![]() KLAS partnered with health systems to pilot research surveys. KLAS, an independent health information technology firm, began the Arch Collaborative in 2017 to measure and establish a benchmark for the clinician EHR experience. Better understanding these measures will allow healthcare organizations to more effectively focus efforts to mitigate physician burnout. Using KLAS Arch Collaborative survey responses from 25 018 physicians (MD/DO) at 213 organizations throughout the United States, we aimed to quantify the extent to which EHR satisfaction factors, namely after-hours charting and organizational EHR support, are associated with self-reported burnout overall and by physician specialty. The effect of EHRs on physicians could vary depending on how the EHR is implemented and supported within an organization, but there is little data to support this idea. The narrow scope of these studies limits their generalizability and precludes the possibility of examining the impact of individual organizations. 12–16Įxisting literature examining the associations between burnout and the EHR is limited to specific medical specialties or select healthcare organizations. 8–11 The amount of time spent on EHRs doing nonclinical work and documentation outside regular clinic hours are also associated with physician burnout. 5 Specifically, evidence suggests that poor electronic health record (EHR) usability, high volume of patient call messages, and time-consuming data entry contribute to professional dissatisfaction. Too many bureaucratic tasks (55%) and the increasing computerization of practice (30%) were among the top responses. 7Ī national report quantified top contributors to burnout based on the frequency with which each answer choice was selected. 5, 6 The US economic burden of turnover and reduced clinical hours attributable to physician burnout is estimated to be $4.6 billion each year. ![]() 2–4 Physician burnout is recognized as a significant problem with associated morbidity and mortality, including poor clinical care, medical mistakes, physicians leaving medicine, and suicide. 1 The prevalence of US physician burnout was 43.9% in 2017, which was higher than among other working adults. ![]() ![]() Efforts to reduce after-hours charting and improve organizational EHR support could help address physician burnout.Įlectronic medical record, health information technology, emotional exhaustion, Pajama time, usability, optimization INTRODUCTIONīurnout, a syndrome of emotional exhaustion, depersonalization, and a low sense of personal accomplishment, is a common problem among US physicians. Physicians who agree that their organization has done a great job with EHR implementation, training, and support (aOR: 2.14, 95% CI: 2.01, 2.28) were also twice as likely to report lower scores on the burnout survey question compared to those who disagree. ![]() Physicians reporting ≤ 5 hours weekly of after-hours charting were twice as likely to report lower burnout scores compared to those charting ≥6 hours (aOR: 2.43, 95% CI: 2.30, 2.57). We examined how these relationships differ by medical specialty, adjusting for confounders. Using the KLAS Arch Collaborative’s large-scale nationwide physician (MD/DO) data, we used ordinal logistic regression to analyze associations between self-reported burnout and after-hours charting and organizational EHR support. However, less is known about how modifiable dimensions of EHR use relate to burnout and how these associations vary by medical specialty. Poor electronic health record (EHR) usability and time-consuming data entry contribute to burnout. In 2017, 43.9% of US physicians reported symptoms of burnout. ![]()
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