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Addressing EHR Efficiency through Proactive Two-Way Communication
Houston Methodist

Addressing EHR Efficiency through Proactive Two-Way Communication

Houston Methodist uses Signal and NEAT data to identify and address EHR issues, fosters collaboration through councils and committees, and focuses on improving workflows and end-user/clinician efficiency based on user feedback. The organization also utilizes virtual nursing to alleviate documentation burden and enhance patient experiences.

Created in partnership with Houston Methodist

Publish Date: 10/13/2023

Cost to Implement:  $$ - Budgeted Cost

Time to Implement:  6 - 12 Months

Program Goals

  • Understand and improve EHR efficiency for clinicians

Organization Outcomes

  • Providers 89th percentile for agreement that the EHR improves efficiency
  • Nurses 89th percentile for agreement that the EHR improves efficiency

Collaborative-Verified Best Practices

  • Clinician Efficiency and Personalization

Keys to Success

  • Monitor EHR data to identify potential EHR efficiency opportunities
  • Proactively solicit feedback from end users through multiple channels to understand and address issues with the EHR

What Houston Methodist Did

Houston Methodist utilizes Signal and Nursing Efficiency Assessment Tool (NEAT) data to identify and address potential efficiency opportunities in the EHR. The organization values clinician feedback, keeping the threshold to provide feedback low with direct access to the CMIO and CNIO, and prioritizes addressing workflow concerns across disciplines. The organization openly seeks ideas from physicians and nurses on how to improve EHR efficiency, assigns informaticists to each acute care site, and provides personalized assistance and guidance for optimizing workflows. The informaticists engage with end users through various channels and aim to understand and respond to their concerns. Houston Methodist also emphasizes nursing efficiency, with an informatics-led subject matter expert group and nursing informatics representation in leadership councils. The organization analyzes NEAT data to improve flow sheets and has implemented virtual nursing for admission and discharge documentation, reducing the nursing documentation burden and improving efficiency. Houston Methodist also focuses on efficiency and workflow improvement in the ambulatory setting, constantly enhancing workflows based on user input. The Thrive team within informatics works closely with operational managers and employs scripting to approach physicians in a nonpunitive manner, using data to address their biggest opportunities to save time in the EHR

How Houston Methodist Did It

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Clinician Efficiency and Personalization

Reader Responsibility

These perspectives are shared to facilitate better collaboration and communication between members of the Arch Collaborative. We encourage organizations to thoughtfully adjust their current operations based on their own experience, the findings of this research, and other complementary sources of information.

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Arch Collaborative Mission

Unlock the potential of EMR solutions to revolutionize healthcare efficiency and care-quality improvements by facilitating collaboration, measurement, and shared learning.

The Arch Collaborative is committed to finding and sharing healthcare technology best practices that forward the efforts of the quadruple aim in healthcare. The engine of the Arch Collaborative is the insights and feedback of thousands of clinicians and caregivers around the world.

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Arch Collaborative case studies are focused on highlighting success that Collaborative participants achieve with or through healthcare technology. They are meant to briefly advertise member success and act as starting points for ongoing communication and collaboration between member organizations.

Case studies are typically published when (1) a verified outcome is recorded (and often verified through the Collaborative survey) and (2) the approach or steps to achieving that outcome aren’t commonly known and would be helpful to other organizations.

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