Posts Tagged: EHR

Dirty Data Is Useless—Learn Why Healthcare Data Cleaning Matters

healthcare data cleaning

Is dirty data impacting your operations? Or making it impossible to launch new applications? Healthcare systems collect, analyze, and share protected healthcare information (PHI) every day, but it’s not always accurate or properly structured. To ensure the portability, accessibility, and interoperability of such information, healthcare data cleaning is often a necessity.

But how can you do it efficiently and cost-effectively?

What is Healthcare Data Cleaning?

Typically, most organizations store data in databases. These could be associated with your EHR, decision support system, revenue cycle management, and many more applications designed to enable the healthcare ecosystem to work more cohesively. The value of healthcare big data is immense, helping improve care, boost revenue, and drive better decision-making. Dirty data makes that virtually impossible.

Dirty data describes information that is inaccurate, outdated, redundant, incomplete, or formatted incorrectly. Using healthcare data cleaning, you can bring consistency to your data. This consistency is necessary when integrating disparate streams of data. If you merge dirty data, then its ability to be actionable is lost. 

Where Hospitals and Healthcare Systems Stumble

In an ideal world, all healthcare information systems (HIS) would work together in harmony. Field matching wouldn’t be a roadblock, nor would duplicates or other inconsistencies. Unfortunately, that’s just not the case. There is currently no standardized practice for healthcare data interoperability. There are best practices, and the new HHS Interoperability Rule is the most significant step the country has made to improve on this. 

However, it’s still not as easy as moving data from one system to another or quickly aggregating different data sets and automatically have a working process. As healthcare data management experts, we see on a daily basis how difficult it is to map data from one system to another, even when they are in the same category. So, if you can adeptly move from one EHR to another, then it gets really tricky when combining data outputs or moving information into a completely different type of platform.

Key Causes of Healthcare Dirty Data

dirty data

Dirty data is not the result of one thing; it’s a culmination of lots of factors, some more significant than others. One of the biggest concerns is duplication. According to research, duplicate records make up 5-10% of a hospital’s EHR. That number expands to rates of 20% for healthcare entities that have multiple locations.

Duplications happen for many reasons, including errors in spelling or other patient data. Depending on the parameters of the system, it may be unable to search for duplicates as new patients are added.

Another symptom of dirty data is that it’s incomplete. Without all the appropriate fields, records may be useless. If a patient record list omits things like preexisting conditions or allergies, it’s not only incomplete but could impact care. Incomplete information can be attributed to user error or system limitations.

The third significant cause of dirty data is inaccuracies. Errors might have occurred in the original set-up (i.e., misspelled names, transposed numbers), or the data may not have been updated correctly. If you don’t have accurate information about your patients, from contact information to insurance codes, then it’s harder to communicate with them and leverage your information for better outcomes and insights. 

The Cost of Dirty Data

healthcare dirty data costs

The consequences of dirty data can be numerous. First, there are the monetary losses. Gartner researchers revealed that the cost of poor data equates to $9.7 to $14.2 million for businesses every year. Those numbers reflect all types of companies, but it’s still an important figure to know. 

Where do these losses come from? For healthcare, it could be from several things, such as opportunity costs associated with being able to launch new applications to the higher hard costs of unpaid reimbursements from payers and additional labor needed to strip out the bad data. 

The costs are more than fiscal. You’ll lose time because you can’t seamlessly convert data into new platforms. You’ll miss out on insights that could help you find ways to cut costs and work more efficiently. Worst of all, it could impact patient care. 

Feel Confident in Your Data

If you don’t feel confident about the health of your data, then you know it’s holding you back. You may also like the bandwidth or expertise to clean your data. Rely on InfoWerks to be your data liaison. We’ve been cleaning and purging healthcare data for years, enabling easy, compliant data sharing and data conversions for any system. 

Make your data work for you again. Learn more about how we can help by getting in touch. 

Are EHR Workflows Hurting or Helping Physicians?

ehr workflows

New Study Reveals Physicians Spend More Time with EHRs Than Patients

Electronic health records (EHRs) were supposed to revolutionize the healthcare industry, making it easier and more efficient for clinicians. After years of incentives, the majority of physicians leverage EHRs, but that doesn’t mean technology has solved the problem. The question is: are EHR workflows hurting or helping physicians?

New Study Shines Light on EHR Usage

The Annals of Internal Medicine published a new study about how long physicians spend on EHRs. The results reveal some cause for concern. On average, a doctor spends 16 minutes and 14 seconds using their EHR for every patient seen. Since the average patient visit is 30 minutes, half of the time is spent on the screen rather than solely with the patient.

The study included data from over 155,000 physicians cover over 100 million patient visits. The average time of usage was determined based on the user being active, not just being logged into the system. The activities were placed into three categories:

  • Chart review (33% of the time)
  • Documentation (24% of the time)
  • Ordering (17% of the time)

There are lots of tasks related to these three categories, and there is no way to know from the study if EHR workflows were efficient or if the user had any training. 

Technology Should Help, Not Hinder Physician Workflows

workflows EHR

Doctors have frustrations with EHRs. Those frustrations can lead to burnout, which is on the rise. MedScape released a report that found 44% of physicians feel “burned out.” Documentation requirements increase due to complexity and all the different areas of information needed. It’s not simply about entering information about the patient’s symptoms, treatments, and care. There is also the billing and coding component. 

Ideally, technology should help, not hinder physician workflows. If EHRs are not intuitive and don’t match physician workflows, then they’ll spend more time on the screen than with the patient. No doctor wants to do this. The expectation is that clinicians are intelligent and understand how to use EHRs. While that’s true, how many EHRs are actually designed to align with physician workflows? 

If it’s not intuitive, then why bother. In looking at the EHR satisfaction gap among clinicians, much of the time, it comes down to lack of relevant training. Of course, the other side of the argument is why should something “intuitive” need hours and hours of training!

What’s Wrong with EHR Workflows

It serves to reason that if workflows were more accurate, physicians would spend less on technology. That’s not to say that every EHR lacks efficient workflows, but often they may not be designed by actual users. Every EHR provider certainly takes into consideration the user experience but apparently not enough, considering the EHR dissatisfaction is often linked with burnout, according to a Mayo Clinic survey

Technology is a part of modern medicine, but it still has challenges and limitations. Overall, data management for healthcare continues to be a struggle. They have concerns with accessibility, portability, and interoperability. Those three things should be a given with healthcare technology and are certainly the foundation of the services we provide healthcare organizations. 

Until the industry reaches alignment with physician users, EHRs won’t decidedly be deemed as helpful rather than troublesome. 

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The EHR Satisfaction Gap: Is Lack of Relevant Training the Real Culprit?

ehr satisfaction gap

While many have long blamed the user experience as the biggest contributor to the EHR satisfaction gap, a new study puts the onus on training. With specialized training and education, clinicians may become more satisfied with their software once they understand all its capabilities.

About the Study

The KLAS’ Arch Collaborative completed the study, polling over 72,000 clinicians in more than 150 hospitals and health systems. The study sought to uncover the real roots of dissatisfaction. Many researchers had the perspective that EHRs have too many shortcomings. While other studies have validated user experience as a reason for dissatisfaction, it’s far from the only one.

The study found that many clinicians didn’t know how to optimize their EHR. The resolution? Invest more in training and education for users. If providers could focus more on how to use the EHR to fit their needs, then there would be higher adoption and efficiencies.

The different user experiences that physicians may have when using an EHR isn’t really about the software’s design but rather their mastery of it.

For EHRs to be a tool that enables better care, hospitals and healthcare systems should put less emphasis on the software’s usability and more on features that offer customization for users. When clinicians know how to successfully use the platform, then it becomes a valuable asset. The clear path to this is with better training.

satisfaction gap EHR

Developing EHR Education Programs

Any organization using an EHR, especially large ones, needs to develop an EHR education program. In the study, overall satisfaction of the EHR increased significantly with every additional hour of training. Organizations that only provided four hours of education were left mostly with frustrated users.

Training and education should support EHR personalization. Clinicians are certainly used to a high level of customization when it comes to personal technology. Why should they expect anything less on the job?

EHR Dissatisfaction Leads to Burnout

The EHR satisfaction gap is certainly a contributor to physician burnout. In a study published by the Mayo Clinic, a link was found between a physician’s rating of EHR usability and burnout. The higher the physician scored usability, the lower the odds of burnout, and vice versa.

Thus, training and education on EHR usage could be a buffer for burnout as well. If clinicians feel as though the technology, they are provided is insufficient, this could cause extra work, lost productivity, and worry.

The Greatest Predictor of EHR User Experience

The KLAS study determined that the greatest predictor of the EHR user experience is how users rate the quality of their training. It’s not the tool itself or how much money is spent. With inadequate training, physicians are three-and-a-half more times to report that their EHR does not deliver quality care.

The user interface certainly matters. But the slickest platform won’t become a reliable tool of a physician without the proper training. With professional software in almost any other industry, training has long been seen as the gateway to adoption. Healthcare needs to start embracing this user-centric view.

With this approach, the EHR satisfaction gap could close considerably. The power of technology is only as good as the user behind it. And just as clinicians train for years to use medical tools, they need the same kind of support when infusing technology into their workflows.