Quillen Physicians EHR
  • Home
  • Population Health
  • Opioid Documents
  • Family Medicine
  • Tips & Tricks Weekly
  • V.20 Training Home Page
  • V.20 Training: Logging On
  • V.20 Basic Changes
  • V.20 Schedule
  • V.20 Chart
  • V.20 Notes
  • V.20 Rx
  • V.20 Tasks
  • Prenatal
  • Physical Therapy
  • Medical Abbreviations
  • Nurse Training Documentation
  • Training Videos
  • Coding
  • Lactation

Meaningful Use 201: I Can't Get No...Professional Satisfaction

11/5/2013

3 Comments

 
Picture
In a recent study conducted by RAND Health, “Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy,” I think it’s no surprise to most EHR users that EHRs were listed among those factors, and, dare I say it, meaningful use was listed as well.

But that’s not to say that EHRs and meaningful use were only listed as adherences to professional satisfaction; in fact, the study shed some light on how physicians would like to see both EHRs and government programs improved. 

The study, commissioned by the American Medical Association, is being used as part of the group’s objective to “advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction.” The hope in seeking such change is to produce a better health care system with highly motivated physicians. RAND sought to “identify high-priority determinants of professional satisfaction,” especially as more physicians are becoming affiliated with hospitals and larger delivery systems. The data was gathered from 30 physician practices in six states using both surveys and interviews. Notably, researchers discovered that physicians who considered themselves or practices as providing high-quality care reported better professional satisfaction. Primary care physicians in particular were most frustrated when “demands for greater quantity of care” cut down on the time spent with patients, and in some cases, distracted them from delivering the quality of care being measured. 

Listed as both “promising” and “frustrating,” the major concerns about electronic health records were interoperability between systems and the amount of provider time involved in data entry. Physicians surveyed liked the “idea” of an EHR but the “cons” of current systems far outweighed the “pros”:

Pros 
  • accessibility to patient records 
  • improvements in quality of care 

Cons 
  • poor usability, 
  • time-consuming data entry, 
  • interference with face-to-face patient care, 
  • inefficient and less fulfilling work content (creativity),
  • inability to exchange health information, 
  • degradation (damaging ) of clinical documentation.



In addition to EHRs, another source of frustration for physicians was the cumulative burden of regulations, and, at the time of the study, had “meaningful use" rules for EHRs topping the list. 

Although the AMA’s intent for the RAND study is commendable, the study probably didn’t reveal anything too new for current users of EHRs or participants in the meaningful use incentive pro- gram. Perhaps, however, if the study is placed in the hands of those persons designing or implementing EHRs or writing or passing laws concerning the use of EHRs, the study may prove useful, namely concerning the recommendations made about improving professional satisfaction. Recommendations of the study specifically concerning EHRs and regulations included the following:

1. Better EHR usability should be an industry-wide priority and a precondition for EHR certification. 
2. Reducing the cumulative burden of rules and regulations may improve professional satisfaction and enhance physicians' ability to focus on patient care.

So, until these recommendations are implemented, what should physicians and healthcare providers do to improve their current situation? I would first recommend a change of tune.

If you’ve been humming along to the Rolling Stones,

And he’s tellin’ me more and more
About some useless information, 
Supposed to fire my imagination.
I can’t get no, oh no, no, no,

Hey, hey, hey, that's what I say. 

I can't get no satisfaction.
I can't get no satisfaction. 

Cause I try and I try and I try.....

Picture
How about a different song? 

At first, I was afraid, I was petrified
Kept thinking, I could never live without paper charts by my side.
But then I spent so many nights thinking, how you did me wrong,
And I grew strong, and I learned how to get along with the EHR. 

It took all the strength I had not to fall apart. 

Kept trying hard to mend the pieces of my broken chart,
And I spent, oh, so many nights just feeling sorry for myself. 

I used to cry, but now I hold my head up high,
And you see me, somebody new!
I'm not that chained up little person still in love with paper charts. 

Oh, no, not I, I will survive!
Oh, as long as I know how to click, I know I'll stay alive.
I've got all my life to click, I've got all my knowledge to give.
And I'll survive, I will survive, I will survive! 


(Adapted from Gloria Gaynor’s I Will Survive.)

3 Comments
top college writing link
1/18/2018 10:05:51 pm

Unavoidably is happen that associates battled in light of some reason and these reason are to an amazing degree horrendous and not have any honest to goodness reason I like your article and you procedure for treating with your sidekicks you are wouldn't stress your iPhone or iPad for your mates.

Reply
essayuniverse.net link
1/21/2018 02:45:36 am

I think this picture is some kind of movie front page, which author share information with this blog readers. People like different movies, some like action and some like horror and also some like this kind of movies which show the social topic of country.

Reply
steam gift card codes link
9/28/2018 05:41:44 am

thanks a lot for sharing

Reply



Leave a Reply.

    Home

    Authors

    The Quillen EHR Green Team
    Bridget Garland
    Monaco Briggs
    Tracy Jones
    Jennifer Logan

    Archives

    July 2014
    April 2014
    March 2014
    January 2014
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    March 2013
    January 2013
    December 2012
    November 2012
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    February 2012
    January 2012

    Categories

    All
    Clinical Quality Measures
    Clinical Summary
    Core Objectives
    Meaningful Use
    Medications
    Patient Care
    Security
    Stage 2
    Stage 3
    Workflows
    Zombies

    RSS Feed

Follow My Health log in
What did my doctor mean by that?
Find an ETSU Provider
Photo used under Creative Commons from john.schultz