Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study

Pizziferri, Lisa; Kittler, Anne F.; Volk, Lynn A.; Honour, Melissa; Gupta, Sameer; Wang, Samuel; Wang, Tiffany; Lippincott, Margaret F.; Li, Qi; Bates, David W.

doi:10.1016/j.jbi.2004.11.009

Cited by 198 publications

(161 citation statements)

References 21 publications

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“…Management rules were introduced, direct observational studies measured between 13.4 and 19.3 minutes of mean face-to-face time, 15,17,18,23,24,30,31 which is similar to our result of 18.5 minutes. Our result is at the high end of this range, which may be explained by including resident physicians, additional EHR time in the exam room (2.0 minutes per visit), and more issues addressed per visit than most of the previous studies.…”

Section: Discussionsupporting

confidence: 87%

A Time-Motion Study of Primary Care Physicians’ Work in the Electronic Health Record Era

Young¹,

Burge

Kumar

et al. 2018

Fam Med

134

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BACKGROUND AND OBJECTIVES:Electronic health records (EHRs) have had mixed effects on the workflow of ambulatory primary care. In this study, we update previous research on the time required to care for patients in primary care clinics with EHRs. METHODS:We directly observed family physician (FP) attendings, residents, and their ambulatory patients in 982 visits in clinics affiliated with 10 residencies of the Residency Research Network of Texas. The FPs were purposely chosen to reflect a diversity of patient care styles. We measured total visit time, previsit chart time, face-to-face time, non-face time, out-of-hours EHR work time, and total EHR work time. RESULTS:The mean (SD) visit length was 35.8 (16.6) minutes, not counting resident precepting time. The mean time components included 2.9 (3.8) minutes working in the EHR prior to entering the room, 16.5 (9.2) minutes of faceto-face time not working in the EHR, 2.0 (2.1) minutes working in the EHR in the room (which occurred in 73.4% of the visits), 7.5 (7.5) minutes of non-face time (mostly EHR time), and 6.9 (7.6) minutes of EHR work outside of normal clinic operational hours (which occurred in 64.6% of the visits). The total time and total EHR time varied only slightly between faculty physicians, third-year and second-year residents. Multivariable linear regression analysis revealed many factors associated with total visit time including patient, physician, and clinic infrastructure factors.CONCLUSIONS: Primary care physicians spent more time working in the EHR than they spent in face-to-face time with patients in clinic visits. (Fam Med. 2018;50(2):91-9.)

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Section: Discussionsupporting

confidence: 87%

A Time-Motion Study of Primary Care Physicians’ Work in the Electronic Health Record Era

Young¹,

Burge

Kumar

et al. 2018

Fam Med

134

View full text Add to dashboard Cite

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“…Survey questions were adapted from previously published EMR-related surveys. 4,5,16,17,[23][24][25][26][27][28][29][30][31][32][33][34] This study was approved by the TriHealth Institutional Review Board prior to its initiation. Participants were informed that their responses would remain confidential and anonymous, and that only group results would be reported.…”

Section: Instrument/assessmentmentioning

confidence: 99%

Do electronic medical record (EMR) demonstrations change attitudes, knowledge, skills or needs?

Beiter¹,

Sorscher²,

Henderson³

et al. 2008

Journal of Innovation in Health Informatics

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Introduction Electronic medical records (EMRs) are the future of primary care. Transition to electronic records can have a significant impact on physicians, office staff, nursing staff and patients. There are no published EMR studies combining these four populations or studies that have evaluated the impact of EMR demonstrations. To better understand the impact of EMRs, an online survey was administered before and after EMR demonstrations. Methods A longitudinal cohort survey design was used to assess primary outcomes (attitudes, knowledge, skills and needs) related to EMRs in four populations that were divided into two groupsone of physicians and the other of nursing staff, office staff and patients. A total of 39 participants (19 physicians and 20 staff/patients) completed a pretest survey four weeks prior to and post-test surveys at four and ten weeks after EMR demonstrations. Mean composite scores for each primary outcome were calculated for each group and mean differences were calculated and compared within and between groups -from baseline to four weeks

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“…Literature reveals that in different sector like health sector this method is also used [23,24] shows the improvement of the bottleneck process in a lamp assembly line by applying the work study method, ECLS, and line balancing. The result shows the improvement for both product and operator.…”

Section: Literature Review Of Work Studymentioning

confidence: 99%

Productivity Improvement by Work Study Technique: A Case on Leather Products Industry of Bangladesh

Moktadir¹,

Ahmed²,

Fatema-Tuj-Zohra³

et al. 2017

Ind Eng Manage

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In Bangladesh, leather and leather products sector plays a vital role for economy development. Productivity improvement can be helped to enrich profit of a leather products industry by minimizing excess work and developing new method for particular operation. Now a day, productivity improvement is a popular topic for any kinds of industry. So that improving productivity is one of the main concerns of leather products industries. Work study is most important tools that can help to increase productivity in leather products industry. Hence, this study helps to identify the bottleneck and suggest appropriate system to improve productivity. For this purpose, method study has been carried out by applying questioning techniques concept where recording and critical analysis of all related information has been performed in particular production line. As a result considerable amount of work content is reduced in the new improved method. Then time study has been taken by stopwatch and determined the basic time for all operation sequences and the capacity of each workstation per day has been calculated. By applying method study and work measurement in the industry at production line-Surma for ladies bag, productivity has been improved by 12.71%.

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Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study

Cited by 198 publications

References 21 publications

A Time-Motion Study of Primary Care Physicians’ Work in the Electronic Health Record Era

A Time-Motion Study of Primary Care Physicians’ Work in the Electronic Health Record Era

Do electronic medical record (EMR) demonstrations change attitudes, knowledge, skills or needs?

Productivity Improvement by Work Study Technique: A Case on Leather Products Industry of Bangladesh

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