TY - JOUR
T1 - Metrics for assessing physician activity using electronic health record log data
AU - Sinsky, Christine A.
AU - Rule, Adam
AU - Cohen, Genna
AU - Arndt, Brian G.
AU - Shanafelt, Tait D.
AU - Sharp, Christopher D.
AU - Baxter, Sally L.
AU - Tai-Seale, Ming
AU - Yan, Sherry
AU - Chen, You
AU - Adler-Milstein, Julia
AU - Hribar, Michelle
N1 - Publisher Copyright:
© The Author(s) 2020
PY - 2020/4/1
Y1 - 2020/4/1
N2 - Electronic health record (EHR) log data have shown promise in measuring physician time spent on clinical activities, contributing to deeper understanding and further optimization of the clinical environment. In this article, we propose 7 core measures of EHR use that reflect multiple dimensions of practice efficiency: total EHR time, work outside of work, time on documentation, time on prescriptions, inbox time, teamwork for orders, and an aspirational measure for the amount of undivided attention patients receive from their physicians during an encounter, undivided attention. We also illustrate sample use cases for these measures for multiple stakeholders. Finally, standardization of EHR log data measure specifications, as outlined here, will foster cross-study synthesis and comparative research.
AB - Electronic health record (EHR) log data have shown promise in measuring physician time spent on clinical activities, contributing to deeper understanding and further optimization of the clinical environment. In this article, we propose 7 core measures of EHR use that reflect multiple dimensions of practice efficiency: total EHR time, work outside of work, time on documentation, time on prescriptions, inbox time, teamwork for orders, and an aspirational measure for the amount of undivided attention patients receive from their physicians during an encounter, undivided attention. We also illustrate sample use cases for these measures for multiple stakeholders. Finally, standardization of EHR log data measure specifications, as outlined here, will foster cross-study synthesis and comparative research.
KW - Burnout
KW - Ehr log data
KW - Metric
KW - Operational efficiency
KW - Time studies
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U2 - 10.1093/jamia/ocz223
DO - 10.1093/jamia/ocz223
M3 - Review article
C2 - 32027360
AN - SCOPUS:85082145853
SN - 1067-5027
VL - 27
SP - 639
EP - 643
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 4
ER -