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Electronic Health Record Use Among American Neurotology Society Members

Kamil, Rebecca J.*; Giddings, Neil; Hoffer, Michael; Ying, Yu-Lan Mary§; Kwartler, Jed||; Brookler, Kenneth; Arriaga, Moises#; Agrawal, Yuri*,**

doi: 10.1097/MAO.0000000000001948

Objective: To describe the use of electronic health records (EHR) among members of the American Neurotology Society (ANS).

Study Design: Cross-sectional.

Setting: Active ANS members in November 2017.

Intervention: Internet-based survey.

Main Outcome Measure: Survey that assessed the use of EHR in practice, types of EHR programs, different elements of EHR employed, and respondents’ satisfaction and efficiency with EHR.

Results: One hundred twenty-seven ANS members responded to the survey with 67 (52.8%) respondents working in academic practice and 60 (47.2%) respondents working in private practice. Epic was the most commonly used EHR with 89 (70.1%) respondents using this system. Among all respondents, 84 (66.1%) respondents reported their efficiency was reduced by EHR use, and there was an even split between respondents who reported they were satisfied versus dissatisfied with their EHR (∼40% each). We found that younger members were more likely to feel EHR increased their efficiency compared with the older members (p = 0.04). In all other analyses, we found no significant difference in efficiency and satisfaction between age groups, practice settings, presence of residents or fellows, or specific EHR used. The main challenges reported by ANS members related to the EHR were increased time burden, poor user interface, lack of customizability, and the focus away from patients.

Conclusions: The majority of ANS members felt their efficiency decreased as a result of EHR. These findings provide specific changes to the EHR that would improve efficiency and satisfaction among neurotologists.

*Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland

Spokane, Washington

Department of Otology and Neurotology, University of Miami Miller School of Medicine, Miami, Florida

§Department of Otolaryngology, Rutgers New Jersey Medical School, Newark

||Otology and Neurotology, Summit Medical Group, Berkley Heights, New Jersy

New York, New York

#Baton Rouge, Louisiana

**Division of Otology, Neurotology, and Skull Base Surgery, Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland

Address correspondence and reprint requests to Rebecca J. Kamil, M.D., Johns Hopkins Department of Otolaryngology–Head and Neck Surgery, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287; E-mail:

Funding: None.

The authors disclose no conflicts of interest.

Copyright © 2018 by Otology & Neurotology, Inc. Image copyright © 2010 Wolters Kluwer Health/Anatomical Chart Company