This document summarizes a survey of over 3,000 physicians about their experiences with electronic health records (EHRs) and meaningful use. Some of the key findings from the survey include: 1) Physician satisfaction with an EHR was highly correlated with involvement in the EHR selection process, 2) At least 3-5 days of EHR training was necessary to achieve the highest satisfaction levels, and 3) Nearly half of physicians received 3 days or less of training, which was insufficient for ease of use. The survey provides insights that can help optimize EHR selection and use.

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 2010 14,000
AAAAI Nov 2010 3,160
AOAMI (AOA) Dec 2010 15,755
IDSA Jan 2011 4,789
RPA Feb 2011 1,821
ACP Mar 2011 11,151
ACP July 2011 11,331
AAPA Aug 2011 Organic
ACR Oct 2011 3,427
ACS Nov 2011 11,542
ASCO Feb 2012 12,674

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
Specialty
Rating Filters
Benchmarks
Practice Size
Filters
EHR Ratings

14. Report: The Correlation of Training Duration with EHR
Usability and Satisfaction: Implications for Meaningful Use
• Published October 2011
• 2,384 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 – 600-800 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