EHR Personalization: Improving Physician Satisfaction & Efficacy

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.
Except for physicians who utilize both dictation/transcription and direct entry, those who rely solely on one documentation method, regardless of its nature, generally report lower levels of burnout. Furthermore, physicians employing multiple documentation approaches are more prone to attribute their burnout to after-hours charting compared to those employing a single documentation method. As previously mentioned, physicians using dictation/transcription or speech recognition tend to experience reduced burnout but not an increase in EHR satisfaction, likely due to these methods disconnecting users from the EHR rather than promoting mastery of it.

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