Doctor Becomes Typist Final Project Presentation Carmen Price

Charting Tools (CTs) Feature of electronic medical record (EMR) Feature of electronic medical record (EMR) Doctors type patient reports Doctors type patient reports Type using forms, menus, check boxes Type using forms, menus, check boxes

Administration’s Position Administration likes the idea of CTs Patient information available quickly Patient information available quickly Reduces/eliminates clerical labor costs Reduces/eliminates clerical labor costs

Doctor’s Position Doctor’s don’t like CTs Long clinic days Long clinic days Mountains of paper work Mountains of paper work “I didn’t go to medical school to be a stenographer.” “I didn’t go to medical school to be a stenographer.”

Doctor’s Concerns It will take longer to type my reports. It will take longer to type my reports. I won’t be able to personalize my reports I won’t be able to personalize my reports It’s distracting to type in front of patients It’s distracting to type in front of patients

Bias or Reality? Bias or Reality? Fear of change Fear of change Fear of new technology Fear of new technology Reaction to being told what to do Reaction to being told what to do Or…….would training and use make a difference

Question Question Did doctors’ acceptance of charting tools change after training and use? Did doctors’ acceptance of charting tools change after training and use?

Method- Survey Before/after training Before/after training Sent to 360 HealthPartners doctors Sent to 360 HealthPartners doctors 109 responses, 30% 109 responses, 30% Training pushed back to 2005/2006 Training pushed back to 2005/ doctors before/after survey

Before/After Comparison Small, but representative sample Small, but representative sample Before training Before training - 19/31 responses or 61% After training After training - 12/31 responses or 39%

Results There was a shift towards acceptance of charting tools after training/use.

Will It Be Quicker to Type My Reports?

Can I Personalize My Reports?

Will Typing Be Distracting to My Patients?

Will CTs Impact My Opinion Overall?

Summary Projection difficult with small sample size. Projection difficult with small sample size. Shift towards acceptance after training Shift towards acceptance after training CTs play a large role in overall acceptance of EMR CTs play a large role in overall acceptance of EMR

Recommendations Continue same training strategy Continue same training strategy Continue to collect data Continue to collect data Introduction of additional technologies if trend continues Introduction of additional technologies if trend continues

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