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

doi:10.1016/j.jaapos.2014.08.002

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

School Of Public Health

Research output: Contribution to journal › Article › peer-review

22 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 language	English (US)
Pages (from-to)	584-589
Number of pages	6
Journal	Journal of AAPOS
Volume	18
Issue number	6
DOIs	https://doi.org/10.1016/j.jaapos.2014.08.002
State	Published - Dec 1 2014

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Ophthalmology

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10.1016/j.jaapos.2014.08.002

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title = "Electronic health record impact on productivity and efficiency in an academic pediatric ophthalmology practice",

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.",

author = "Redd, {Travis K.} and Sarah Read-Brown and Dongseok Choi and Yackel, {Thomas R.} and Tu, {Daniel C.} and Chiang, {Michael F.}",

note = "Publisher Copyright: {\textcopyright} 2014 American Association for Pediatric Ophthalmology and Strabismus.",

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AU - Redd, Travis K.

AU - Read-Brown, Sarah

AU - Choi, Dongseok

AU - Yackel, Thomas R.

AU - Tu, Daniel C.

AU - Chiang, Michael F.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - 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.

AB - 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.

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

Abstract

ASJC Scopus subject areas

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