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Do Years of Experience With Electronic Health Records Matter for Productivity in Community Health Centers?

Frogner, Bianca K. PhD; Wu, Xiaoli MS; Ku, Leighton PhD; Pittman, Patricia PhD; Masselink, Leah E. PhD

Journal of Ambulatory Care Management: January/March 2017 - Volume 40 - Issue 1 - p 36–47
doi: 10.1097/JAC.0000000000000171
Original Articles

This study investigated how years of experience with an electronic health record (EHR) related to productivity in community health centers (CHCs). Using data from the 2012 Uniform Data System, we regressed average annual medical visits, weighted for service intensity, as a function of full-time equivalent medical staff controlling for CHC size and location. Physician productivity significantly improved. Although the productivity of all other staff types was not significantly different by years of EHR experience, the trends showed lower productivity among nurses and other medical staff in CHCs with fewer years of EHR experience versus more years of experience.

Department of Family Medicine, School of Medicine, University of Washington, Seattle (Dr Frogner); and Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, District of Columbia (Ms Wu and Drs Ku, Pittman, and Masselink).

Correspondence: Bianca K. Frogner, PhD, Department of Family Medicine, School of Medicine, University of Washington, Seattle, WA 98107 (

This study was funded by a Cooperative Agreement for a Regional Center for Health Workforce Studies (1 U81HP26493-01-00) from the Health Resources and Services Administration awarded to The George Washington University. We appreciate data provided by The George Washington University Geiger Gibson Program in Community Health Policy.

The authors have no other conflicts of interest to declare.

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