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Novel Metrics for Improving Professional Fulfillment
Annals of Internal Medicine ( IF 39.2 ) Pub Date : 2017-10-10 , DOI: 10.7326/m17-0658
Yumi T. DiAngi 1 , Tzielan C. Lee 1 , Christine A. Sinsky 1 , Bryan D. Bohman 1 , Christopher D. Sharp 1
Affiliation  

Measurement abounds. Indeed, many ambulatory care providers feel besieged by the financial, quality, and service metrics that pervade their professional lives. Relatively new to this landscape are measurements from the electronic health record (EHR), which include practice efficiency scores that create a window on the clinician's workflow. In this article, we propose a set of EHR-related metrics that provide further insight into the clinician experience.
The EHR, which was intended to improve patient care, has had the ironic and unintended consequence of impairing practice efficiency, largely because of poor design, a focus on regulatory reporting, and the burden placed on clinicians by data entry (1). These problems can be addressed with better designs, new technologies, and better use of other members of the clinical team, which would in turn improve provider satisfaction (2), particularly for front-line clinicians who are experiencing high levels of burnout.


中文翻译:

改善专业水平的新颖指标

测量比比皆是。的确,许多门诊医疗服务提供者感到困扰于遍布其职业生活的财务,质量和服务指标。相对较新的是来自电子健康记录(EHR)的测量结果,其中包括实践效率得分,这些得分为临床医生的工作流程创造了一个窗口。在本文中,我们提出了一组与EHR相关的指标,这些指标提供了对临床医生经验的进一步了解。
EHR旨在改善患者的护理水平,但具有讽刺意料的结果是实践效率降低,这在很大程度上是由于设计不佳,侧重于监管报告以及数据输入给临床医生带来的负担(1)。这些问题可以通过更好的设计,新技术以及更好地利用临床团队的其他成员来解决,这反过来又可以提高医疗服务提供者的满意度(2),特别是对于那些正处于倦怠状态的一线临床医生而言。
更新日期:2017-10-10
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