Arch Reports: clinician-efficiency-and-personalization

Apr 2024

Empowering Nurses to Focus on...

Empowering Nurses to Focus on Patient Care 2024

Reducing Nurse Documentation Burden

Four years after the start of the COVID-19 pandemic, nurses are still experiencing significant stress and burnout—according to the American Nurses Foundation’s Mental Health and Wellness Survey 4, nearly two-thirds of nurses in 2023 felt their job caused them a great deal of stress. Lengthy and repetitive charting can be a contributor, but KLAS’ Arch Collaborative data shows it doesn’t have to be. This report explores the impact of unnecessary charting on nurses and outlines a three-step process organizations can use to reduce unproductive charting and empower nurses to focus on patients, thereby reducing both burnout and turnover and saving organizations money.

Lauren Manzione | Friday, April 19, 2024

Jan 2024

Easy Lifts for Quickly Improving...

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

Oct 2023

Clinician EHR Efficiency Software...

Clinician EHR Efficiency Software and Services 2023

A Guide to Vendor and Firm Offerings

KLAS Arch Collaborative research has highlighted EHR efficiency as one of the most impactful factors to the clinician EHR experience. However, it is one of the metrics with which clinical staff are least satisfied—only 46% of respondents agree their EHR enables efficiency. Furthermore, lack of efficiency is the NEES^† metric most correlated with clinician burnout; thus, healthcare organizations are looking for outside help to increase EHR efficiency and improve EHR experience. KLAS has validated several organizations who have leveraged vendor and firm partners to successfully increase clinician EHR efficiency. For this report, KLAS interviewed 67 organizations to validate the offerings vendors and firms provide and to help guide organizations who may be looking to enhance their clinicians’ EHR efficiency.

Jenna Anderson, Coray Tate, & Anna Beyer | Thursday, October 19, 2023

Sep 2023

Arch Collaborative Provider...

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

Sep 2023

Personalizing the EHR 2023

Improving Physician Satisfaction and Efficiency

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.

Amanda Wisner | Friday, September 1, 2023

Aug 2023

Epic EHR Initiatives 2023

The Impact on Clinician Satisfaction

With limited budgets and resources, Arch Collaborative members frequently ask KLAS which of their EHR vendor’s education initiatives and system features are most effective at improving EHR efficiency and satisfaction. Because Epic users make up over 60% of respondents in the Arch Collaborative’s data sample, this report evaluates several Epic-specific initiatives and features to help Epic customers determine whether they are worth the investment. While not an exhaustive list of all Epic offerings capable of improving EHR efficiency and satisfaction, the initiatives and features examined in this report are those that Epic users have identified as top of mind.

Anna Beyer | Monday, August 21, 2023

Jul 2023

Firm & Vendor Capabilities for...

Firm & Vendor Capabilities for Clinician EHR Efficiency 2023

Streamlining the Clinician Experience through Services & Software Offerings

Arch Collaborative research has highlighted EHR efficiency as one of the most impactful factors to the clinician EHR experience. However, it is one of the metrics with which clinical staff are least satisfied—only 46% of respondents agree their EHR enables efficiency. Further, lack of efficiency is the NEES* metric most correlated with clinician burnout. Healthcare organizations are looking to services firms and software vendors to help drive EHR efficiency and improve the EHR experience. This report specifically highlights services offerings and software solutions that can support healthcare organizations in their EHR efficiency efforts. The report is part of a series aimed at exploring firm and vendor offerings in a variety of areas that impact EHR satisfaction.

Anna Beyer | Wednesday, July 19, 2023

Mar 2023

Successful EHR Upgrades 2023

How to Maximize Impact and Prevent Clinician Frustration

EHR upgrades are vital for continually improving technology, meeting regulatory requirements, expanding functionality, increasing user efficiency, and ultimately improving patient care. Arch Collaborative data shows EHR upgrades can be very challenging for clinicians. Clinicians are often frustrated and feel disconnected from the EHR when changes happen unexpectedly or appear to drive little improvement. To help healthcare organizations make upgrades smoother and more impactful for users, this report shares insights on the widespread phenomenon of user frustration with upgrades and recommends steps organizations and EHR vendors can take to improve.

Anna Beyer | Friday, March 31, 2023

Mar 2023

Successful User’s Guide to High EHR...

Successful User’s Guide to High EHR Satisfaction 2023
The goal of the Arch Collaborative is to help organizations understand not just how to make the EHR usable but how to help clinicians embrace it as a tool essential to their ability to deliver great care. To that end, this report examines the responses of over 3,000 highly satisfied EHR users to identify what they do differently from less satisfied peers. Their insights reveal specific areas that other users and organizations can focus on to improve their own satisfaction.

Amanda Wisner | Friday, March 24, 2023

Sep 2022

Exploring EHR Satisfaction by...

Exploring EHR Satisfaction by Provider Specialty
KLAS Arch Collaborative Report Exploring EHR Satisfaction by Provider Specialty - Clinician Efficiency and Personalization

Anna Beyer | Friday, September 16, 2022

Jun 2022

EHR Response Time & Reliability

Foundational to Satisfaction Yet Far from Sufficient

In the early days of the Arch Collaborative, clinician feedback revealed three fundamental factors 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). Much about an individual’s or organization’s EHR satisfaction can be understood through the lens of these three pillars. However, further research has demonstrated that industry-wide issues with system response time and reliability are creating significant barriers to clinician satisfaction. If efforts to improve EHR satisfaction are to be truly successful, organizations must first address these two foundational factors.

Jacob Jeppson | Wednesday, June 1, 2022

May 2022

Global EHR Satisfaction 2022

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.

Anna Beyer | Wednesday, May 11, 2022

Nov 2021

Allied Health Professionals

What Drives Their EHR Experience?

Allied health professionals (also often called ancillary care providers) are a group of EHR users that have—until now—received less focus in Arch Collaborative reports. This study shares core findings about this group of users and their EHR experience.

Lauren Manzione | Friday, November 5, 2021

Oct 2021

EHR Vendor Initiatives

EHR Vendor Initiatives
The Arch Collaborative examines many factors in trying to understand an end user’s EHR satisfaction. Some of these factors—such as training or user support—are the responsibility of the healthcare organization. Some—like self-directed mastery and time spent in the EHR—are in the hands of end users. The EHR vendor also plays a significant role: they can provide service, functionality, or enhancements that make the EHR experience better. For this report, KLAS asked Cerner and Epic to share what initiatives they have recently implemented to support strong EHR satisfaction. (No other EHR vendors have enough clients participating in the Collaborative for the effects of any improvement initiatives to be measured.)

Anna Beyer | Friday, October 15, 2021

Oct 2021

Improving EHR Satisfaction in...

Improving EHR Satisfaction in Ambulatory Settings

Optimization Sprints Show Early Promise

Reporting significant benefits, including increased EHR satisfaction and more effective teamwork, four Arch Collaborative organizations have implemented EHR optimization sprints^† in their ambulatory clinics. Based on pre- and post-intervention surveys from over 400 clinicians that participated in these sprints, this report seeks to (1) evaluate the effectiveness of the sprint methodology by examining changes in participants’ overall EHR satisfaction, degree of burnout, and satisfaction with ongoing training and (2) share overarching principles and best practices for successfully implementing your own optimization sprint.

Jacob Jeppson | Friday, October 15, 2021

May 2021

Clinician Trust in Organization/IT...

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

Apr 2021

Role of Provider/Vendor Partnership...

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

Feb 2021

Why Invest in Measurement?

Why Invest in Measurement?
KLAS Arch Collaborative Report

Cole Duda and Bob Cash | Friday, February 12, 2021

Dec 2020

Immediate Chart-Closure Rates

Immediate Chart-Closure Rates
The percentage of charts closed immediately after patient interactions is a simple measure of a complex idea: a provider’s ability to keep up with their workload, which is influenced by time, efficiency, and many other factors. Comparing immediate chart-closure rates to other indicators suggests that providers who report higher chart-closure rates also have higher Net EHR Experience Scores and lower levels of burnout. Furthermore, closure rates also correlate with factors such as a provider’s perception of the quality of their initial EHR education and the degree to which a provider has personalized the EHR.

Lauren Manzione | Friday, December 18, 2020

Oct 2020

Arch Collaborative Guidebook 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

Aug 2020

Healthcare Executives’ COVID-19...

Healthcare Executives’ COVID-19 Experience

Insights on Technology Challenges & Solutions

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

May 2020

Is There a Relationship between EHR...

Is There a Relationship between EHR Satisfaction and Hospital Quality Ratings?
A common question KLAS hears from organizations participating in the Arch Collaborative is whether there is any correlation between EHR satisfaction and an organization’s performance in other measures of hospital quality. To answer this question, KLAS looked at the Net EHR Experience Score (NEES) of Arch Collaborative members who appear in at least one of five key hospital quality ratings:

CHIME’s Most Wired (levels 8–10)
CMS Star ratings (5-star organizations)
Healthgrades (America’s 100 Best Hospitals list)
Leapfrog (Top Hospitals list)
US News and World Report (Best Hospitals list)

Jacob Jeppson and Anna Beyer | Friday, May 22, 2020

Apr 2020

What Can Epic's Signal Data Tell Us...

What Can Epic's Signal Data Tell Us About EHR Satisfaction and Burnout?
Through the Signal tool, organizations using Epic have easy access to a wealth of user-level Physician Efficiency Profile (PEP) data, including in-depth data on how physicians use In Basket, orders, notes, and clinical review. Provider executives use this data to inform their informatics strategies and identify how users compare to peers in the Epic community. Leaders looking to improve EHR satisfaction and reduce burnout among their clinicians may wonder, Can this data be used to identify individual physicians who are struggling with the EHR?

Jacob Jeppson | Friday, April 17, 2020

Oct 2019

Achieving EHR Satisfaction in Any...

Achieving EHR Satisfaction in Any Specialty

Impact Report

Insights shared by over 30,000 physicians reveal that EHR satisfaction is highly variable across specialties. For example, pediatrics physicians have an average Net EHR Experience Score (a measurement of overall satisfaction similar to a net promoter score) of 24.0, but other specialties report much lower satisfaction (e.g., cardiology ^† with a score of 1.6).

Matt Brunken & Connor Bice | Wednesday, October 23, 2019

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

Jul 2019

Arch Collaborative Guidebook 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

Jun 2019

Improving EHRs Globally

Today, achieving EHR satisfaction is a global endeavor as digitization of patient records becomes more and more common throughout the world. This report aims to increase awareness of the similarities and differences in EHR challenges faced by US and non-US health systems. To date, 189 organizations across the globe have measured the feedback of their clinicians (totaling >90,000 responses) and have received benchmarking data comparing them to similar organizations. 13 of these organizations are outside the United States. Do non-US health systems have a different perception of their EHR compared to US organizations? And if there are differences, what can each group learn from the other?

In most ways, US and non-US health systems have similar experiences with their EHRs. For both groups, system reliability and internal integration are the two aspects of the EHR generating most satisfaction. The areas where more significant differences appear are efficiency (non-US health systems

Connor Bice | Friday, June 28, 2019

May 2019

2019 Summit Slides - Arch...

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.