When Less Is More: A Guide to EHR De-Implementation
Is your EHR doing too much? With 44% of physicians reporting weekly signs of burnout, consider not only what your EHR should do–but also what it should stop doing. According to the American Medical Association, “de-implementing” unneeded tasks, clicks, notifications, and requests can save hours of clinical time each week, reducing administrative burden and saving valuable resources.
Involving clinical staff in EHR planning helps ensure that workflows align with physicians’ needs. But even well-designed EHR platforms can overburden physicians with unnecessary administrative tasks. Often, these inefficiencies are revealed after a system has been in use for some time. Over months and years, administrative tasks that were deemed essential are revealed to be unneeded.
Of course, physicians aren’t the only group burdened by inefficient or unnecessary EHR tasks. De-implementing unneeded clicks and processes helps support hospital staff, too. Unneeded clicks, requests, and requirements burden staff and slow down business operations, billing, laboratory services, and more.
Whether you’re planning a new EHR implementation or optimizing an existing system, consider reducing or eliminating these tasks to save clinical resources:
Alerts and Notifications
Evaluate automatic alerts; keep only those shown to be necessary and beneficial
Reduce inbox notifications, including multiple notifications for the same test
Consider auto-release of normal and abnormal test results to the patient portal
Eliminate notifications about reports sent to the person generating the report
Logins and Passwords
Simplify login processes with options like bioidentification and RFID proximity identification
Consider annual attestation instead of daily or every-login attestations as allowed by law
Extend time before auto-logout to reduce the need for multiple logins within a single workflow
Decrease password-related burdens by eliminating requirements for password revalidation and using password keeper programs
Notes and Orders
Employ AI to help prioritize clinically relevant information in patient notes
Reduce clicks and hard-stops in ordering by reducing unnecessary fill fields
Optimize order entry by auto-populating fields with data already in the EHR
Allow verbal orders in low-risk and crisis situations as legally permitted
Compliance, Quality Assurance, and Learning
Eliminate signature requirements for forms and orders that do not legally require a physician signature
Consider eliminating “challenge questions” to electronically sign orders when the user is already logged in and actively using the EHR
Evaluate annual trainings and remove those not required by law or lacking in evidence
Perform condition screens no more frequently than recommended, and include a grace period to prevent wasting clinical resources
Let’s talk about creating a more efficient EHR. Learn more about Tegria’s EHR Solutions and get in touch.