Preparing your medical staff for an electronic health record implementation takes a lot of time and effort. A fundamental key to success is proper clinical communication strategies; taking into account everyone who is involved with patient care delivery, while ensuring constant dialogue about the implementation.

I hear it more and more from my colleagues: They’re feeling burnt out.

Studies of physician satisfaction find that doctors are reducing the number of patients they see, and report feelings of emotional exhaustion, loss of enthusiasm, and depersonalization of patient care. The most recent study by the Physicians Foundation found that nearly half, 49%, of the doctors surveyed said they “often or always experience feelings of burn-out [sic].”

 As Medical Director of Clinical Document Improvement at St. Joseph Health, it is my department’s responsibility to facilitate an accurate representation of a patient’s clinical status, which can be translated into useable, coded data. This data is then processed into quality reporting, physician report cards, public health data, disease tracking, and ultimately reimbursement. As a multi-specialty 380-bed hospital in Orange, CA, with one of the busiest Emergency Departments west of the Mississippi, getting our physicians to document has been an important responsibility.

Over the past few years at St. Joe’s, we’ve made it our goal to get our physicians to adopt best practices for documentation. Our IT staff cannot code from nurses’ notes, or from reports from the lab, radiology, EKG, or pathology. So in terms of useable data, if the physician didn’t personally document something, it didn’t happen.