Doctor EHR satisfaction varies by specialty, says KLAS report

Docs with excessive digital well being report satisfaction are practically 5 instances extra prone to report they’re going to keep at their group, based on KLAS researchers. The group with the best EHR satisfaction rating is hospital medication and in addition of notice, anesthesiology’s enthusiasm has declined.


The Exploring EHR Satisfaction by Supplier Specialty report from the KLAS Arch Collaborative reveals that hospital medication, pediatrics, household medication and inner medication are the doctor specialties with the best EHR expertise scores, in comparison with friends utilizing the identical EHR, whereas orthopedics and cardiology had among the lowest EHR satisfaction scores.

Widespread frustrations skilled embody EHR performance, capacity to ship high quality care and vendor supply of high quality.

The Arch Collaborative EHR Expertise Survey checked out core EHR satisfaction components – system effectivity, performance, affect on care and extra, aggregating outcomes into an general web EHR expertise rating. KLAS used Cerner and Epic EHR information as a result of solely they provide a big sufficient illustration of specialty information for such a examine, based on the report.

The specialty scoring the best EHR satisfaction (in comparison with every vendor’s common) is identical for Cerner and Epic – hospital medication suppliers scored over 10 factors greater than the typical for his or her respective EHRs.

These suppliers are glad with their workflow coaching, EHR performance and ease of studying methods to use the system – 70% agreed their EHR had the wanted performance whereas solely 49% of medical doctors in cardiology and 47% in orthopedics reported feeling that method.

There have been related findings amongst these teams for settlement that EHR was environment friendly and enabled affected person care.

The survey additionally discovered that some organizations that not too long ago measured EHR satisfaction discovered abnormally excessive satisfaction scores in anesthesiology, cardiology, gynecology and obstetrics – and orthopedics.

Although anesthesiologists typically have an general EHR satisfaction in the course of the vary, this specialty had the most important lower in satisfaction over time of any specialty examined on this analysis.

KLAS then carried out in-depth interviews with the anesthesiologists who reported abnormally excessive satisfaction to glean insights into what makes them completely different from their less-satisfied friends. The very best practices that emerged from the evaluation are:

  • Includes people in EHR governance to higher perceive EHR modifications and the reasoning behind them

  • Allow suppliers to ask the IT division, EHR analysts or their friends for assist with fast fixes and proposals for being extra environment friendly with the EHR

  • Present vital use of EHR customization instruments to boost EHR use and make documentation simpler

  • Implement EHR training, together with required group trainings and self-learning alternatives, to extend EHR information and understanding

“I’m engaged within the change course of. I’ve seen a number of of my solutions carried out in our model of Epic. I really feel as if I’ve extra management over my work after I can affect my day by day workflow,” stated one anesthesiologist who participated within the deeper evaluation.


For a number of years researchers are discovering that EHR usability and clinician burnout are related, and that EHR satisfaction is a consider medical doctors’ choices to go away the occupation.

However with doctor assist, one group in Virginia managed to show issues round throughout 25 clinics with what they are saying is a scalable, replicable EHR satisfaction answer.

OrthoVirginia elevated supplier satisfaction with its EHR by offering extra documentation choices and one doctor assist specialist for each 40 suppliers. The specialists dealt with short-term particular person assist after which expanded to instructing.

“We realized we did not have sufficient lively engagement with the physicians. We knew we needed to provide you with a option to interact our physicians apart from as soon as a month sitting on a telephone name,” stated Terri Ripley, OrthoVirginai’s CIO, throughout a HIMSS20 presentation.


“Although it could take vital effort and time to construct specialty-specific workflow coaching, suppliers who strongly agree their coaching was specialty-specific are virtually 25 instances extra prone to agree that the EHR has the performance they want,” stated researchers. “Each organizations and EHR distributors may help all suppliers discover success with the EHR by guaranteeing that preliminary and ongoing training are tailor-made to the wants of various specialties.”

Andrea Fox is senior editor of Healthcare IT Information.
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Healthcare IT Information is a HIMSS publication.

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