In this podcast, I speak with Dr. William Dailey, a board-certified Family Practice Physician and Chief Medical Information Officer at Golden Valley Memorial Healthcare (Clinton, MO.) about their recent go-live with MEDITECH Expanse.
Clinician burnout is a topic we’ve covered in detail here on the MEDITECH blog, and for good reason. Long nights of excessive documentation are taking time away from clinicians, interfering with their relationships with patients.
We’ve compiled some recommendations from clinicians and industry leaders on how to address staff burnout.
A hot topic of conversation in the last few months has been the Annals of Family Medicine study observing that primary care physicians spend an average of 86 minutes of “pajama time” each night catching up on work from the day.
This study was co-written by researchers from the AMA, which brought to mind their 8 EHR Usability Principles that were published in 2014. At the time these principles were published, MEDITECH was delivering Expanse to our first early adopters, having had the foresight to see what was coming and redesign our software at a time when others were continuing to just add functionality on top of existing workflows.
When your institution decides to implement or upgrade your EHR system — and let’s face it, the question is no longer ‘if’ or ‘when,’ but ‘how’ — clarity of vision and an alignment of effort toward a successful strategy are often major challenges.
It’s no secret that one of the biggest challenges for doctors in healthcare today is physician burnout. A study by the Mayo Clinic found that 54.4 percent of responding doctors reported having at least one symptom of burnout and The Physicians Foundation found that nearly half, 49 percent, of the doctors surveyed said they “often or always experience feelings of burnout.” EHRs can be a contributing factor to this. According to a 2017 study, on average, physicians spent only 50 percent of their time on face-to-face interaction with patients, committing the rest of their time and energy to “desktop medicine.”
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.
A few months back, I attended a panel on big data at an industry conference, and the moderator asked, “What are some of the benefits of using big data and analytics?”
A panelist replied, “There is enormous value in knowing how many appointments and visits my providers have — we couldn’t answer that question a year ago.” And the whole time I’m thinking, haven’t we moved beyond something so basic? Most analytics articles I read cite the importance of big data along with its difficulties and challenges, but they don’t give concrete, practical examples of how it can be leveraged on a daily basis.
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.