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Easy Lifts for Quickly Improving EHR Satisfaction 2024
Jan 2024
Easy Lifts for Quickly Improving EHR Satisfaction 2024
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.
Lauren Manzione | Monday, January 29, 2024
Arch Collaborative Learning Summit 2023
Sep 2023
Arch Collaborative Learning Summit 2023
Arch Collaborative research continually demonstrates the effectiveness of education, shared ownership, and the ability to meet unique user needs in improving the clinician EHR experience. In July 2023, KLAS hosted the sixth annual Arch Collaborative Learning Summit—an opportunity for healthcare organizations to collaborate and learn how others are working to improve clinicians’ user experiences. 308 leaders from 105 healthcare, HIT vendor, and services firm organizations gathered to share expertise and best practices via panels on maintaining senior leadership buy-in and managing burnout and turnover (summaries of which are found below; recordings can be found on the KLAS website).
Connor Bice, Tommy Rowley | Friday, September 29, 2023
Arch Collaborative Provider Guidebook 2023
Sep 2023
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
Tyler Hendricks, Lauren Manzione, Connor Bice | Friday, September 8, 2023
Trust in Organization/IT Leadership 2022
Jun 2022
Trust in Organization/IT Leadership 2022
Clinician perceptions of three key EHR stakeholders—their organization/IT leadership, their EHR vendor, and themselves as end users—impact their Net EHR Experience Score†. However, this impact is strongest with the first group—organization/IT leadership. A number of factors play into whether clinicians trust their organization/IT leadership, including EHR satisfaction, clinician burnout, EHR training, and support. This report aims to answer the question: How can organizations most effectively build trust with clinicians and ultimately improve their EHR experience?
Anna Beyer | Friday, June 17, 2022
EHR Satisfaction in Providers with Complex Work Arrangements
Jan 2022
EHR Satisfaction in Providers with Complex Work Arrangements
72% of acute care providers in Arch Collaborative research deal with complex work arrangements—meaning they work in multiple locations or additional care settings. For reasons ranging from differences in the EHR system and workflows to differences in the level of EHR support provided by their organization, providers who have complex work arrangements generally have higher burnout, lower EHR efficiency, and lower EHR satisfaction compared to peers who work solely in a single hospital. This report details these findings and uses the Arch Collaborative’s Keys to Success to share what organizations can do to support providers in complex work arrangements. (Providers who work solely in ambulatory care are not included in this research.)
Ruirui Sun | Friday, January 7, 2022
Individual Repeat Measurements
Aug 2021
Individual Repeat Measurements
What High-Improvement Clinicians Teach Us about Advancing EHR Satisfaction

To date, over 45 Arch Collaborative organizations have used the EHR Experience Survey to measure their clinicians’ EHR satisfaction at least twice, capturing the repeat scores of over 30,000 clinicians. Between measurements, these organizations have implemented changes to training, technology, governance, and other areas in hopes of improving their end users’ EHR satisfaction. While previous Arch Collaborative reports (click here for the latest) have explored the impact of these changes at the organizational level, this report examines how the satisfaction of individual clinicians has improved or declined from measurement to measurement and what we can learn from clinicians who have seen the biggest increases.
Cole Duda | Friday, August 20, 2021
Clinician Trust in Organization/IT Leadership
May 2021
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.
Anna Beyer | Friday, May 21, 2021
Role of Provider/Vendor Partnership in EHR Success
Apr 2021
Role of Provider/Vendor Partnership in EHR Success
KLAS’ Arch Collaborative research has found that success is possible with any EHR—the Collaborative includes organizations from a variety of EHR customer bases who feel their vendor has delivered a high-quality solution. This report shares what factors most affect end users’ EHR perceptions (these factors often require the organization and vendor to work in tandem) and how EHR stakeholders can better the EHR experience.
Jacob Jeppson | Friday, April 2, 2021
Arch Collaborative Guidebook 2020
Oct 2020
Arch Collaborative Guidebook 2020
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.
Connor Bice | Thursday, October 22, 2020
Are EMRAM Stage 7 Nurses More Successful?
Feb 2020
Are EMRAM Stage 7 Nurses More Successful?
A 2020 KLAS-HIMSS Analytics Collaboration

Health information technology is a commonly cited source of clinician frustration and burnout. But what about clinicians at organizations that have reached the peak of EHR adoption—HIMSS EMRAM Stage 7? Do their clinicians report more or less EHR frustration? In 2019, KLAS (in cooperation with HIMSS Analytics) examined this question as it relates to physicians. This 2020 follow-up explores how an organization’s EMRAM stage impacts EHR satisfaction among nurses.To conduct the analysis, KLAS analyzed the Arch Collaborative survey responses of over 34,000 nurses from hundreds of individual hospitals. Throughout this report, responses from the nurses are grouped by organization, with each organization designated as either Stage 7, Stage 6, or Stage Not Validated, depending on the publicly available information from HIMSS Analytics.
Bryant Wood and Connor Bice | Thursday, February 6, 2020
Clinician Burnout
Aug 2019
Clinician Burnout
An Arch Collaborative Impact Report 2019

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.
Connor Bice | Friday, August 2, 2019
Arch Collaborative Guidebook 2019
Jul 2019
Arch Collaborative Guidebook 2019
A product of the May 2019 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.
Taylor Davis and Connor Bice | Thursday, July 25, 2019
2019 Summit Slides - Arch Collaborative Learnings Part 1
May 2019
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 - Arch Collaborative Learnings Part 2
May 2019
2019 Summit Slides - Arch Collaborative Learnings Part 2
The second part of the Arch Collaborative learnings is a continuation from part 1.
Taylor Davis and Hailey Tate | Friday, May 24, 2019
2019 Summit Slides - Committee Meetings
May 2019
2019 Summit Slides - Committee Meetings
KLAS organized committees to help guide the direction of the Arch Collaborative in key areas. These areas include: the general survey, the executive survey, nursing research, media & outreach, academic research and physician wellness.
Taylor Davis and Hailey Tate | Friday, May 24, 2019
2019 Summit Slides - Individual Organization Presentations
May 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 - Keynote and Conference Welcome
May 2019
2019 Summit Slides - Keynote and Conference Welcome
Kick off the 2019 Arch Collaborative Summit learnings with insights from Liz Johnson from Tenet Healthcare Corporation.
Taylor Davis and Hailey Tate | Friday, May 24, 2019
2019 Summit Slides - Moving the Needle Presentations
May 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
May 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
May 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
Can My EHR Get Me There?
May 2019
Can My EHR Get Me There?
An Arch Collaborative Impact Report

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.
Taylor Davis | Tuesday, May 14, 2019
The Nurse EHR Experience
Mar 2019
The Nurse EHR Experience
An Arch Collaborative Impact Report 2019

Since nurses work widely with the EHR, it is crucial to measure their experience with it so that opportunities for improvement can be found. And since, on average, nurses report significantly higher EHR satisfaction than physicians, it is also important to understand their successes; doing so provides vital information about how to improve EHR satisfaction for all clinicians.
Taylor Davis & Connor Bice | Thursday, March 28, 2019
Are EMRAM Stage 7 Physicians More Successful?
Feb 2019
Are EMRAM Stage 7 Physicians More Successful?
A 2019 KLAS-HIMSS Analytics Collaboration

The last 10 years have seen a dramatic rise in the adoption of health information technology—as well as a dramatic rise in physician frustration with this technology. What about the organizations that have reached the peak of EHR adoption: HIMSS EMRAM Stage 7? Are their physicians more or less frustrated? To answer this question, KLAS (in cooperation with HIMSS Analytics) has used the public reporting of Stage 6 & 7 hospitals in the US to see whether there is a correlation between HIMSS EMRAM stage and EHR user satisfaction.
Taylor Davis | Thursday, February 28, 2019
Organization Culture: The X-Factor of EHR Success
Nov 2018
Organization Culture: The X-Factor of EHR Success
An Arch Collaborative Impact Report

Enacting cultural change is one of the most challenging obstacles an organization can face. In fact, it is so difficult that dozens of books are published every year to teach successful culture principles and remind leaders of the importance of workplace culture. Because culture issues can be so hard to overcome, organizations often look to other solutions that are quicker or easier to implement. When it comes to clinician EHR satisfaction, these quick fixes include implementing voice recognition technology, hiring scribes, switching to a different EHR, or making training mandatory. Unfortunately, these are just Band-Aids that hide the real issue and postpone the heavy lift of solving EHR challenges.
Taylor Davis and Connor Bice | Friday, November 2, 2018
How to Approach EHR Change Management
Oct 2018
How to Approach EHR Change Management
An Arch Collaborative Impact Report

EHR governance does not need to be a roadblock to provider organizations’ EHR improvement strategies. Many organizations use governance to effectively improve the EHR and as an avenue for explaining to physicians the EHR’s limitations, whether those are caused by regulations, technical architectures, or organizational capacity.
Taylor Davis and Connor Bice | Friday, October 26, 2018
EHR Success Doesn't Have to Be High Cost
Oct 2018
EHR Success Doesn't Have to Be High Cost
An Arch Collaborative Impact Report

In today’s healthcare market, budgetary decisions are becoming more and more challenging as profit margins become increasingly thin for a majority of hospitals. To examine how tightening the purse strings affects providers and their EHR satisfaction, KLAS asked more than 50 organizations about the various ways they invest in their EHR(s) and also surveyed these organizations’ end users regarding their EHR satisfaction. KLAS’ analysis of the two data sets reveals two interesting findings about how EHR spending impacts EHR satisfaction: (1) the percentage of the overall budget allotted to IT and the EHR does not need to be large for providers to be successful with the EHR; and (2) the number of physician and IT personnel that are committed to IT responsibilities has a substantial impact on provider satisfaction.
Taylor Davis and Connor Bice | Friday, October 19, 2018
EHR Mastery—The Impact of Training
Oct 2018
EHR Mastery—The Impact of Training
Don't Go Chasing Waterfalls

Organizations occasionally look for a magical solution that will fix clinician dissatisfaction with the EHR. Unfortunately, because education is a human experience, there isn’t any one training program that will magically solve this dilemma. But what has been made clear—by analyzing survey responses from over 40,000 end users—is that good training has a profound and lasting impact on a clinician’s satisfaction with the EHR.
Taylor Davis and Connor Bice | Monday, October 8, 2018
2018 Arch Collaborative Summit Slides
May 2018
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
Creating the EMR Advantage
Dec 2017
Creating the EMR Advantage
EMR Best Practices Study

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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