cis clinician satisfaction survey part 2

8/14/2019 CIS Clinician Satisfaction Survey Part 2

http://slidepdf.com/reader/full/cis-clinician-satisfaction-survey-part-2 1/28

CIS ClinicianCIS Clinician

Satisfaction Survey Satisfaction Survey

September 2009September 2009

Baystate HealthBaystate Health



Practice SitePractice Site



SpecialtySpecialty



Chart Review functionsChart Review functions

Basic skills deficienciesBasic skills deficiencies– Default settingDefault setting

– Clinical Notes navigationClinical Notes navigation

– Forwarding notesForwarding notes

– ““ Too many clicks” Too many clicks”

Overview Screen functionOverview Screen function

Use of Message Center forUse of Message Center formessages, remindersmessages, reminders

Medication List difficult to viewMedication List difficult to viewand useand use

Folder hierarchy is a dissatisfierFolder hierarchy is a dissatisfier

Screen views too small, tooScreen views too small, toomuch scrollingmuch scrolling

Not able to customize or searchNot able to customize or search

Loss of Back ButtonLoss of Back Button



Message CenterMessage Center

Refuse Document/Results processRefuse Document/Results processdefective—need to enter text intodefective—need to enter text intocomment box for the datum to leavecomment box for the datum to leaveinbox (known issue)inbox (known issue)

Skills deficiencies: entering Med ListSkills deficiencies: entering Med Listfrom message, saving messages tofrom message, saving messages to

chart, patient chart access fromchart, patient chart access frommessage, using remindersmessage, using reminders



Document AlertsDocument Alerts

Lack of awareness as to how toLack of awareness as to how tolocate relevant noteslocate relevant notes

Alerts only sent to PCP;Alerts only sent to PCP;documents need to be manuallydocuments need to be manuallypushed to non-PCPspushed to non-PCPs



Patient Status informationPatient Status information

Too many messages Too many messages

ED does not provideED does not provideinformation/documentationinformation/documentation



Communications tools ICommunications tools I

• Triage Messaging workflow not Triage Messaging workflow notwell-definedwell-defined



Communications tools IICommunications tools II

Request Endorsement tool notRequest Endorsement tool notunderstoodunderstood

Proxying workflows not wellProxying workflows not wellunderstoodunderstood

Consult requests system not yetConsult requests system not yetrolled out, yet function existsrolled out, yet function exists



Documentation functionsDocumentation functions

SuperUser classes helpfulSuperUser classes helpful

No training for DragonNo training for Dragon

Difficulties with Hide/Show, Auto-Difficulties with Hide/Show, Auto-text, Free-text, macrostext, Free-text, macros

Too complicated! Too complicated!

Subspecialty templates limitedSubspecialty templates limited

Basic functions: toggle, Undo,Basic functions: toggle, Undo,editing, copying to new noteediting, copying to new note

Difficult to clean and populateDifficult to clean and populate“Golden List”“Golden List”

Copy to new note is bad practiceCopy to new note is bad practice



Clinical Encounter detailsClinical Encounter details

Coding wizard would be helpfulCoding wizard would be helpful

Lack of awareness of multipleLack of awareness of multipletools in Documentation templatestools in Documentation templates



Patient Health InformationPatient Health Information

Lists are very difficult to manage;Lists are very difficult to manage;lack of uniform use; primary carelack of uniform use; primary carefrustrated by lack of specialty use,frustrated by lack of specialty use,esp problems and proceduresesp problems and procedures

““ Too many lists that the MD does Too many lists that the MD doesnot have time to fill out. Clericalnot have time to fill out. Clerical

people should be inputting thispeople should be inputting thisinformation.”information.”

Visual appearance of templatedVisual appearance of templateddocuments is a dissatisfierdocuments is a dissatisfier



Medication ListMedication List

““Most challenging part of recordMost challenging part of recordfor me at this time…”for me at this time…”

““Most MDs don’t really clean upMost MDs don’t really clean upthe med list routinely…”the med list routinely…”

““Documentation of meds is easy –Documentation of meds is easy –satisfied. Cleanup – satisfied. Usesatisfied. Cleanup – satisfied. Use

of medlist in documentation –of medlist in documentation –satisfied.”satisfied.”

Basic knowledge is lacking acrossBasic knowledge is lacking acrossthe system due to lack of intuitivethe system due to lack of intuitiveinterfaceinterface

Med Rec…!!!Med Rec…!!!



Prescription writingPrescription writing

Too laborious, complicated, any Too laborious, complicated, anyof the same complaints when firstof the same complaints when firstrolled out persistrolled out persist

EZScript highly preferredEZScript highly preferred

Allergy alerts are a nuisance, notAllergy alerts are a nuisance, not“smart”; alert fatigue a real issue“smart”; alert fatigue a real issue

DME process is poor, forced toDME process is poor, forced touse same as medsuse same as meds

Many issues will likely be fixedMany issues will likely be fixedwith ePrescribing: formulary,with ePrescribing: formulary,tracking, messaging to pharmacytracking, messaging to pharmacy

““I write prescriptions”I write prescriptions”



Preventative Care toolsPreventative Care tools

Procedures need to interface withProcedures need to interface withHMHM

Lack of tools for pediatricsLack of tools for pediatrics

Unable to customize HMUnable to customize HM

HM performance is very poorHM performance is very poor



Order EntryOrder Entry

Unable to make custom ordersUnable to make custom orderssets (lack of understanding of sets (lack of understanding of favorites folders)favorites folders)

Search function not alwaysSearch function not alwaysintuitiveintuitive

Works well overall for inpatientWorks well overall for inpatient



Patient Education toolsPatient Education tools

Underutilized due to lack of Underutilized due to lack of awarenessawareness

Need summary for pedsNeed summary for peds

Access to online resourcesAccess to online resourcesexcellentexcellent



Disease Management toolsDisease Management tools

WorkflowsWorkflows

Needs updating for guidelinsesNeeds updating for guidelinses

Therapeutic drug monitoring Therapeutic drug monitoringwould be helpfulwould be helpful



Training optionsTraining options

Concierge model would be bestConcierge model would be best

Need to train to Physician-Need to train to Physician-oriented workflowsoriented workflows

““ The tools are there, but the The tools are there, but thesheer number of questions thatsheer number of questions thatarise in the midst of a busyarise in the midst of a busysession only allows maybe 5% of session only allows maybe 5% of the problems to actually bethe problems to actually beaddressed via one of the aboveaddressed via one of the aboveresources”resources”

Protected time for training andProtected time for training andeducationeducation



Training preferences Training preferences



CIS information resourcesCIS information resources



CIS as a paperless solutionCIS as a paperless solution

cis clinician satisfaction survey part 2

Documents