"D/C the CC (Carbon Copy)" - Improving the EHR Signal-to-Noise Ratio for Clinicians by Selective Feature De-Implementation

Ling Chu; Seth M Toomay; Cameron S Ginnings; Kyle G Gabriel; Ethan A Halm; Duwayne L Willett

doi:10.3233/SHTI190711

"D/C the CC (Carbon Copy)" - Improving the EHR Signal-to-Noise Ratio for Clinicians by Selective Feature De-Implementation

Stud Health Technol Inform. 2019 Aug 21:264:1915-1916. doi: 10.3233/SHTI190711.

Authors

Ling Chu^{1

2}, Seth M Toomay³, Cameron S Ginnings², Kyle G Gabriel², Ethan A Halm¹, Duwayne L Willett^{1

2}

Affiliations

¹ Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
² Health System Information Resources Department, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
³ Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

PMID: 31438405
DOI: 10.3233/SHTI190711

Abstract

De-implementation of a 10-year EHR configuration resulted in over 50% decrease in the volume of the most-common InBasket message type received by PCPs. Pro-actively seeking out ways to not only (a) implement helpful new EHR features but (b) de-implement detrimental ones offers an opportunity to accelerate improvement in the S/N ratio and reduce clinician frustration and dissatisfaction with the EHR. Balancing governance decision agendas with de-implementation opportunities can enhance the clinician experience.

Keywords: Burnout; Cognitive Science; Electronic Health Records; Professional.

MeSH terms

Electronic Health Records*
Signal-To-Noise Ratio