Assessing the Impact of Electronic Health Records as an Enabler of Hospital Quality and Patient Satisfaction

Jarvis, B M; Johnson, Tricia J.; Butler, Peter; O’Shaughnessy, Kathryn; Fullam, Francis; Tran, L. Dang; Gupta, R. A.

doi:10.1097/acm.0b013e3182a36cab

Cited by 61 publications

(39 citation statements)

References 8 publications

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“…While our surgeons were satisfi ed with the choice of EHR and did not feel that it negatively impacted them personally, they indicated concern regarding the effect on patient satisfaction. In a cross-sectional retrospective analysis of hospitals under the Medicare Hospital Value-Based Purchasing Program, use of "advanced" EHRs did not detrimentally impact the patient experience (12). A separate multistudy review showed a positive or neutral assessment of patient experience with EHR use (13).…”

Section: Discussionmentioning

confidence: 99%

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Frazee

Harmon

Papaconstantinou

2016

Baylor University Medical Center Proceedings

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Section: Discussionmentioning

confidence: 99%

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Frazee

Harmon

Papaconstantinou

2016

Baylor University Medical Center Proceedings

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“…Explain what they are doing on computer (22) BHe puts something in the computer and then he'll explain to me what he's putting in.^118 (n = 15)…”

Section: Discussionmentioning

confidence: 99%

“…7 While most demonstrated a lack of change in the patient-provider relationship and high satisfaction with EMR use, concerns such as provider distraction by the computer and changes in non-verbal aspects of communication such as eye contact and long periods of silence were raised. [17][18][19][20][21][22][23] In addition, most studies were conducted prior to the 2013 Meaningful Use ACA mandates and rapid EMR adoption. 7 As more patients encounter their physicians using EMRs in the exam room after ACA implementation, they may be better primed to share their experiences on this timely issue.…”

Section: Introductionmentioning

confidence: 99%

Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study

et al. 2016

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BACKGROUND: While concerns remain regarding Electronic Medical Records (EMR) use impeding doctor-patient communication, resident and faculty patient perspectives post-widespread EMR adoption remain largely unexplored. OBJECTIVE: We aimed to describe patient perspectives of outpatient resident and faculty EMR use and identify positive and negative EMR use examples to promote optimal utilization. DESIGN: This was a prospective mixed-methods study. PARTICIPANTS: Internal medicine faculty and resident patients at the University of Chicago's primary care clinic participated in the study. APPROACH: In 2013, one year after EMR implementation, telephone interviews were conducted with patients using open-ended and Likert style questions to elicit positive and negative perceptions of EMR use by physicians. Interview transcripts were analyzed qualitatively to develop a coding classification. Satisfaction with physician EMR use was examined using bivariate statistics. RESULTS: In total, 108 interviews were completed and analyzed. Two major themes were noted: (1) Clinical Functions of EMR and (2) Communication Functions of EMR; as well as six subthemes: (1a) Clinical Care (i.e., clinical efficiency), (1b) Documentation (i.e., proper record keeping and access), (1c) Information Access, (1d) Educational Resource, (2a) Patient Engagement and (2b) Physical Focus (i.e., body positioning). Overall, 85 % (979/1154) of patient perceptions of EMR use were positive, with the majority within the BClinical Care^subtheme (n = 218). Of negative perceptions, 66 % (115/175) related to the BCommunication Functions^theme, and the majority of those related to the BPhysical Focus^subtheme (n = 71). The majority of patients (90 %, 95/106) were satisfied with physician EMR use: 59 % (63/107) reported the computer had a positive effect on their relationship and only 7 % (8/108) reported the EMR made it harder to talk with their doctors. CONCLUSIONS: Despite concerns regarding EMRs impeding doctor-patient communication, patients reported largely positive perceptions of the EMR with many patients reporting high levels of satisfaction. Future work should focus on improving doctors Bphysical focus^when using the EMR to redirect towards the patient.KEY WORDS: electronic health records; patient-centered care; physician patient relations; communication skills.

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“…Substantial strides have been made to study the success of HITs and their impact on patient care outcomes like care quality, patient satisfaction, and increased likelihood of adherence to medications [2][3][4][5] . But with the increase in data breaches and privacy concerns 6 , success of HITs is now also contingent on how well the privacy of patient medical data is secured.…”

Section: Introduction Backgroundmentioning

confidence: 99%

The Effectiveness of Health Care Information Technologies: Evaluation of Trust, Security Beliefs, and Privacy as Determinants of Health Care Outcomes (Preprint)

Kisekka¹,

Giboney²

2017

Preprint

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BackgroundThe diffusion of health information technologies (HITs) within the healthcare sector continues to grow. However, there is no theory explaining how HITs success influences patient care outcomes. And the increase in data breaches, HITs success now hinges on the effectiveness of data protection solutions. Yet still, empirical research has only addressed privacy concerns, with little regard for other factors of information assurance.

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Assessing the Impact of Electronic Health Records as an Enabler of Hospital Quality and Patient Satisfaction

Cited by 61 publications

References 8 publications

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Surgeons' Perspective of a Newly Initiated Electronic Medical Record

Patient Perceptions of Electronic Medical Record Use by Faculty and Resident Physicians: A Mixed Methods Study

The Effectiveness of Health Care Information Technologies: Evaluation of Trust, Security Beliefs, and Privacy as Determinants of Health Care Outcomes (Preprint)

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