Table 4.
Provider perceptions of EMR’s ability to help assess and manage CV risk of patients at high risk of cardiovascular disease or diabetes
| Response | Measure | Question | Pre-implementation | p-value | Post-implementation | p-value | Treatment by time interaction p-value | ||
|---|---|---|---|---|---|---|---|---|---|
| CDS | UC | CDS | UC | ||||||
| n = 102 | n = 60 | n = 78 | n = 53 | ||||||
| …describe your reactions to your EMR’s ability to help assess and manage the CV risk of patients at high risk for diabetes or cardiovascular disease | |||||||||
| 1–5 | Agree | I would like to use our EMR decision support more often to help better manage a patient’s CV risk, n (% Agree) | 79 (80.6) | 43 (75.4) | 0.4480 | 49 (68.1) | 33 (68.8) | 0.9361 | 0.1158 |
| 1–5 | Agree | Our EMR decision support is unnecessarily complex for helping me manage a patient's CV risk, n (% Agree) | 36 (37.1) | 18 (31.6) | 0.4871 | 21 (29.2) | 14 (29.2) | 1.0000 | 0.6957 |
| 1–5 | Agree | Our EMR decision support is easy to use for helping me manage a patient’s CV risk, n (% Agree) | 37 (37.8) | 19 (33.3) | 0.5805 | 42 (59.2) | 20 (40.8) | 0.0482 | 0.0646 |
| 1–5 | Agree | I would need assistance to be able to use our EMR decision support to help me manage a patient's CV risk, n (% Agree) | 39 (40.2) | 25 (43.9) | 0.6569 | 21 (29.6) | 19 (38.8) | 0.2934 | 0.8244 |
| 1–5 | Agree | The various functions in our EMR decision support are well integrated for helping to manage a patient’s CV risk, n (% Agree) | 25 (25.5) | 15 (26.8) | 0.8621 | 34 (47.2) | 17 (34.7) | 0.1707 | 0.0352 |
| 1–5 | Agree | There is too much inconsistency in our EMR’s decision support ability to help manage a patient’s CV risk, n (% Agree) | 14 (14.4) | 13 (22.8) | 0.1870 | 18 (25.0) | 8 (16.3) | 0.2542 | 0.3287 |
| 1–5 | Agree | Most providers can learn to use our EMR decision support very quickly to help them manage a patient's CV risk, n (% Agree) | 43 (44.8) | 23 (40.4) | 0.5918 | 37 (52.1) | 28 (57.1) | 0.5867 | 0.6287 |
| 1–5 | Agree | Our EMR decision support is very cumbersome/awkward to use for helping manage a patient’s CV risk, n (% Agree) | 33 (34.0) | 19 (33.3) | 0.9306 | 16 (22.9) | 14 (29.2) | 0.4394 | 0.4710 |
| 1–5 | Agree | I feel confident using our EMR decision support to help manage a patient’s CV risk, n (% Agree) | 40 (40.8) | 22 (38.6) | 0.7856 | 36 (50.0) | 18 (37.5) | 0.1775 | 0.1781 |
| 1–5 | Agree | I need to learn a lot of things before I could use our EMR decision support to help manage a patient’s CV risk, n (% Agree) | 33 (34.0) | 16 (28.1) | 0.4440 | 15 (20.8) | 11 (22.9) | 0.7861 | 0.7931 |
| System Usability Scale Summary Score, Mean ± SD | 54.0 ± 16.7 | 52.6 ± 18.9 | 0.6294 | 58.9 ± 19.8 | 57.4 ± 17.7 | 0.6833 | 0.1654 | ||
Percentages calculated by combining agree and strongly agree responses from a five-point scale (strongly disagree, disagree, neither agree nor disagree, agree, strongly agree)