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High-Impact Methods to Achieve Clinician EHR Satisfaction with Few Additional Resources
Healthcare organizations are continually looking for ways to improve clinician EHR satisfaction despite tight budgets and staffing shortages. According to Arch Collaborative data, organizations who spend more of their budget on their EHR don’t necessarily realize a higher Net EHR Experience Score†. In contrast, those who prioritize and reallocate resources toward high-impact interventions can often see improved clinician EHR satisfaction—proving that high satisfaction is possible despite budget and staffing constraints. Drawing from Arch Collaborative case studies, this report provides examples of high-performing organizations or those with improved performance who have made small but effective efforts to increase clinician EHR satisfaction.
Arch Collaborative Provider Guidebook 2023 Arch Collaborative Provider Guidebook2023—Creating EHR Mastery: Onboarding EHR Education; Creating EHR Mastery: Ongoing EHR Education; Creating Shared Ownership: Provider Relationships and Communication; Creating Shared Ownership: Governance; Creating Provider Efficiency: Personalization; Creating Provider Wellness: Reducing Burnout; Building a Technological Foundation: System Reliability and Response Time
Since the Arch Collaborative’s early days, analysis of clinician feedback has identified three pillars key to EHR satisfaction: (1) strong user mastery, (2) an organization-wide sense of shared ownership, and (3) EHR technology that meets users’ unique needs (personalization). This last pillar is the focus of this report. While it is important for physicians to have the flexibility to care for patients and document in a way that fits their workflow, too much freedom to change the EHR can hinder efficiency and patient safety. This report identifies the benefits of personalization as well as best practices for leveraging it.
Global EHR Satisfaction 2022 In 2019, KLAS published early findings on EHR satisfaction outside the United States. Since then, additional non-US organizations have participated in Arch Collaborative measurement, revealing new insights on the state of EHR satisfaction around the globe. Based on 28 Collaborative measurements from 23 health systems in Asia/Oceania, Europe, and the Middle East, this report seeks to help healthcare organizations in regions outside the US better understand the factors that contribute to clinician satisfaction with the EHR. On average, clinicians in the Middle East report the highest EHR satisfaction, but there are highly satisfied users in each global region, and we can learn helpful information from each.
Clinician Trust in Organization/IT Leadership A clinician’s trust in their organization and IT leadership can greatly impact their EHR experience. To measure this trust, the Arch Collaborative EHR Experience Survey asks end users whether they agree their organization and IT leadership have done a great job of implementing, training on, and supporting the EHR. A number of factors—for example, training, burnout, and EHR governance structure—affect how clinicians answer this question. The Executive Insights section of this report examines the outcomes of clinician trust and shares a high-level view of what drives it. The Expanded Insights section dives deeper into the relative importance of various factors on clinician trust and what practices help end users feel supported by their organization when it comes to the EHR experience.
In the midst of the COVID-19 crisis, healthcare organizations are eager to learn from peers and find fast solutions to top-of-mind technology challenges. 19 executives from 18 healthcare organizations shared their status in addressing these challenges. The overarching theme? While healthcare organizations have found stopgaps in many areas, few have successfully implemented permanent solutions that serve a long-term strategy. This report details how organizations are faring against technology challenges today and—in acknowledgment that the future of healthcare is hazy for everyone—also provides links to technology-performance resources you may find useful and asks you to help peers make informed decisions by sharing your technology experiences.
Jacob Jeppson & Connor Bice |
Thursday, August 27, 2020
The Arch Collaborative’s primary focus is improving the EHR experience, and this experience involves the wellness of the clinician. Therefore, included in this study are two questions derived from the American Medical Association’s (AMA) Mini Z study. These two questions are correlated with the Maslach Burnout Inventory, which helps to properly identify when a clinician is burning out. All burnout findings in this report are shared through the lens of the impact of burnout on EHR satisfaction.This report is not a comprehensive analysis of the causes of clinician burnout, nor are its recommendations intended to be the primary solutions for this complex problem. Instead, this report is intended to show the developing relationship between burnout and EHR dissatisfaction. KLAS hopes the following insights add to a broader solution for taking care of those who continually offer care to others.
2019 Summit Slides - Arch Collaborative Learnings Part 1 With more responses from over 100,000 clinicians from more than 190 organizations, KLAS and the Arch Collaborative team have learned a ton! So much that we had to split the findings into two sessions. Here is part 1.
Taylor Davis and Hailey Tate |
Friday, May 24, 2019
2019 Summit Slides - Individual Organization Presentations Many organizations have shared their keys to successful EHR use. These slides highlight seven organizations and their best practices. OrthoVirginia's Road to Dramatic ImprovementMemorial Health System's Driving to Success with Cerner Clinicals and FinancialsKaiser Permanente Northwest Region's Trust and TrainingRoyal Children's Hospital's Creating a Service CultureUCLA Health's Keys to Nursing SuccessPetaluma Health Center's Educating for SuccessMetroHealth Medical Center's Success on a Small Budget
Taylor Davis and Hailey Tate |
Friday, May 24, 2019
2019 Summit Slides - Moving the Needle Presentations Organizations are beginning to remeasure their clinician's experience with the EHR. Here are some organizations who have seen significant increases in their Net EHR Experience Scores.
Taylor Davis and Hailey Tate |
Friday, May 24, 2019
2019 Summit Slides - Organization Type Meetings Part of the benefit of the Arch Collaborative is seeing how similar organizations manage their clinicians' EHR experience. The 2019 Arch Collaborative Summit provided the opportunity for comparably sized organizations to meet together and talk about common problems and potential solutions for those problems.
Taylor Davis and Hailey Tate |
Friday, May 24, 2019
2019 Summit Slides - Panel Discussions One of the primary goals of the 2019 Arch Collaborative Summit was to create a Best Practices Guidebook that lists out many of the successful principles for effective EHR management. KLAS partnered with some of the most successful organizations in the Collaborative to compile a list of best practices and then discussed these principles at the Summit to ensure that these concepts are widely applicable. Learn principles on Onboarding training, EHR personalization, ongoing training, physician wellness, preventing opioid abuse, how to successfully round and build clinician/IT relationships, how to build a governance with shared ownership and how to ensure that nurses voices are heard.
Taylor Davis and Hailey Tate |
Friday, May 24, 2019
The KLAS Arch Collaborative has collected the feedback of over 80,000 clinicians at 180+ organizations across 9 countries and found that which EHR vendor they use does not determine satisfaction on its own.
In October 2018, the Arch Collaborative added an open-ended question to the end of our clinician-experience survey for those who report high satisfaction and efficiency: What do you believe that you do differently from some of your peers that enables you to be highly successful with the EHR? This question only appears for those clinicians who agree or strongly agree that the EHR enables them to deliver high-quality care and that the EHR makes them as efficient as possible. Arch Collaborative data has indicated that the keys to EHR success lie with EHR education, EHR personalization, and the organization’s culture. But what do the clinicians themselves cite? The following report highlights what the first 1,261 clinicians to answer the question above do differently to be successful, and what other clinicians who may not be using the EHR quite as successfully can learn from their peers.
2018 Arch Collaborative Summit Slides In May 2018, KLAS hosted the first ever Arch Collaborative Summit for health systems to share their ideas on how to achieve clinician satisfaction with the EHR. Various health systems, using various EHRs, presented their results and their programs that led to high satisfaction while others listened and asked questions. The collaboration resulted in shared concepts and new ideas to help all parties involved be better prepared to improve their clinicians' EHR satisfaction.
Taylor Davis and Hailey Tate |
Friday, May 18, 2018
We built EMRs to help clinicians deliver dramatically bettercare and to be more efficient in that care. If clinicianseverywhere consistently praised EMRs for revolutionizingthe practice of medicine, wouldn't that be an indication thatthe EMR was a success?
But that is not happening.
In late 2016, in an effort to turn the tide of EMR frustration,KLAS gathered with a handful of provider organizationswith the idea of creating a common end-user satisfactionsurvey to be used as a means of establishing satisfactionbenchmarks and enabling provider organizations to learnfrom each other’s successes and failures. Today, this effort—called the Arch Collaborative—has collected 15,535 userperspectives from 55 organizations.
Taylor Davis |
Wednesday, December 6, 2017
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