title: Partnering with clinical providers to enhance the efficiency of an EMR.
abstract: Implementing an electronic medical record to replace paper records and associated processes does not guarantee the benefits of an EMR will be achieved. Specifically, it can introduce steps into a provider's work flow that adversely affect the projected benefits of efficiency, and, ultimately, quality and safety. At Mayo Clinic in Rochester, Minnesota, implementation of the Mayo Integrated Clinical Systems, or MICS, the organization's EMR, is nearly complete. However providers perceive inefficiencies in their work flow using MICS. In response, a study was undertaken to enhance MICS and associated processes to improve provider efficiency. Through direct observation and feedback from 101 providers, this study identified seven major themes for enhancements: training; work flow and processes; dual environments; navigation-viewing integration;patient-reported information; clinical problems management; and consolidated medication documentation. This paper reviews the methods used to collect and analyze the data and discusses how improvement opportunities can positively enhance efficiency in using an EMR.
authors.affiliation: Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Puffer
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Ferguson
authors.forename: Brian C
authors.initials: BC
authors.lastname: Wright
authors.forename: John
authors.initials: J
authors.lastname: Osborn
authors.forename: Amerett L
authors.initials: AL
authors.lastname: Anshus
authors.forename: B Pat
authors.initials: BP
authors.lastname: Cahill
authors.forename: Janine
authors.initials: J
authors.lastname: Kamath
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Ryan
mesh_terms: D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D006282:Health Personnel; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D014481:United States