Three Features that Make an EHR User Friendly
Published on Physicians Practice (http://www.physicianspractice.com)
Three Features that Make an EHR User Friendly
Blog [1] | September 26, 2014 | EHR [2], Health IT [3]
By Zach Watson [4]
It’s often difficult to find specific explanations of what makes an EHR user friendly. Still, physician
feedback is pointing to three important features.
Source: Physicians Practice
What makes a usable EHR system? The answer seems to have eluded many EHR vendors, because
repeated surveys report satisfaction with these systems has yet to reach a majority in the physician
community. Medscape’s recent EHR report represents the latest round of statistics, and it reports
that only around 42 percent of physicians are satisfied with their current vendor.
While it’s true that certain providers are opposed to converting their patient records into electronic
form, there's a lot more that is driving physician dissatisfaction with EHRs.
One of the biggest problems is that many EHRs are designed like enterprise software, meaning users
can accomplish tasks but only after hours of training and frustration. Fortunately, a new focus on
usability could change that.
Defining usability in EHRs
The International Organization for Standardization defines usability as “the extent to which a product
can be used by specific users to achieve specific goals with effectiveness, efficiency, and
satisfaction.”
Usability isn’t about flashy design or features; it’s about accomplishing goals with simplicity.
A 2013 survey by IDC Health revealed the seven most common causes of EHR dissatisfaction among
ambulatory providers. Four of them are directly related to usability:
• Electronic documentation that required more time than filling out paper charts
• A poor user experience
• Loss of productivity due to spending more time with the EHR
• Frustration from using a clunky user interface
It’s often difficult to find specific explanations of what makes an EHR usable. Many notable resources
outline principles for usability, but principles don’t always accurately paint a picture of what features
to be in a product.
Fortunately, physicians themselves have provided direction.
Data-backed usability
Medscape’s aforementioned report also gathered feedback about EHR ease of use. The top three
systems in descending order were:
Amazing Charts
Practice Fusion
VA – CPRS.
Yes, the VA health system placed in the top three, beating out EPIC, eClinicalWorks, and a host of
other market leaders.
It even had the highest score for ease of data entry.
What unifying factors make these three systems so functional? It’s certainly not design. While
Practice Fusion has a nice enough interface, Amazing Charts has definitely opted for a stripped down
appearance, and the VA-CPRS system looks, well, underwhelming.
Let’s examine three prominent features that all three share.
1. Customization and free text options
A usable system helps its user achieve their goals without unnecessary complexity. Some providers
still reminisce about the ease of paper charts because paper charts didn’t require five clicks to fill
out one portion of a SOAP note. All three systems attempt to reduce the amount of clicks necessary
to input information while still allowing users to create diagnosis templates that paste into the
required fields.
These systems also allow physicians to enter free text if they need to. The assumption that point and
click alone will result in increased efficiency simply isn’t true.
2. Reduction of steps
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Three Features that Make an EHR User Friendly
Published on Physicians Practice (http://www.physicianspractice.com)
In describing the failure of enterprise software, Deloitte consultant Jaco Van Eeden says, “The goal
should be to build an interface to all of these systems that, upon login, provides users with access to
50 percent of the functions they require to do their jobs. Within two clicks of the login screen, they
should be able to access 80 to 90 percent of their job function.”
Again, all three of these systems outpace their competition by eliminating redundancy. The sheer
monotony and repetitive nature of recording clinical information has become a familiar refrain for
many EHR users. The VA’s system may look like a relic, but residents can use it with efficiency.
3. Mirroring expectation
In general, technology systems are only usable because they allow users to execute actions in a
manner they’re accustomed to. While this is somewhat difficult for EHRs because no precedent
exists from which to draw, providers do expect systems to fit into their work flow.
For example, the ease with which providers can send orders to nurses or administrative staff from
within the interface of the EHR makes a huge difference. Clicking through a sea of pop ups to
transmit a prescription isn’t the way these systems should work. Amazing Charts has even set up its
patient profiles to mimic paper charts.
So while the well-established dissatisfaction of physicians with EHRs does have logical grounding due
to a substantial number of poorly constructed systems, it is possible to find platforms that do
prioritize usability. The key lies in simple functionality, rather than design or even comprehensive
feature sets.
Source URL: http://www.physicianspractice.com/blog/three-features-make-ehr-user-friendly
Links:
[1] http://www.physicianspractice.com/blog
[2] http://www.physicianspractice.com/ehr
[3] http://www.physicianspractice.com/health-it
[4] http://www.physicianspractice.com/authors/zach-watson
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