Evidence map›Paper›PMID 38657955›Full record

ArticleApplied clinical informatics2024

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

July Chen, Wei Ning Chi, Urmila Ravichandran, Anthony Solomonides, Jeffrey Trimark, Shilpan Patel, Bruce McNulty, Nirav S Shah, Stacy Brown

Abstract read
In one paragraph

Article in Applied clinical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

July ChenDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Wei Ning ChiDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Urmila RavichandranDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Anthony SolomonidesDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Jeffrey TrimarkDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Shilpan PatelDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Bruce McNultyDepartment of Emergency Medicine, Endeavor Health, Evanston, Illinois, United States.
Nirav S ShahDepartment of Medicine, Endeavor Health, Ridge Avenue, Evanston, Illinois, United States.
Stacy BrownDepartment of Obstetrics and Gynecology, Endeavor Health, Chicago, Illinois, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInefficient 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.

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

methodsNorthShore 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.

resultsSeventy-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.

conclusionOur 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.

Indexed as

Electronic Health RecordsHumansPersonal SatisfactionPhysicians

Identifiers

PMID38657955
PMCPMC11042915

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.