Benchmarking Pie Visualization
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Benchmarking the EHR across Quality and Safety

Key insights:
  • The 4E's Framework helps evaluate how EHR implementations support patient safety and quality
  • Granular benchmarks (e.g. by specialty and provider type) provide actionable insights and can be abstracted for executives to gauge overall performance
  • External benchmarking highlighted EHR improvements some health systems thought were optimized
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Metrics for Evaluation

The framework offers metrics to assess the relative strengths and weaknesses of an EHR implementation as it pertains to supporting Quality and Safety.

Efficiency
  • Adoption of standardized ordering
  • Reduce ordering variation
  • Burnout from over-alerting
Effectiveness
  • Usage for key quality initiatives
  • Alert override

Sample Case Study

Some organizations might utilize tools to compare interruptive alerting at a health system level, but few do deep dives that compare by specialty.

One organization’s General Medicine/Pediatrics specialty group had almost 300 times more interruptive firings per encounter than the lowest health system had. They reduced their interruptive firing from 29.5 to about 5 firings per encounter in an effort to reduce excessive documentation.

Interruptive Firings Per Encounter 2019
Interruptive Firings Per Encounter 2019

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