Journal of Healthcare Management - March/April 2014 - (Page 136)

J o u r n al of H ealt H care M anage Ment 59:2 M arcH /a pril 2014 TA B L E 2 Parts of the EHR Most Frequently Viewed, by Role (%) (n = 591) Documentation Type Advanced Clinical Ancillary Discharge Nurse Caregivers Planners Prescriber Bedside RN Manager Diagnostic Results 97 97 88 96 76 81 89 Physician Orders 81 94 83 88 84 81 86 History and Physical 96 85 74 100 85 92 84 Physician Progress Notes 94 84 73 100 85 92 83 Patient Work List 7 90 72 33 54 46 63 summaries were often or frequently reviewed 57% of the time by all groups, and 60% by bedside nurses. The summary version developed for physicians was accessed frequently by 23% of prescribers; medication summaries were reportedly viewed by 65% of that group. All sign-off purposes (19%). Table 4 lists reasons for access by type of clinician. How do clinical practitioners use information from the EHR in their practice? Respondents were asked how they use the information they review in the EHR. The results showed that prescribers (95%) and bedside registered nurses (RNs) (86%) most commonly used the information to make clinical decisions for the patient, while diagnostic professionals rarely (15%) used information for this purpose. The most common reason to access the information was to gain an understanding of the overall condition of the patient (84%), and the least common reason was for review and What information from the EHR are practitioners using when caring for patients? Respondents were provided a list of common data elements in the EHR and asked which elements were most important to them when caring for a patient. Results from subjects in the IP group indicated that Vital Signs, Weight/ Height/BMI, and Diagnostic Tests (51%) were perceived as most important by all roles, closely followed by History (50%). These results were consistent among prescribers (58%), bedside RNs (56%), advanced clinical nurse practitioners (64%), and discharge planners (92%), all of whom noted that these data elements were important when providing care to patients. The diagnostic professionals indicated that none of these data elements were important to their provision of care. Low responses 136

Table of Contents for the Digital Edition of Journal of Healthcare Management - March/April 2014

Journal of Healthcare Management - March/April 2014
Contents
Interview With Marna P. Borgstrom, FACHE, President and Chief Executive Officer, Yale New Haven Health System, and Chief Executive Officer, Yale-New Haven Hospital, Connecticut
Specialties: Missing in Our Healthcare Reform Strategies?
Costs and Benefits of Transforming Primary Care Practices: A Qualitative Study of North Carolina’s Improving Performance in Practice
Governing Board, C-suite, and Clinical Management Perceptions of Quality and Safety Structures, Processes, and Priorities in U.S. Hospitals
Use of Electronic Health Record Documentation by Healthcare Workers in an Acute Care Hospital System
Why Hospital Improvement Efforts Fail: A View From the Front Line

Journal of Healthcare Management - March/April 2014

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