FEATURE ARTICLECommunity-Based, Interdisciplinary Geriatric Care Team Satisfaction With an Electronic Health Record: A Multimethod StudySOCKOLOW, PAULINA S. DrPH, MS, MBA; BOWLES, KATHRYN H. PhD, RN, FAAN; LEHMANN, HAROLD P. MD, PhD; ABBOTT, PATRICIA A. PhD, RN, FACMI, FAAN; WEINER, JONATHAN P. DrPHAuthor Information Author Affiliations: College of Nursing and Health Professions, Drexel University, Philadelphia, PA (Dr Sockolow); School of Nursing, University of Pennsylvania, Philadelphia (Dr Bowles); and Division of Health Sciences Informatics, School of Medicine (Drs Lehmann and Weiner), and Departments of Health Policy and Management (Drs Lehmann and Weiner) and Biostatistics (Dr Lehmann), Bloomberg School of Public Health, and School of Nursing (Dr Abbott), Johns Hopkins University, Baltimore, MD. Support was received from NLM Informatics Training grant T15LM07452, Robert Wood Johnson Foundation Public Health Informatics Training grant, and The Johns Hopkins School of Medicine. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Paulina S. Sockolow, DrPH, MS, MBA, Collegeof Nursing and Health Professions, Drexel University, Mail Stop 1030, Bellet Bldg, Room 512, 245 N 15th St, Philadelphia, PA 19102 (firstname.lastname@example.org). CIN: Computers, Informatics, Nursing: June 2012 - Volume 30 - Issue 6 - p 300-311 doi: 10.1097/NCN.0b013e31823eb561 Buy Metrics Abstract This multimethod study measured the impact of an electronic health record (EHR) on clinician satisfaction with clinical process. Subjects were 39 clinicians at a Program of All-inclusive Care for Elders (PACE) site in Philadelphia utilizing an EHR. Methods included the evidence-based evaluation framework, Health Information Technology Research-Based Evaluation Framework, which guided assessment of clinician satisfaction with surveys, observations, follow-up interviews, and actual EHR use at two points in time. Mixed-methods analysis of findings provided context for interpretation and improved validity. The study found that clinicians were satisfied with the EHR; however, satisfaction declined between time periods. Use of EHR was universal and wide and was differentiated by clinical role. Between time periods, EHR use increased in volume, with increased timeliness and decreased efficiency. As the first EHR evaluation at a PACE site from the perspective of clinicians who use the system, this study provides insights into EHR use in the care of older people in community-based healthcare settings. © 2012 Lippincott Williams & Wilkins, Inc.