Table 2.
Comparing Themes of Provider Needs Assessment Survey and Structured Observations
| Domain | Survey Needs Request Theme (# comments; N=895) | Observed Behaviors (% providers observed; N=200) |
|---|---|---|
| Chart Review | Determining location/Organization of Data (46) | Using chart organization tools (8%) |
| Scanned Documents/Media (11) | Using chart search functionality (11%) | |
| – | Review chart efficiently (44%) | |
| Documentation | Note writing (161) | Document linearly (26%) |
| Dot Phrases/Templates (142) | Document in exam room (32%) | |
| Co-signing notes/visits (13) | Close visits between patients (32%) | |
| Scribe/Dictation (9) | Using templates or dot phrases (31%) | |
| Billing (15) | – | |
| Closing Visits (29) | – | |
| Ordering | Preference Lists/Order sets (36) | Used order search v. preference list (89%) |
| Orders/Labs/Prescriptions (80) | Observed ordering labs correctly (28%) | |
| Messaging | EHR Inbox (54) | Using inbox shortcuts (0%) |
| Communication with Patients/Providers (19) | Observed sending communications from visit (30%) | |
| Patient Portal (26) | – | |
| Telephone messages (4) | – | |
| Population Management | Reports/Patient lists (28) | Using population management tools (<1%) |
| External Documents/Health Information Exchange (9) | – | |
| General HER Requests | Improved EHR usability (19) | Excessive Scrolling (>1%) |
| Efficiency/Workflow/Streamline process (47) | Excessive Keyboard to mouse moves (>1%) | |
| Quick Log-in (3) | – | |
| Shortcuts (40) | – | |
| Mobile device platforms (6) | – | |
| IS Help Desk Support (5) | – | |
| Other (90) | – |