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EHR Use Satisfaction Higher at EMRAM Stage 7 Health Systems

Physicians at healthcare organizations that have achieved EMRAM Stage 7 report higher rates of EHR use satisfaction, reports KLAS.

Healthcare organizations that have achieved EMRAM Stage 7 report higher levels of physician EHR use satisfaction.

Source: Thinkstock

By Kate Monica

- Physicians at healthcare organizations that have achieved Stage 7 on the HIMSS electronic medical record adoption model (EMRAM) maturity model report higher levels of EHR use satisfaction, according to a recent KLAS report.

In collaboration with HIMSS Analytics, KLAS researchers used publicly reported data on 23,309 physicians from 248 hospitals that have achieved EMRAM Stage 6 and Stage 7 to see if there is a correlation between higher EMRAM scores and EHR use satisfaction.

Ultimately, researchers found physicians at EMRAM Stage 7 healthcare organizations who are utilizing full EHR functionality are more likely to report that their EHR system enables high quality care, includes necessary functionality, and successfully integrates with outside organizations.

“The good news for an industry working toward ubiquitous, full EHR adoption is that physicians who have the full tool set are more satisfied overall,” wrote authors in the report.

While physicians at EMRAM Stage 7 healthcare organizations report having a higher level of integration and overall functionality than their Stage 6 counterparts, physicians across organizations stated the health IT industry needs to make improvements in EHR usability, efficiency, and data analytics capabilities.

Physicians at EMRAM Stage 7 and EMRAM Stage 6 reported similar levels of satisfaction with the efficiency of their EHR technology, as well as the ease with which they were able to learn to use EHR functionality.

Additionally, researchers found physicians at EMRAM Stage 7 and 6 reported similar rates of satisfaction with their EHR systems’ ability to deliver patient-centered care.

Physician satisfaction with the quality of EHR use training also differs very little between Stage 7 and Stage 6 organizations.

“Physicians’ satisfaction with their initial and ongoing EHR training — which is a key predictor of their overall EHR satisfaction — is only slightly higher for Stage 7 organizations,” wrote KLAS.

“Since Arch Collaborative research has proven that higher-quality EHR training significantly improves EHR satisfaction, the lack of a difference in training quality highlights an opportunity for many Stage 7 organizations,” researchers continued.

However, physicians at Stage 7 organizations are more likely to engage in EHR customization and report higher levels of adoption of personalized EHR functionality options.

“All but three of the Stage 7 hospitals in this research use Epic (and Epic organizations at Stage 7 report higher EHR satisfaction than Epic organizations at Stage 6,)” KLAS stated.  

“The preponderance of Epic customers among the Stage 7 organizations in the sample likely explains a key trend we see in this research: physicians at Stage 7 organizations do a better job of adopting EHR personalizations,” researchers added.

More physicians at Stage 7 organizations are also satisfied with their health system’s ability to implement and support EHR technology.

“The Arch Collaborative has found that physician sentiment regarding the organization’s IT team is a major predictor of overall EHR satisfaction,” wrote KLAS.

“And this sentiment is impacted by whether physicians have access to the full informatics tool set — physicians at Stage 7 organizations are significantly more likely to agree that their organization’s leadership and IT teams have done a great job implementing and supporting the EHR,” continued authors of the report.

Finally, researchers found physicians at Stage 7 organizations report slightly higher levels of job fulfillment than those at Stage 6 organizations. About 85.9 percent of physicians at Stage 6 organizations are fulfilled in their jobs, while 86.5 percent of physicians at Stage 7 organizations reported feeling fulfilled.

“While this difference is very small, it is important to note that organizations that pursue a more comprehensive information technology offering do not risk hurting their physicians’ job fulfillment,” noted researchers.

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