The truth about declining clinician satisfaction with EPRs

As electronic patient records (EPRs)* become commonplace, there’s more we can learn from clinician feedback. It’s important to know what they think, because staff perception shapes satisfaction, adoption rates and ultimate success and impact with EPRs clinically and organizationally. It was a privilege to contribute to the recent article in HSS Journal about clinician satisfaction and its variability over time.  Working with an orthopedic teaching hospital moving from a paper-based system to an EPR, we found that clinicians were initially elated with the change. Then their satisfaction dropped. What a curious pattern, since anecdotally their satisfaction and adoption continued to rise. At first, this change in satisfaction sounded like a bad thing. No one wants to see EPR satisfaction decreasing, right? But after evaluating the results reported in this study, I’d argue it’s exactly what we should have anticipated we’d […]


CIO Bill Phillips on the value of HIMSS EMRAM

  • Steven Shaha, Ph.D., DBA
  • 10/22/2013

University Health System (UHS) of San Antonio, Texas, has earned a number of awards and distinctions over the years. In 2008 the academic medical center was one of the first healthcare organizations to achieve a prestigious Stage 6 in the HIMSS Analytics’ Electronic Medical Record Adoption Model (EMRAM). UHS has shown national leadership in early successes for integrating information flow and patient care from Ambulatory to Acute, as well as a host of other care locations and data sources outside of the immediate hospital.  Only 10% of hospitals hold this distinction in the U.S., and only 2% have achieved the final level, Stage 7. We recently interviewed UHS Chief Information Officer, Bill Phillips, for his perspective on EMRAM. Here are a few highlights from that interview:   Q. Why was achieving Stage 6 through HIMSS EMRAM important to UHS? A. […]