Analysis of Electronic Health Record Use and Clinical Productivity and Their Association With Physician Turnover

In this study, physician productivity and EHR use metrics were associated with physician departure. Prospectively tracking these metrics could identify physicians at high risk of departure who would benefit from early, team-based, targeted interventions. The counterintuitive finding that less time s …

Objective: To evaluate the association of physician productivity and EHR use patterns, as determined by vendor-derived EHR use data platforms, with physician turnover. Main outcomes and measures: Physician departure from the practice network; 4 time-based core measures of EHR use, normalized to 8 hours of scheduled clinical time; teamwork, percentage of a physician's orders that are placed by other members of the care team; and productivity measures of patient volume, intensity, and demand. Conclusions and relevance: In this study, physician productivity and EHR use metrics were associated with physician departure. Conflict of Interest Disclosures: Dr Melnick reported receiving grants from the American Medical Association (AMA) during the conduct of the study and receiving grants from the National Institute on Drug Abuse outside the submitted work.