TABLE 2.
Relationship between note composition tool use and physician burden and efficiency, selected results from specialty‐stratified regression models
| Unscheduled days with any EHR use | ||||
|---|---|---|---|---|
| Overall | Primary care | Medical specialties | Surgical specialties | |
| B [95% CI] | B [95% CI] | B [95% CI] | B [95% CI] | |
| Copy/paste text | ||||
| Decile 1 | −0.07 [−0.09, −0.04] *** | −0.03 [−0.06, 0] | −0.07 [−0.13, −0.02] * | −0.12 [−0.16, −0.07] *** |
| Decile 5 (ref) | ||||
| Decile 10 | 0.06 [0.02, 0.09] *** | 0.14 [0.07, 0.22] *** | 0.07 [0.03, 0.11] *** | −0.04 [−0.1, 0.02] |
| Manual text | ||||
| Decile 1 | −0.02 [−0.05, 0.01] | −0.06 [−0.1, −0.02] ** | −0.04 [−0.09, 0] | −0.02 [−0.06, 0.02] |
| Decile 5 (ref) | ||||
| Decile 10 | 0.08 [0.04, 0.12] *** | 0.19 [0.14, 0.25] *** | −0.03 [−0.09, 0.03] | 0.15 [0.08, 0.23] *** |
| SmartTools text | ||||
| Decile 1 | −0.01 [−0.04, 0.02] | −0.01 [−0.05, 0.03] | −0.04 [−0.08, 0] | 0.04 [−0.01, 0.08] |
| Decile 5 (ref) | ||||
| Decile 10 | −0.02 [−0.06, 0.01] | −0.03 [−0.07, 0.01] | −0.03 [−0.07, 0.02] | −0.02 [−0.08, 0.03] |
| % of visits closed same day | ||||
|---|---|---|---|---|
| Overall | Primary care | Medical specialties | Surgical specialties | |
| Copy/paste text | ||||
| Decile 1 | −0.15 [−1.08, 0.78] | 3.03 [1.84, 4.21] *** | −4.49 [−6.08, −2.91] *** | −1.52 [−2.94, −0.11] * |
| Decile 5 (ref) | ||||
| Decile 10 | −6.83 [−7.94, −5.71] *** | −7.1 [−9.28, −4.92] *** | −6.36 [−7.65, −5.08] *** | −9.31 [−11.37, −7.26] *** |
| Manual text | ||||
| Decile 1 | −4.6 [−5.75, −3.46] *** | −2.59 [−3.95, −1.24] *** | −2.55 [−4.29, −0.81] ** | −4.36 [−5.99, −2.73] *** |
| Decile 5 (ref) | ||||
| Decile 10 | 1.75 [0.64, 2.87] ** | −1.7 [−3.15, −0.24] * | 6.23 [4.66, 7.79] *** | −1.33 [−2.98, 0.32] |
| SmartTools text | ||||
| Decile 1 | −5.68 [−6.96, −4.41] *** | −7.31 [−10.38, −4.23] *** | −3.08 [−4.89, −1.27] *** | −5.61 [−7.38, −3.84] *** |
| Decile 5 (ref) | ||||
| Decile 10 | −1.28 [−2.2, −0.36] ** | −0.85 [−2.23, 0.52] | −0.93 [−2.3, 0.44] | −2.43 [−4.21, −0.65] ** |
Note: Highlighted estimates reflect specialty deviations from overall estimates in either a normatively “better” (blue) or “worse” (red) direction. For example, primary care providers in the top decile of manual text demonstrate the reverse relationship from the overall average in the share of visits closed in the same day (1.7 pp fewer for PCPs vs. 1.8 pp more overall), so that estimate is highlighted in red.
*p < 0.05; **p < 0.01; ***p < 0.001.