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Provider Satisfaction with Chronic Opioid Therapy (COT) Delivery after EHR Transition at a Community Internal Medicine Clinic

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With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study…

With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study metrics included provider<br/>satisfaction and perceptions regarding opioid prescription. Mayo Clinic transitioned its EHR<br/>system from Cerner to Epic in October 2018. This study aims to understand if provider perceptions<br/>about COT changed after the EHR transition and the reasons underlying those perceptions.
ContributorsPonnapalli, Sravya (Author) / Murcko, Anita (Thesis director) / Wallace, Mark (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Behavioral Health Providers’ Perspectives on Granular Information Sharing

Description
Granular information sharing allows patients to have more control over their medical records by giving them the choice of what information to share and with whom. Numerous studies have focused on patients’ perspectives, but this study focuses on the provider views of granular information sharing. Twenty-eight behavioral health providers (n=3…

Granular information sharing allows patients to have more control over their medical records by giving them the choice of what information to share and with whom. Numerous studies have focused on patients’ perspectives, but this study focuses on the provider views of granular information sharing. Twenty-eight behavioral health providers (n=3 prescribers, n=25 non-prescribers) from two different integrated healthcare facilities participated in a 2-hour focus group and took a survey at the beginning and at the end of the focus group. The survey responses were analyzed using descriptive analysis to understand how the providers' preferences changed from the pre-study to the post-study. Most providers changed their view about granular information sharing, as 30% of providers “were OK with patients having control over who sees what information in their electronic health record”, previously 83%. Overall, health care providers had concerns that granular information sharing because they feared that it would lead to increased costs, patient safety issues involving drug-drug interactions, and poor provider-patient relationships.
ContributorsIdouraine, Nassim Charif (Author) / Grando, Adela (Thesis director) / Murcko, Anita (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12