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Appl Clin Inform 2024; 15(02): 313-319
DOI: 10.1055/s-0044-1786368
Research Article

Sprint-inspired One-on-One Post-Go-Live Training Session (Mini-Sprint) Improves Provider Electronic Health Record Efficiency and Satisfaction

July Chen
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Wei Ning Chi
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Urmila Ravichandran
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Anthony Solomonides
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Jeffrey Trimark
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Shilpan Patel
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
,
Bruce McNulty
2   Department of Emergency Medicine, Endeavor Health, Evanston, Illinois, United States
,
Nirav S. Shah
1   Department of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States
4   Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois, United States
,
Stacy Brown
3   Department of Obstetrics and Gynecology, Endeavor Health, Chicago, Illinois, United States
› Author Affiliations Funding This initiative was spearheaded by a PI as part of her professional responsibilities, who received funding from the hospital.
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Abstract

Background Inefficient electronic health record (EHR) usage increases the documentation burden on physicians and other providers, which increases cognitive load and contributes to provider burnout. Studies show that EHR efficiency sessions, optimization sprints, reduce burnout using a resource-intense five-person team. We implemented sprint-inspired one-on-one post-go-live efficiency training sessions (mini-sprints) as a more economical training option directed at providers.

Objectives We evaluated a post-go-live mini-sprint intervention to assess provider satisfaction and efficiency.

Methods NorthShore University HealthSystem implemented one-on-one provider-to-provider mini-sprint sessions to optimize provider workflow within the EHR platform. The physician informaticist completed a 9-point checklist of efficiency tips with physician trainees covering schedule organization, chart review, speed buttons, billing, note personalization/optimization, preference lists, quick actions, and quick tips. We collected postsession survey data assessing for net promoter score (NPS) and open-ended feedback. We conducted financial analysis of pre- and post-mini-sprint efficiency levels and financial data.

Results Seventy-six sessions were conducted with 32 primary care physicians, 28 specialty physicians, and 16 nonphysician providers within primary care and other areas. Thirty-seven physicians completed the postsession survey. The average NPS for the completed mini-sprint sessions was 97. The proficiency score had a median of 6.12 (Interquartile range (IQR): 4.71–7.64) before training, and a median of 7.10 (IQR: 6.25–8.49) after training. Financial data analysis indicates that higher level billing codes were used at a greater frequency post-mini-sprint. The revenue increase 12 months post-mini-sprint was $213,234, leading to a return of $75,559.50 for 40 providers, or $1,888.98 per provider in a 12-month period.

Conclusion Our data show that mini-sprint sessions were effective in optimizing efficiency within the EHR platform. Financial analysis demonstrates that this type of training program is sustainable and pays for itself. There was high satisfaction with the mini-sprint training modality, and feedback indicated an interest in further mini-sprint training sessions for physicians and nonphysician staff.

Keywords

electronic health records - EHR usability - training - physician informaticist - sprint - burnout - provider satisfaction - efficiency

Protection of Human and Animal Subjects

This study was submitted to the Institutional Review Board at Endeavor Health and was deemed to be an exempt quality improvement study.




Publication History

Received: 10 November 2023

Accepted: 14 March 2024

Article published online:
24 April 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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