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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