Cargando…

Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout

A novel approach to advanced electronic health record (EHR) skills training was developed in a large healthcare organization to improve high-quality EHR documentation, while reducing stressors linked to physician burnout. The 3-day intensive EHR education intervention covered best practices in EHR d...

Descripción completa

Detalles Bibliográficos
Autores principales: Robinson, Kenneth E., Kersey, Joyce A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160120/
https://www.ncbi.nlm.nih.gov/pubmed/30235684
http://dx.doi.org/10.1097/MD.0000000000012319
_version_ 1783358704090873856
author Robinson, Kenneth E.
Kersey, Joyce A.
author_facet Robinson, Kenneth E.
Kersey, Joyce A.
author_sort Robinson, Kenneth E.
collection PubMed
description A novel approach to advanced electronic health record (EHR) skills training was developed in a large healthcare organization to improve high-quality EHR documentation, while reducing stressors linked to physician burnout. The 3-day intensive EHR education intervention covered best practices in EHR documentation and physician well-being. The specialty physician faculty used interactive teaching including demonstration, facilitation, and individual coaching. Laptops were provided for hands-on practice. Mixed-method evaluation included real-time feedback, daily surveys, and post-activity surveys to measure participant learning and satisfaction, and also collection of performance data from the EHR to measure use of order sets designed to improve quality of care. Since 2014, 46 trainings were held with 3500 physicians. Most physicians (85%–98% across all programs) reported improved quality, readability, and clinical accuracy of documentation; fewer medical errors; and increased efficiency in chart review and data retrieval due to the training. Seventy-eight per cent estimated a time savings of 4 to 5 minutes or more per hour. Physician performance data from the EHR showed significant improvement in use of order sets for several critical health conditions such as sepsis, stroke, and chest pain of possible cardiac cause. This advanced EHR training for physicians was well-received and improved physicians’ use of several order sets designed to improve quality of care. EHR training programs such as this may have impact on the safety, quality, accuracy, and timeliness of care and may also help reduce physician burnout by improving critical skills and reducing time interfacing with all aspects of a patient's health record.
format Online
Article
Text
id pubmed-6160120
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-61601202018-10-12 Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout Robinson, Kenneth E. Kersey, Joyce A. Medicine (Baltimore) Research Article A novel approach to advanced electronic health record (EHR) skills training was developed in a large healthcare organization to improve high-quality EHR documentation, while reducing stressors linked to physician burnout. The 3-day intensive EHR education intervention covered best practices in EHR documentation and physician well-being. The specialty physician faculty used interactive teaching including demonstration, facilitation, and individual coaching. Laptops were provided for hands-on practice. Mixed-method evaluation included real-time feedback, daily surveys, and post-activity surveys to measure participant learning and satisfaction, and also collection of performance data from the EHR to measure use of order sets designed to improve quality of care. Since 2014, 46 trainings were held with 3500 physicians. Most physicians (85%–98% across all programs) reported improved quality, readability, and clinical accuracy of documentation; fewer medical errors; and increased efficiency in chart review and data retrieval due to the training. Seventy-eight per cent estimated a time savings of 4 to 5 minutes or more per hour. Physician performance data from the EHR showed significant improvement in use of order sets for several critical health conditions such as sepsis, stroke, and chest pain of possible cardiac cause. This advanced EHR training for physicians was well-received and improved physicians’ use of several order sets designed to improve quality of care. EHR training programs such as this may have impact on the safety, quality, accuracy, and timeliness of care and may also help reduce physician burnout by improving critical skills and reducing time interfacing with all aspects of a patient's health record. Wolters Kluwer Health 2018-09-21 /pmc/articles/PMC6160120/ /pubmed/30235684 http://dx.doi.org/10.1097/MD.0000000000012319 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Research Article
Robinson, Kenneth E.
Kersey, Joyce A.
Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title_full Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title_fullStr Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title_full_unstemmed Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title_short Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
title_sort novel electronic health record (ehr) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6160120/
https://www.ncbi.nlm.nih.gov/pubmed/30235684
http://dx.doi.org/10.1097/MD.0000000000012319
work_keys_str_mv AT robinsonkennethe novelelectronichealthrecordehreducationinterventioninlargehealthcareorganizationimprovesqualityefficiencytimeandimpactonburnout
AT kerseyjoycea novelelectronichealthrecordehreducationinterventioninlargehealthcareorganizationimprovesqualityefficiencytimeandimpactonburnout