ambulatory medical record (AMR) system showed mixed results, with 28 of 58 physicians continuing use. Lessons learned will inform future outpatient electronic health record (EHR) system enhancements.
Area of Science:
- Health Informatics
- Medical Technology
- Clinical Practice Management
Background:
- The increasing adoption of digital health tools necessitates evaluation of their real-world impact.
- Ambulatory medical record (AMR) systems aim to improve efficiency and patient care in outpatient settings.
- Pilot projects are crucial for assessing the feasibility and effectiveness of new healthcare technologies.
Purpose of the Study:
- To assess the clinical and operational impacts of implementing an interactive, computer-based ambulatory medical record (AMR) system.
- To identify factors influencing physician adoption and satisfaction with new electronic health record (EHR) systems.
- To gather insights for optimizing AMR system integration into existing practice workflows.
Main Methods:
- A pilot implementation of an ambulatory medical record (AMR) system in an outpatient clinical setting.
- Tracking physician usage and identifying active users versus those who discontinued the system.
- Collecting qualitative feedback from physicians regarding their reasons for satisfaction or dissatisfaction.
Main Results:
- Out of 58 physicians who initially used the AMR system, 28 remained active users.
- Physicians who discontinued use cited various reasons for their dissatisfaction with the system.
- The pilot provided valuable experience for refining the AMR system and improving practice operations.
Conclusions:
- Physician adoption of new EHR technology can be challenging, requiring careful consideration of individual needs.
- Iterative refinement based on user feedback is essential for successful implementation of ambulatory medical record systems.
- The Cleveland Clinic Foundation plans a phased expansion and ongoing evaluation of the AMR system to align technology with organizational goals.