Electronic health record impact on productivity and efficiency in an academic pediatric ophthalmology practice

Travis K. Redd, Sarah Read-Brown, Dongseok Choi, Thomas R. Yackel, Daniel C. Tu, Michael F. Chiang

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Purpose To measure the effect of electronic health record (EHR) implementation on productivity and efficiency in the pediatric ophthalmology division at an academic medical center.

Methods Four established providers were selected from the pediatric ophthalmology division at the Oregon Health & Science University Casey Eye Institute. Clinical volume was compared before and after EHR implementation for each provider. Time elapsed from chart open to completion (OTC time) and the proportion of charts completed during business hours were monitored for 3 years following implementation.

Results Overall there was an 11% decrease in clinical volume following EHR implementation, which was not statistically significant (P = 0.18). The mean OTC time ranged from 5.5 to 28.3 hours among providers in this study, and trends over time were variable among the four providers. Forty-four percent of all charts were closed outside normal business hours (30% on weekdays, 14% on weekends).

Conclusions EHR implementation was associated with a negative impact on productivity and efficiency in our pediatric ophthalmology division.

Original languageEnglish (US)
Pages (from-to)584-589
Number of pages6
JournalJournal of AAPOS
Volume18
Issue number6
DOIs
StatePublished - Dec 1 2014

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Ophthalmology

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