The complex case of EHRs: examining the factors impacting the EHR user experience
Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the...
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| Published in | Journal of the American Medical Informatics Association : JAMIA Vol. 26; no. 7; pp. 673 - 677 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Oxford University Press
01.07.2019
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the brunt of the blame for frustrations expressed by physicians, the EHR user experience is influenced by a variety of factors, including decisions made by entities other than the developers and end users, such as regulators, policymakers, and administrators. Identifying these key influences can help create a deeper understanding of the challenges in developing a better EHR user experience. There are multiple opportunities for regulators, policymakers, EHR developers, payers, health system leadership, and users each to make changes to collectively improve the use and efficacy of EHRs. |
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| AbstractList | Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the brunt of the blame for frustrations expressed by physicians, the EHR user experience is influenced by a variety of factors, including decisions made by entities other than the developers and end users, such as regulators, policymakers, and administrators. Identifying these key influences can help create a deeper understanding of the challenges in developing a better EHR user experience. There are multiple opportunities for regulators, policymakers, EHR developers, payers, health system leadership, and users each to make changes to collectively improve the use and efficacy of EHRs. Abstract Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients. Increasing rates of burnout associated with EHR use necessitate improvements in how EHRs are developed and used. Although EHR design often bears the brunt of the blame for frustrations expressed by physicians, the EHR user experience is influenced by a variety of factors, including decisions made by entities other than the developers and end users, such as regulators, policymakers, and administrators. Identifying these key influences can help create a deeper understanding of the challenges in developing a better EHR user experience. There are multiple opportunities for regulators, policymakers, EHR developers, payers, health system leadership, and users each to make changes to collectively improve the use and efficacy of EHRs. |
| Author | Tutty, Michael A Carlasare, Lindsey E Lloyd, Stacy Sinsky, Christine A |
| AuthorAffiliation | Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA |
| AuthorAffiliation_xml | – name: Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA |
| Author_xml | – sequence: 1 givenname: Michael A surname: Tutty fullname: Tutty, Michael A organization: Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA – sequence: 2 givenname: Lindsey E surname: Carlasare fullname: Carlasare, Lindsey E organization: Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA – sequence: 3 givenname: Stacy surname: Lloyd fullname: Lloyd, Stacy organization: Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA – sequence: 4 givenname: Christine A surname: Sinsky fullname: Sinsky, Christine A organization: Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30938754$$D View this record in MEDLINE/PubMed |
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| Keywords | burnout administrative burden electronic health records |
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fullname: KPMG, American Medical Association Are physicians ready for MACRA/QPP? Results from the KPMG-AMA survey – volume: 25 start-page: 1218 issue: 9 year: 2018 ident: 2020110613064684600_ocz021-B30 article-title: The 21st Century Cures Act and electronic health records one year later: will patients see the benefits? publication-title: J Am Med Inform Assoc doi: 10.1093/jamia/ocy065 contributor: fullname: Lye – year: 2012 ident: 2020110613064684600_ocz021-B17 contributor: fullname: Sinsky – volume: 314 start-page: 1213 issue: 12 year: 2015 ident: 2020110613064684600_ocz021-B28 article-title: On the road to interoperability, public and private organizations work to connect health care data publication-title: JAMA doi: 10.1001/jama.2015.5930 contributor: fullname: Jacob – volume: 54 start-page: 1 issue: 1 year: 2015 ident: 2020110613064684600_ocz021-B41 article-title: Managing interoperability and complexity in health systems publication-title: Methods Inf Med doi: 10.3414/ME15-10-0001 contributor: fullname: Bouamrane – volume: 13 (Winter) year: 2016 ident: 2020110613064684600_ocz021-B4 article-title: Electronic health record use a bitter pill for many physicians publication-title: Perspect Health Inf Manag contributor: fullname: Meigs – volume: 8 start-page: 12 issue: 1 year: 2017 ident: 2020110613064684600_ocz021-B36 article-title: Safe practices for copy and paste in the EHR: systematic review, recommendations, and novel model for health IT collaboration publication-title: Appl Clin Inform contributor: fullname: Tsou – volume: 3 start-page: 141 issue: 2 year: 2013 ident: 2020110613064684600_ocz021-B43 article-title: How to select and implement an electronic health record in a neurology practice publication-title: Neurol Clin Pract doi: 10.1212/CPJ.0b013e31828d9fb7 contributor: fullname: Weathers – year: 2016 ident: 2020110613064684600_ocz021-B5 contributor: fullname: Deloitte Center for Health Solutions – volume: 22 start-page: 1179 issue: 6 year: 2015 ident: 2020110613064684600_ocz021-B18 article-title: Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors publication-title: J Am Med Inform Assoc doi: 10.1093/jamia/ocv050 contributor: fullname: Ratwani – volume: 108 start-page: 915 issue: 8 year: 2003 ident: 2020110613064684600_ocz021-B31 article-title: Health Insurance Portability and Accountability Act (HIPAA) publication-title: Circulation doi: 10.1161/01.CIR.0000085720.65685.90 contributor: fullname: Califf |
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| Snippet | Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with patients.... Abstract Physicians can spend more time completing administrative tasks in their electronic health record (EHR) than engaging in direct face time with... |
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| SubjectTerms | Burnout, Professional Delivery of Health Care Electronic Health Records - organization & administration Government Regulation Health Information Interoperability Humans Physicians United States |
| Title | The complex case of EHRs: examining the factors impacting the EHR user experience |
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