Doctor Becomes Doctor Becomes TypistTypist

Final Project PresentationFinal Project Presentation

Carmen PriceCarmen Price

Charting ToolsCharting Tools (CTs)(CTs)

Feature of electronic medical Feature of electronic medical record (EMR)record (EMR)

Doctors type patient reportsDoctors type patient reports Type using forms, menus, check Type using forms, menus, check

boxesboxes

Administration’s Administration’s PositionPositionAdministration likes the idea of CTsAdministration likes the idea of CTs Patient information available Patient information available

quicklyquickly Reduces/eliminates clerical labor Reduces/eliminates clerical labor

costscosts

Doctor’s PositionDoctor’s Position

Doctor’s don’t like CTsDoctor’s don’t like CTs Long clinic daysLong clinic days Mountains of paper workMountains of paper work ““I didn’t go to medical school to I didn’t go to medical school to

be a stenographer.”be a stenographer.”

Doctor’s ConcernsDoctor’s Concerns

It will take longer to type my It will take longer to type my reports.reports.

I won’t be able to personalize my I won’t be able to personalize my reportsreports

It’s distracting to type in front of It’s distracting to type in front of patientspatients

Bias or Reality?Bias or Reality?

Fear of changeFear of change Fear of new technologyFear of new technology Reaction to being told what to doReaction to being told what to do

Or…….would training and use make Or…….would training and use make a differencea difference

QuestionQuestion

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

Method-Email SurveyMethod-Email Survey Before/after trainingBefore/after training Sent to 360 HealthPartners doctorsSent to 360 HealthPartners doctors 109 responses, 30%109 responses, 30% Training pushed back to 2005/2006Training pushed back to 2005/2006

- 31 doctors before/after survey- 31 doctors before/after survey

Before/After Before/After ComparisonComparison

Small, but representative Small, but representative samplesample

Before trainingBefore training

- 19/31 responses or 61%- 19/31 responses or 61% After trainingAfter training

- 12/31 responses or 39%- 12/31 responses or 39%

ResultsResults

There There waswas a shift towards a shift towards acceptance ofacceptance of

charting tools after training/use.charting tools after training/use.

Will It Be Quicker to Will It Be Quicker to Type My Reports?Type My Reports?

0

10

20

30

40

50

60

StronglyAgree

Agree Neutral Disagree StronglyDisagree

Per

cent

Before Training-7After Training

Can I Personalize My Can I Personalize My Reports?Reports?

0

10

20

30

40

50

60

StronglyAgree

Agree Neutral Disagree StronglyDisagree

Pe

rce

nt

Before TrainingAfter Training

Will Typing Be Will Typing Be Distracting to My Distracting to My Patients?Patients?

0

10

20

30

40

50

60

StronglyAgree

Agree Neutral Disagree StronglyDisagree

Pe

rce

nt

Before TrainingAfter Training

Will CTs Impact My Will CTs Impact My Opinion Overall?Opinion Overall?

0

10

20

30

40

50

60

70

80

Strongly Agree Agree Neutral Disagree Strongly Disagree

Pe

rce

nt

Before TrainingAfter Training

SummarySummary

Projection difficult with small Projection difficult with small sample size.sample size.

Shift towards acceptance after Shift towards acceptance after trainingtraining

CTs play a large role in overall CTs play a large role in overall acceptance of EMRacceptance of EMR

RecommendationsRecommendations

Continue same training strategyContinue same training strategy Continue to collect data Continue to collect data Introduction of additional Introduction of additional

technologies if trend continuestechnologies if trend continues

Do You Have Any Do You Have Any Questions?Questions?