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Arch Collaborative Guidebook 2020
Oct 2020

Arch Collaborative Guidebook 2020


Authored by:  Connor Bice, 10/22/2020 | Read Time: 4 minutes

A product of the October 2020 Arch Collaborative Summit, the Arch Collaborative Guidebook lays out the best practices identified in Collaborative data and shared by the most successful organizations in the Collaborative.




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What Is the Arch Collaborative Guidebook?

The Arch Collaborative Guidebook is the result of thousands of hours of combined effort. Over 250 health systems around the world have used the Arch Collaborative survey to measure the EHR satisfaction of their clinicians. With the survey taking roughly 10 minutes to complete, the 190,000+ clinicians who have participated have dedicated approximately 31,000 hours to providing feedback about their EHR satisfaction.

This incredible effort has allowed the Arch Collaborative to identify universal best practices that any health system—regardless of their EHR vendor—can use to improve their clinicians’ EHR satisfaction. These best practices are shared here to help healthcare leaders find their organization’s own path to EHR success. While the guidebook could be seen as a checklist, it will be most effective when its principles are skillfully customized to an organization’s specific culture and circumstances.

The Three Pillars of EHR Satisfaction

The principles in this guidebook are organized according to the Collaborative’s Three Pillars of EHR Satisfaction: (1) strong user mastery, (2) an organization-wide sense of shared ownership, and (3) EHR technology that meets users’ unique needs (personalization). Collaborative analysis has shown that these three variables explain up to 70% of the variation in a clinician’s EHR satisfaction and that focusing on these key areas can greatly improve the EHR experience.

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Each section of this guidebook will focus on the supporting data behind a given pillar. The data comes from two sources:


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Evidence-Based Practices: Best practices validated by Arch Collaborative research that differentiate high-performing organizations or that have been documented to help organizations improve.


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Leading Practices: Keys to success that are commonly identified by leading organizations but have not yet been broadly validated or are too unquantifiable to be fully validated.

Please note that you may find some repetition between the different sections of this guidebook. This is intentional—each section is designed to be a standalone resource for a given topic and some principles and best practices apply to more than one area. That said, improving EHR satisfaction is rarely, if ever, a single-factorial effort. To truly have an impact, healthcare organizations should implement a variety of the best practices most applicable to their organization.

Key Changes from the 2019 Guidebook

The findings in this 2020 guidebook largely support those reported in the 2019 version. Some subtle differences are noted below.

  • In the “Ongoing EHR Education” section, the best practice of advertising EHR training has been changed from an evidence-based practice to a leading practice. While having a solid advertising plan that raises clinician awareness of training opportunities passes our internal “sniff test,” the data no longer shows a clear correlation between advertising and overall EHR satisfaction.
  • Insights related to nursing EHR success have been fine-tuned and will continue to be developed as the Collaborative collects more insights from nursing executives. For now, strong user mastery, shared ownership, and personalization continue to stand out as success principles.
  • The section on clinician wellness outlines certain documentation best practices that seem to reduce the likelihood that physicians will experience burnout.
  • Since there is no need for each Collaborative member to reinvent the wheel, for each evidence-based and leading practice, we have added links to supportive materials from the Arch Collaborative Learning Center that provide extra data and examples of success stories from Collaborative members.

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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2019 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.

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