{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:58:41Z","timestamp":1773280721275,"version":"3.50.1"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T00:00:00Z","timestamp":1613088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The purpose of the study was to determine if association exists between evidence-based provider training and clinician proficiency in electronic health record (EHR) use and if so, which EHR use metrics and vendor-defined indices exhibited association.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We studied ambulatory clinicians\u2019 EHR use data published in the Epic Systems Signal report to assess proficiency between training participants (n\u2009=\u2009133) and nonparticipants (n\u2009=\u200914). Data were collected in May 2019 and November 2019 on nonsurgeon clinicians from 6 primary care, 7 urgent care, and 27 specialty care clinics. EHR use training occurred from August 5 to August 15, 2019, prior to EHR upgrade and organizational instance alignment. Analytics performed were descriptive statistics, paired t-tests, multivariate correlations, and hierarchal multiple regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>For number of appointments per 30-day reporting period, trained clinicians sustained an average increase of 16 appointments (P &amp;lt; .05), whereas nontrained clinicians incurred a decrease of 8 appointments. Only the trained clinician group achieved postevent improvement in the vendor-defined Proficiency score with an effect size characterized as moderate to large (dCohen = 0.625)<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Controversies exist on the return of investment from formal EHR training for clinician users. Previously published literature has mostly focused on qualitative data indicators of EHR training success. The findings of our EHR use training study identified EHR use metrics and vendor-defined indices with the capacity for translation into productivity and generated revenue measurements.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>One EHR use metric and 1 vendor-defined index indicated improved proficiency among trained clinicians.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocaa333","type":"journal-article","created":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T20:22:05Z","timestamp":1607977325000},"page":"824-831","source":"Crossref","is-referenced-by-count":11,"title":["Association between evidence-based training and clinician proficiency in electronic health record use"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1867-2764","authenticated-orcid":false,"given":"Laura","family":"Hollister-Meadows","sequence":"first","affiliation":[{"name":"School of Nursing, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel L","family":"Richesson","sequence":"additional","affiliation":[{"name":"School of Nursing, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie De","family":"Gagne","sequence":"additional","affiliation":[{"name":"School of Nursing, Duke University, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Rawlins","sequence":"additional","affiliation":[{"name":"System Provider Informatics, Providence Health, Richland, Washington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,12]]},"reference":[{"key":"2021031906133368200_ocaa333-B1"},{"issue":"1","key":"2021031906133368200_ocaa333-B2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12911-018-0703-x","article-title":"Primary care physicians\u2019 attitudes to the adoption of electronic medical records: a systematic review and evidence synthesis using the clinical adoption framework","volume":"18","author":"O\u2019Donnell","year":"2018","journal-title":"BMC Med Inform Decis Mak"},{"issue":"1","key":"2021031906133368200_ocaa333-B3","doi-asserted-by":"crossref","first-page":"e000023-10","DOI":"10.1136\/bmjhci-2019-000023","article-title":"Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis","volume":"26","author":"Hamade","year":"2019","journal-title":"BMJ Health Care Inform"},{"issue":"02","key":"2021031906133368200_ocaa333-B4","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1055\/s-0039-1688753","article-title":"Local investment in training drives electronic health record user satisfaction","volume":"10","author":"Longhurst","year":"2019","journal-title":"Appl Clin Inform"},{"issue":"38","key":"2021031906133368200_ocaa333-B5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/MD.0000000000012319","article-title":"Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout","volume":"97","author":"Robinson","year":"2018","journal-title":"Medicine"},{"issue":"11","key":"2021031906133368200_ocaa333-B6","doi-asserted-by":"crossref","first-page":"e1551","DOI":"10.3109\/0142159X.2013.806984","article-title":"Education intervention to improve the meaningful use of Electronic Health Records: a review of the literature: BEME Guide No. 29","volume":"35","author":"Goveia","year":"2013","journal-title":"Med Teacher"},{"issue":"4","key":"2021031906133368200_ocaa333-B7","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1093\/jamia\/ocv030","article-title":"Associations between healthcare quality and use of electronic health record functions in ambulatory care","volume":"22","author":"Ancker","year":"2015","journal-title":"J Am Med Inform Assoc"},{"key":"2021031906133368200_ocaa333-B8","first-page":"1814","article-title":"Model guided design and development process for an electronic health record training program","volume":"2016","author":"He","year":"2016","journal-title":"AMIA Annu Symp Proc"},{"issue":"01","key":"2021031906133368200_ocaa333-B9","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4338\/ACI-2014-09-CR-0076","article-title":"Successful physician training program for large scale EMR implementation","volume":"06","author":"Pantaleoni","year":"2015","journal-title":"Appl Clin 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Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/4\/824\/36642218\/ocaa333.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/28\/4\/824\/36642218\/ocaa333.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T06:13:47Z","timestamp":1616134427000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/28\/4\/824\/6133747"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,12]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,2,12]]},"published-print":{"date-parts":[[2021,3,18]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocaa333","relation":{},"ISSN":["1527-974X"],"issn-type":[{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4,1]]},"published":{"date-parts":[[2021,2,12]]}}}