landmark study

Columbia University & NIH EHR Usability Study

New York, NY

November 2016

Published in

JMIR Medical Informatics

Columbia University & NIH EHR Usability Study

61%

efficiency improvement

$130k+

revenue uplift per physician/yr

The most common reason physician trials fail is not a bad product. It is a vague objective. Before you sign up for anything, take thirty minutes to audit your current documentation workflow. This single step will make every decision that follows much clearer.

Start by answering a few practical questions. How many notes do you complete per day? How long does an average note take from dictation to sign-off? Where do the bottlenecks actually occur: right after a patient visit, at the end of clinic, or late at night when you finally sit down to finish charting? Understanding the shape of your current burden gives you a baseline to measure against.

Next, identify your EHR platform and any integration requirements. Not all AI transcription tools connect seamlessly to every system, and a solution that requires manual copy-paste steps is not truly saving you time. Confirm whether your EHR is on the vendor's supported list before investing any further attention.

Think carefully about your specialty-specific documentation needs. A cardiology practice generating procedure notes and stress test interpretations has very different requirements than a family medicine practice producing SOAP notes, or an ambulatory surgery center managing operative reports. The tool you evaluate should be able to handle the documentation vocabulary and structure your specialty actually uses.

Finally, and this is the step most practices skip: set measurable success criteria before the trial begins. Decide in advance what a successful outcome looks like. Options include:

Time saved per note: Define a target reduction in minutes per encounter documentation.

Reduction in after-hours charting: Track how many hours per week are currently spent on evening or weekend documentation.

Note accuracy rate: Establish how many edits are currently required before signing and what an acceptable improvement looks like.

Physician satisfaction score: Use a simple pre- and post-trial survey to capture subjective experience alongside the objective data.

Setting these benchmarks first means you can evaluate results objectively rather than relying on gut feeling. A trial without defined goals is just an experiment. A trial with defined goals is an evaluation.

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