Session ID: 
337

The Killing Paradox: EHRs, Burnout and Paradoxes of Choice

12:00pm - 1:00pm Friday, March 13
Orlando - Orange County Convention Center
W207C

Description

Indiana University Health is the largest IDN in the state of Indiana. It has a 14-year history with Electronic Health Records (EHR); like many IDNs it expanded its EHR organically as it grew organically. This resulted in an unsustainable environment whose hallmarks were epidemic-level clinician burnout, workaround-driven variability of workflow, an order of magnitude more alerts and nursing tasks than national average, and the slowest EHR installation. It is two years into a total re-architecting of its enterprise EHR, with the elimination of the Paradox of Choice being our major design goal. This is a story of enterprise evangelism, governance restructuring, performance improvement, aggressive reversion to vendor standard, and clinico-technical change control – all received with optimism and engagement from end users. Documentation and total EHR time has fallen greatly; performance metrics are now best-in-class; physician burnout has dropped.

Learning Objectives

  • Define the Paradox of Choice and enumerate its consequences on EMR design and end-user acceptance
  • Illustrate the importance of C-suite buy-in and advocacy in large-scale cultural change
  • Analyze the positive and negative characteristics of the culture around the EMR at your institution, and create strategies toward a fully standardized, end-user-accepted build

Speaker(s)

Chief Health Information Officer,
Indiana University Health
Chief Medical Information Officer, Riley Children’s Health,
Associate Chief Medical Information Officer, IU Health

Continuing Education Credits

ABPM
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00

Audience

CIO/CTO/CTIO/Senior IT
CMIO/CMO
CNIO/CNO

Level

Advanced