Arch Collaborative Guidebook Principles – EHR Satisfaction Pillars

With over 240 organizations participating and over 170,000 clinical questions answered, the Arch Collaborative is getting answers on how to improve the clinical EHR experience. Many organizations have been measured twice, and the majority of them have seen statistically significant improvements since their first measurements, as seen in a report from earlier this year titled “The Science of Improving the EHR Experience.” The data continues to support the idea that there are three main pillars to EHR satisfaction:

  1. Strong user mastery
  2. Shared ownership
  3. Meeting unique user needs through personalization

These three points of importance are not anything surprising or new to us at KLAS, but we continue to develop new guidelines for clinicians, including both physicians and nurses, to increase EHR satisfaction. 


EHR Personalizations Are Key

Personalizations have always been very important to the EHR experience of both physicians and nurses. It is important to help the clinicians master the use of their EHR so that they can tailor the system to themselves. It is important to shift the EHR from just being a data entry tool to being a tool that can improve the overall individual workflow of providers. Data such as the percentage of personalizations utilized can also even be an indicator of where training could be needed. Arch Collaborative data can help organizations break down the areas where help is needed when it comes to personalizations.


Governance and a Deeper Dive into the Nurse Experience

KLAS has recently been taking a deeper dive into the nurse EHR experience, and we have come across some interesting insights. For example, organizations that have nurses involved with EHR governance tend to have higher satisfaction scores, but only about a third of organizations currently have nurses on their boards. Involving nurses in EHR governance can significantly improve EHR satisfaction among all clinicians.


Finding A Balance in Training

Training is such an important part of any clinician’s EHR experience and satisfaction levels. Our data shows that it is important for provider organizations to find a balance when it comes to training. For example, providing three to five hours of ongoing EHR education annually might be a sweet spot—offering fewer hours than that is correlated with significant drops in satisfaction while offering more doesn’t seem to yield a greater benefit. Our Arch Collaborative data and this webinar break down some additional guidelines for organizational EHR training.


New Guidebook

KLAS recently published the Arch Collaborative Guidebook 2020, which goes over some of the new Arch Collaborative highlights in detail. Read more about the data points in the guidebook, and watch more of the webinars from the Arch Collaborative virtual summit to learn more and hear examples of successful EHR use among high-performing organizations. 



Photo Credit: Adobe Stock, Rido