Table 1.
Notes Written by Template and User Categories
| CNCT Notes | CNCT Templates | Dictated Notes* | |
|---|---|---|---|
| Template category | |||
| Daily progress | 114,697 (59.6%) | 25 (30%) | NA |
| History and physical | 22,301 (11.6%) | 11 (13%) | 27,666 |
| Consultation | 18,868 (9.8%) | 6 (7%) | 11,644 |
| Procedure narrative | 14,935 (7.7%) | 8 (10%) | 103,951 |
| Discharge summary | 13,224 (6.8%) | 12 (15%) | 78,667 |
| Outpatient | 5,775 (3.0%) | 17 (21%) | NA |
| Contract | 2,341 (1.2%) | 3 (4%) | NA |
| Total |
192,141 |
82 |
221,928* |
| CNCT Notes |
CNCT Users |
CNCT Nonusers† |
|
| User category | |||
| Physician | 156,582 (81.5%) | 1,024 (55.7%) | 1,382 |
| Medical student | 20,080 (10.5%) | 472 (25.7%) | 179 |
| Nurse | 1,694 (0.9%) | 184 (10.0%) | 2,534 |
| Nurse practitioner | 4,876 (2.5%) | 32 (1.7%) | 17 |
| Dietitian | 2,886 (1.5%) | 30 (1.6%) | 56 |
| Case manager | 338 (0.2%) | 25 (1.4%) | 42 |
| Medical receptionist | 36 ( < 0.1%) | 23 (1.3) | 386 |
| Pharmacist | 5,407 (2.8%) | 18 (1.0%) | 79 |
| Other‡ | 242 (0.1%) | 30 (1.6%) | NA |
| Total | 192,141 | 1,838 | 4,675 |
NA = data unavailable.
*
Excludes daily progress notes, outpatient notes, consultation follow-up notes, and contracts, which are not dictated at our institution. Not all Vanderbilt University Medical Center admissions require discharge summaries or typed history and physical examination documents.
†
Clinicians who accessed the CPOE and EHR systems but did not use the CNCT during the observation period.
‡
Includes respiratory, physical and occupational therapists, and patient care technicians.