The View From the Trenches What 3,000 Physicians Have told us About EHRs and Meaningful Use

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1 The View From the Trenches What 3,000 Physicians Have told us About EHRs and Meaningful Use Thomson Kuhn, Sr. Systems Architect, ACP Alan Brookstone MD, CEO Cientis Technologies February 23, 2012

2 Background Founded by the American College of Physicians and Cientis Technologies in July 2010 Supported by 16 additional professional societies and content partners, including HIMSS >13,000 registered members, representing more than 280,000 clinicians in member practices 69% members in practices of 10 clinicians or less Goals: Selection of appropriate EHRs Optimization and effective use of EHRs Collection of robust, real-time EHR usage data to assist with decision making and research

3 Participating Organizations Content Partner In Progress

4 Governance Four Advisory Groups Clinical Advisory Group EHR Vendor Advisory Group Professional Society Advisory Stakeholder Advisory

5 Survey Methodology Real-time satisfaction rating data collected from physicians, physician assistants, and nurse practitioners All nationally certified ambulatory EHR products Based on a 139-question online survey >84,000 members surveyed in 9 professional societies > 3,700 responses from users of EHRs

6 Members Surveyed (84,861 to date) Society Survey Conducted # Surveyed ACP April ,000 AAAAI Nov ,160 AOAMI (AOA) Dec ,755 IDSA Jan ,789 RPA Feb ,821 ACP Mar ,151 ACP July ,331 AAPA Aug 2011 Organic ACR Oct ,427 ACS Nov ,542 ASCO Feb ,674

7 Member Metrics & Dashboards

8 Top 10 Ratings (by Practice Size) n Value

9 EHR Product Ratings 12 Categories

10 Rating Benchmarks Benchmark

11 EHR Vendor Comparison Tool

12 Detailed Ratings for MU Criteria Menu Set Core Core Core Core Core Menu Set Menu Set

13 Progressive Enhancements in Quality and Specificity of Rating Data EHR Ratings Practice Size Filters Rating Benchmarks Specialty Filters

14 Report: The Correlation of Training Duration with EHR Usability and Satisfaction: Implications for Meaningful Use Published October ,384 of survey respondents had an EHR system and completed the entire survey 49 different specialties and sub-specialties in this sample 69% from physicians in practices of 10 or fewer clinicians All EHR products included in this report had received ONC- ATCB certification as of July 15, 2011 We cannot be certain that each survey respondent submitted responses for the ONC-ATCB certified version of a particular EHR

15 Key Finding # 1 - Overall satisfaction with an EHR was highly correlated with whether the respondent was involved in the EHR selection process.

16 Key Finding #2 - At least 3 5 days of EHR training was necessary to achieve the highest level of overall satisfaction.

17 Key Finding #3 - Nearly half (49.3%) of respondents indicated that they received 3 or fewer days of training

18 Key Finding #4 - Ratings on ease of use for basic EHR functions required for Meaningful Use continued to improve with 2+ weeks of training.

19 Key Finding #5 - Ratings of ease of use for specific Meaningful Use measures varied significantly

20 American EHR Content Partners An opportunity to communicate directly with doctors and other health care professionals who have an interest in health IT Content partners are not-for-profit or commercial organizations with expertise in healthcare informatics and areas such as standards development that have a mandate to develop neutral educational content to support selection, adoption and use of Electronic Health Records.

21 Participating Organizations Content Partner In Progress

22 Content Partners Value Proposition Successful health IT implementation involves far more than selecting and installing an EHR system. Content partners have the knowledge and expertise that practices need to be successful. American EHR Partners offers a vehicle to connect those who are actively seeking knowledge with authoritative knowledge sources.

23 Content Partner Opportunities Landing page - through which partners can promote their current and upcoming events or link to content that is relevant Podcasts - for practicing health care professionals on focused topics Webinars - providing opportunities to interact with participants

24 Content Partner Opportunities Blog authorship word posts. Topics relevant to our audience case studies highlighting the use of standards to produce better quality EHRs, records, communication, etc. ask the Expert blog contributions Partner positions regarding current public policy debates News items, announcements of partner activities and initiatives Opportunities to gather feedback from implementers Unstructured comments and replies to posed questions Opportunities to add questions to structured surveys

25 American EHR Content Partners Cost to participate? Zero. Next step? Become an American EHR Content Partner and start posting content.

26 Questions

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