Association between evidence-based training and clinician proficiency in electronic health record use.

Journal Article (Journal Article)

Objectives

The purpose of the study was to determine if association exists between evidence-based provider training and clinician proficiency in electronic health record (EHR) use and if so, which EHR use metrics and vendor-defined indices exhibited association.

Materials and methods

We studied ambulatory clinicians' EHR use data published in the Epic Systems Signal report to assess proficiency between training participants (n = 133) and nonparticipants (n = 14). Data were collected in May 2019 and November 2019 on nonsurgeon clinicians from 6 primary care, 7 urgent care, and 27 specialty care clinics. EHR use training occurred from August 5 to August 15, 2019, prior to EHR upgrade and organizational instance alignment. Analytics performed were descriptive statistics, paired t-tests, multivariate correlations, and hierarchal multiple regression.

Results

For number of appointments per 30-day reporting period, trained clinicians sustained an average increase of 16 appointments (P < .05), whereas nontrained clinicians incurred a decrease of 8 appointments. Only the trained clinician group achieved postevent improvement in the vendor-defined Proficiency score with an effect size characterized as moderate to large (dCohen = 0.625).

Discussion

Controversies exist on the return of investment from formal EHR training for clinician users. Previously published literature has mostly focused on qualitative data indicators of EHR training success. The findings of our EHR use training study identified EHR use metrics and vendor-defined indices with the capacity for translation into productivity and generated revenue measurements.

Conclusions

One EHR use metric and 1 vendor-defined index indicated improved proficiency among trained clinicians.

Full Text

Duke Authors

Cited Authors

  • Hollister-Meadows, L; Richesson, RL; De Gagne, J; Rawlins, N

Published Date

  • March 2021

Published In

Volume / Issue

  • 28 / 4

Start / End Page

  • 824 - 831

PubMed ID

  • 33575787

Pubmed Central ID

  • 33575787

Electronic International Standard Serial Number (EISSN)

  • 1527-974X

International Standard Serial Number (ISSN)

  • 1067-5027

Digital Object Identifier (DOI)

  • 10.1093/jamia/ocaa333

Language

  • eng