Physician satisfaction with EHR varies by specialty, KLAS report finds

Physician satisfaction with EHR varies by specialty, KLAS report finds

According to KLAS researchers, physicians who are very satisfied with electronic health records are nearly five times more likely to say they will stay with their organization. The group with the highest EHR satisfaction score is hospital medicine and it should also be noted that enthusiasm for anesthesiology has declined.


KLAS Arch Collaborative’s Exploring EHR Satisfaction by Provider Specialty report finds Hospital Medicine, Pediatrics, Family Medicine, and Internal Medicine are the medical specialties with the highest EHR experience scores, compared to peers using the same EHR, while orthopedics and cardiology had some of the lowest EHR satisfaction scores.

Common frustrations encountered include EHR functionality, ability to provide quality care, and quality provider delivery.

The Arch Collaborative EHR Experience Survey examined key drivers of EHR satisfaction – system efficiency, functionality, impact on care and more, aggregating the results into an overall EHR Experience Net Score. KLAS used data from Cerner and Epic EHR because they alone provide a broad enough representation of specialized data for such a study, according to the report.

The specialty with the highest EHR satisfaction (compared to each vendor’s average) is the same for Cerner and Epic – hospital drug vendors scored more than 10 points above average for their respective EHRs .

These providers are satisfied with their training on the workflow, the functionality of the EHR and the ease of learning to use the system: 70% agreed that their EHR had the necessary functionality, while only 49% of doctors in cardiology and 47% in orthopedics said they had this impression.

There were similar results among these groups for agreement that the EHR was effective and enabled patient care.

The survey also found that some organizations that recently measured EHR satisfaction found abnormally high satisfaction scores in Anesthesiology, Cardiology, Gynecology and Obstetrics – and Orthopaedics.

Although anesthesiologists generally have overall satisfaction with EHR in the middle of the range, this specialty experienced the largest decrease in satisfaction over time of all the specialties examined in this research.

KLAS then conducted in-depth interviews with the anesthesiologists who reported abnormally high satisfaction to better understand what differentiates them from their less satisfied peers. The best practices that emerge from the analysis are:

  • Engage people in EHR governance to better understand EHR changes and the reasoning behind them

  • Enable vendors to ask IT, EHR analysts, or their peers for help with quick fixes and recommendations to be more effective with EHR

  • Provide extensive use of EHR customization tools to improve EHR usability and facilitate documentation

  • Implement EHR training, including required organizational trainings and self-learning opportunities, to increase EHR knowledge and understanding

“I’m committed to the process of change. I’ve seen many of my suggestions implemented in our version of Epic. I feel like I have more control over my work when I can influence my workflow. daily work,” said an anesthesiologist who participated in the further analysis.


For several years, researchers have observed that EHR usability and clinician burnout are linked, and EHR satisfaction is a factor in physicians’ decision to leave the profession.

But with the support of doctors, a Virginia organization has managed to turn the tide in 25 clinics with what it says is a scalable and repeatable solution. EHR Satisfaction Solution.

OrthoVirginia increased provider satisfaction with its EHR by offering more documentation options and a physician support specialist for every 40 providers. The specialists took care of a short individual accompaniment then extended to teaching.

“We realized we didn’t have enough active engagement with doctors. We knew we had to find a way to engage our doctors other than once a month sitting on a phone call,” said Terri Ripley. , CIO of OrthoVirginai, during a HIMSS20 presentation.


“While creating specialty-specific workflow training can take a lot of time and effort, providers who strongly agree their training was specialty-specific are almost 25 times more likely to to agree that the EHR has the functionality they need,” the researchers said. “Organizations and EHR providers can help all providers succeed with the EHR by ensuring that initial and ongoing training is tailored to the needs of different specialties.”

Andrea Fox is the editor of Healthcare IT News.

Healthcare IT News is a HIMSS publication.

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