Times are displayed in (UTC-07:00) Pacific Time (US & Canada) Change
5/22/2025 |
10:45 AM – 11:45 AM |
San Simeon A/B
S34: Novel Approaches for Understanding Clinician Workload
Presentation Type: Oral Presentations
Team-based ordering in ambulatory care: trends and impact
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 10:45 AM - 11:00 AM
Abstract Keywords: Documentation Burden, Usability and Measuring User Experience, Interprofessional Collaboration
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
Collaborative ordering workflows constitute a potential area for administrative burden alleviation for physicians, with the potential to reduce burnout and increase both work satisfaction and productivity. We use nationally representative data capturing nearly 250,000 ambulatory physicians observed over three years to evaluate whether higher rates of teamwork for ordering are associated with time savings in the EHR and productivity. We find clinically significant ordering time savings (20-30% reduction) as well as substantial spillover effects and productivity gains.
Speaker(s):
Nate Apathy, PhD
University of Maryland
Author(s):
Nate Apathy, PhD - University of Maryland; Alice Yan, MAcc - University of Maryland; A J Holmgren, PhD - University of California, San Francisco;
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 10:45 AM - 11:00 AM
Abstract Keywords: Documentation Burden, Usability and Measuring User Experience, Interprofessional Collaboration
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
Collaborative ordering workflows constitute a potential area for administrative burden alleviation for physicians, with the potential to reduce burnout and increase both work satisfaction and productivity. We use nationally representative data capturing nearly 250,000 ambulatory physicians observed over three years to evaluate whether higher rates of teamwork for ordering are associated with time savings in the EHR and productivity. We find clinically significant ordering time savings (20-30% reduction) as well as substantial spillover effects and productivity gains.
Speaker(s):
Nate Apathy, PhD
University of Maryland
Author(s):
Nate Apathy, PhD - University of Maryland; Alice Yan, MAcc - University of Maryland; A J Holmgren, PhD - University of California, San Francisco;
Identifying trajectories of clinician engagement with the EHR among inpatient hospitalizations
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference DEI/Health Equity Presentation
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:00 AM - 11:15 AM
Abstract Keywords: Consumer and Patient Engagement, Big Data, EHR Implementation and Optimization
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
This study used Electronic Health Record (EHR) audit logs, admission data, and patient characteristics to measure clinician engagement with the EHR during inpatient medicine hospitalization. Group-based trajectory modeling was used to identify encounters with similar trajectories of clinician engagement. Six distinct groups were identified, with statistically significant differences in demographic (sex, age, race, insurance) and clinical (length of stay, admission location, nurse and doctor actions per day) characteristics between groups.
Speaker(s):
Bailey Osweiler, B.A.
Washington University in St. Louis
Author(s):
Bailey Osweiler, B.A. - Washington University in St. Louis; Laura Baratta, MD/PhD - Washington University School of Medicine in St. Louis; Elise Eiden, MS - Washington University in St. Louis; Thomas Kannampallil, PhD - Washington University School of Medicine; Sunny Lou, MD, PhD - Washington University, St. Louis; Daphne Lew, PhD, MPH - Washington University School of Medicine;
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference DEI/Health Equity Presentation
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:00 AM - 11:15 AM
Abstract Keywords: Consumer and Patient Engagement, Big Data, EHR Implementation and Optimization
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
This study used Electronic Health Record (EHR) audit logs, admission data, and patient characteristics to measure clinician engagement with the EHR during inpatient medicine hospitalization. Group-based trajectory modeling was used to identify encounters with similar trajectories of clinician engagement. Six distinct groups were identified, with statistically significant differences in demographic (sex, age, race, insurance) and clinical (length of stay, admission location, nurse and doctor actions per day) characteristics between groups.
Speaker(s):
Bailey Osweiler, B.A.
Washington University in St. Louis
Author(s):
Bailey Osweiler, B.A. - Washington University in St. Louis; Laura Baratta, MD/PhD - Washington University School of Medicine in St. Louis; Elise Eiden, MS - Washington University in St. Louis; Thomas Kannampallil, PhD - Washington University School of Medicine; Sunny Lou, MD, PhD - Washington University, St. Louis; Daphne Lew, PhD, MPH - Washington University School of Medicine;
Interrupting Interruptions: The Ripple Effect of Secure Messaging on Safety
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:15 AM - 11:30 AM
Abstract Keywords: Communication Strategies, Patient Safety, Clinician Burnout, Interprofessional Collaboration, Workflow Efficiency, Secure Communication, Documentation Burden
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
Secure messaging has become a cornerstone of clinical communication, offering an efficient way to coordinate care across teams. However, it also creates a significant burden of interruptions that pose risks to clinician performance, patient safety, and clinician wellbeing. Our study quantifies the interruption burden caused by secure messaging, demonstrating that for every message sent, clinicians experience an average of 3.4 interruptions. Across a typical 12-hour weekday shift, interruption rates ranged from every 1.6 to 14.8 minutes, depending on role and clinical context.
While prior studies have explored improvements to messaging systems, such as alert prioritization and urgency hierarchies, these efforts primarily address the symptoms of the problem rather than its root cause: an overreliance on interruptive communication.
This session will encourage attendees to critically reevaluate how secure messaging functions in their clinical environments. We will explore how each message can ripple into multiple interruptions and the safety implications of this dynamic. Attendees will also learn an initial framework to guide communication strategies, addressing key questions of what information to communicate, to whom, and when. By understanding and quantifying the interruption burden, we aim to shift the conversation toward designing safer and more efficient communication workflows, reducing the reliance on real-time messaging while maintaining effective team collaboration.
Speaker(s):
Subha Airan-Javia, MD
Penn Medicine
Author(s):
Subha Airan-Javia, MD - Penn Medicine;
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:15 AM - 11:30 AM
Abstract Keywords: Communication Strategies, Patient Safety, Clinician Burnout, Interprofessional Collaboration, Workflow Efficiency, Secure Communication, Documentation Burden
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Usability, Efficiency, and User Experience
Secure messaging has become a cornerstone of clinical communication, offering an efficient way to coordinate care across teams. However, it also creates a significant burden of interruptions that pose risks to clinician performance, patient safety, and clinician wellbeing. Our study quantifies the interruption burden caused by secure messaging, demonstrating that for every message sent, clinicians experience an average of 3.4 interruptions. Across a typical 12-hour weekday shift, interruption rates ranged from every 1.6 to 14.8 minutes, depending on role and clinical context.
While prior studies have explored improvements to messaging systems, such as alert prioritization and urgency hierarchies, these efforts primarily address the symptoms of the problem rather than its root cause: an overreliance on interruptive communication.
This session will encourage attendees to critically reevaluate how secure messaging functions in their clinical environments. We will explore how each message can ripple into multiple interruptions and the safety implications of this dynamic. Attendees will also learn an initial framework to guide communication strategies, addressing key questions of what information to communicate, to whom, and when. By understanding and quantifying the interruption burden, we aim to shift the conversation toward designing safer and more efficient communication workflows, reducing the reliance on real-time messaging while maintaining effective team collaboration.
Speaker(s):
Subha Airan-Javia, MD
Penn Medicine
Author(s):
Subha Airan-Javia, MD - Penn Medicine;
Characterizing Primary Care Physicians’ Work Effort and Its Determinants
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:30 AM - 11:45 AM
Abstract Keywords: Clinician Burnout, Workflow Efficiency, Care Delivery Models
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Organizational Challenges
This cross-sectional study describes the estimated yearly work effort required per patient on a PCP’s panel, how work effort varies by clinical FTE (cFTE), and the patient characteristics influencing differential time expenditure. We identified factors such as medical comorbidities, acute care utilization, and panel composition that affect PCP workload. This knowledge will help inform decisions on panel management, workforce sustainability, and risk-adjustment strategies in primary care settings.
Speaker(s):
Lisa Rotenstein, MD, MBA, MSc
UCSF
Author(s):
Michelle Frits, BA - Brigham and Women's Hospital; Christine Iannaccone, MPH - Brigham and Women's Hospital; Michelle L'Heureux, MD - Massachusetts General Hospital; John Fangman, MD - Mass General Brigham Physicians Organization; Richard Gitomer, MD - MD Live; David Bates, MD - Mass General Brigham; Harvard University; Bruce Landon, MD - Harvard Medical School;
2025 Clinical Informatics Conference On Demand
2025 Clinical Informatics Conference 25x5 Presentation
Presentation Time: 11:30 AM - 11:45 AM
Abstract Keywords: Clinician Burnout, Workflow Efficiency, Care Delivery Models
Primary Track: Documentation Burden, Clinician Well-Being and Care Outcomes
Programmatic Theme: Organizational Challenges
This cross-sectional study describes the estimated yearly work effort required per patient on a PCP’s panel, how work effort varies by clinical FTE (cFTE), and the patient characteristics influencing differential time expenditure. We identified factors such as medical comorbidities, acute care utilization, and panel composition that affect PCP workload. This knowledge will help inform decisions on panel management, workforce sustainability, and risk-adjustment strategies in primary care settings.
Speaker(s):
Lisa Rotenstein, MD, MBA, MSc
UCSF
Author(s):
Michelle Frits, BA - Brigham and Women's Hospital; Christine Iannaccone, MPH - Brigham and Women's Hospital; Michelle L'Heureux, MD - Massachusetts General Hospital; John Fangman, MD - Mass General Brigham Physicians Organization; Richard Gitomer, MD - MD Live; David Bates, MD - Mass General Brigham; Harvard University; Bruce Landon, MD - Harvard Medical School;