Effect on VA Patient Satisfaction of Provider’s Use of an Integrated Viewer of Multiple Electronic Health Records

• Published in: Journal of general internal medicine : JGIM 2019-01, Vol.34 (1), p.132-136
• Main Authors: Legler, Aaron, Price, Megan, Parikh, Megha, Nebeker, Jonathan R., Ward, Merry C., Wedemeyer, Linda, Pizer, Steven D.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Ambulatory Care - organization & administration; Cross-Sectional Studies; Demographics; Demography; Electronic health records; Electronic Health Records - statistics & numerical data; Electronic medical records; Female; Health care; Health Care Surveys; Health services; Humans; Information systems; Internal Medicine; Interoperability; Male; Medicine; Medicine & Public Health; Middle Aged; Original Research; Patient satisfaction; Patient Satisfaction - statistics & numerical data; Patients; Performance measurement; Practice Patterns, Physicians' - statistics & numerical data; Primary care; Primary Health Care - organization & administration; Regression analysis; Regression models; Retrospective Studies; United States
• ISSN: 0884-8734; 1525-1497
• DOI: 10.1007/s11606-018-4708-z

Purpose To examine associations between patient perceptions that their provider was knowledgeable of their medical history and clinicians’ early adoption of an application that presents providers with an integrated longitudinal view of a patient’s electronic health records (EHR) from multiple healthcare systems. Method This retrospective analysis utilizes provider audit logs from the Veterans Health Administration Joint Legacy Viewer (JLV) and patient responses to the Survey of Patient Healthcare Experiences Patient-Centered Medical Home (SHEP/PCMH) patient satisfaction survey (FY2016) to assess the relationship between the primary care provider being an early adopter of JLV and patient perception of the provider’s knowledge of their medical history. Multivariate logistic regression models were used to control for patient age, race, sex education, health status, duration of patient-provider relationship, and provider characteristics. Results The study used responses from 203,903 patients to the SHEP-PCMH survey in FY2016 who received outpatient primary care services from 11,421 unique providers. Most (91%) clinicians had no JLV utilization in the 6 months prior to the studied patient visit. Controlling for patient demographics, length of the patient-provider relationship, and provider and facility characteristics, being an early adopter of the JLV system was associated with a 14% (adj OR 1.14, p