EHR Satisfaction Survey 2017: After Frustrations, Survey Turns Positive
In the third annual Healthcare IT News EHR Satisfaction Survey hospital leaders, IT professionals and clinicians were asked to rate their inpatient electronic health records systems.
Their answers are illustrative of the hopes and frustrations of the folks on the front lines, for whom EHRs have become an intrinsic and indispensable part of their work.
Questions included: How satisfied are you with the features of your EHR? What do you like best about the software? What would you change? How do you rate user interface and experience? How is its interoperability with other systems, and with medical devices? Security? Modularity? Vendor support services?
The readers who contributed to our research run the gamut of hospital jobs: chief information officer, IT director, clinical engineer, application analyst, facility risk manager, telehealth coordinator, nursing informaticist and more.
Overall, responses tended toward constructive criticism with suggestions on areas to build upon. It is a sign that innovation is taking hold among some products, and that certain EHRs are maturing into systems that users can appreciate.
Surprise: Users are satisfied overall
Nearly half ranked their vendor at least an 8 out of 10 for satisfaction.
Perhaps counter-intuitively – given the semi-regular stream of studies claiming that physicians and hospital staffs widely dislike their EHRs, bemoaning them as burdensome data entry systems that distract them from patients – respondents to our poll actually seem fairly happy with their inpatient system.
When asked, “What was your overall satisfaction with the EHR system?” nearly 42 percent of respondents gave their system either an eight or nine on a scale of 1-10. More than 5 percent gave it the top “Most Satisfied” score.
Only 8.5 percent of respondents, meanwhile, ranked their satisfaction as a one, two or three on the “Least Satisfied” side of the ledger.
That says something. Most of the systems in use by the hospitals polled have the basic blocking and tackling down pat, and have more advanced features working fairly well.
Areas for improvement? Interoperability, both with other clinical systems (20 percent scored this a one or two) and with an array of critical medical devices (slightly better, with scores tending to be between five and eight), is not where most users want it to be. Same goes for the ability to accommodate modular features (a similar cluster of middle-of-the-road scores).
User interface and visual appeal
Users want a cleaner, more intuitive interface.
An area that seemed to receive special scrutiny was user experience and design. Asked what they’d like their vendors to do better, many users cited suboptimal user interface.
One survey-taker said the layout was “not intuitive for users,” and another sought more attention to the system’s appearance – specifically the “ability for end-users to customize their views, pages, etc. for their workflow.” A third sought a “cleaner more concise UI,” giving users the “ability to hide the functions they don’t use.”
Those who expressed favorable opinions of design and interface tended to be a bit more plainspoken – “visually appealing,” “front end is ok,” one person liked “the look.”
In terms of UX, users want fewer clicks, user-friendly features and “voice AI” functionality.
“Usability in some areas” is a problem, said one poll-taker, who asked for a workflow that didn’t depend on so many mouse clicks, or at least a software where a “single click (is) allowed instead of having to double-click.”
It’s worth noting that for the third year in a row, some version of “fewer clicks!” occurred over and over throughout the responses to our EHR satisfaction survey.
One respondent said the vendor should “make it user-friendly.” It was clear, from his or her experience, that the system was designed for “billing and auditing, not about the patient.”
Users want stronger security and a cloud vendor that can lock data down.
Despite its central importance to the storage, exchange and use of protected health information, security functionality got very little mention in our reader’s responses, even as it scored fairly high across the board.
One user simply wished for “better security,” without elaborating beyond that.
Another respondent who uses a cloud-based xpEHR, expressed satisfaction that security was not the concern of his team. “It is hosted at the vendor’s data center,” this respondent said. “They have to worry about the data security.”
Users want flexible interoperability with medical devices, other software systems and apps.
Interoperability – both with medical devices and with other EHRs – was another story. It’s still an area that leaves plenty to be desired, and the hospital staffers who took our EHR survey had lots to say about it.
A reader asked for “more interoperability over just integration.” A third wanted “interoperability with other apps” outside the vendor’s own modules.
One reader wanted “better integration to receive discrete data from other clinical software systems – anesthesia meds and vital sign data, I&O; cath lab integration of the same information or intuitive workflow structure.”
Integration with other modules, interoperability with outside apps, consistency in design.
As the to-do lists of hospitals evolve, so does the desire to soup up their EHR systems with bolt-on functionalities to serve those specific demands.
One reader wanted “interoperability with other apps” outside the vendor’s own modules. Another suggested that vendors should more be more proactive about taking on that integration work, while a third requested “consistency in module design; total integration of all modules in the EMR.”
Quality of support services
Users want strong account managers, knowledgeable and skilled tech support staffers.
When challenges arise, it’s helpful to have a reliable vendor support staff to help. Most respondents are satisfied with the help their vendors made available.
“Great account managers, client success manager, support team and upper management,” said one hospital staffer.
Overall, the positives certainly shined through in this year’s survey. For every frustrated end user who said their EHR was “so convoluted that even the company has trouble figuring it out” it’s gratifying to remember that there are others who are satisfied with the systems they log into and work with every day.
Could it be that years of frustrations with inpatient IT system notwithstanding, hospital staffers are finally starting to … like their EHRs?
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