Resources
Resources
Navigating eRecord (Epic)
- Set priorities when you have downtime – decide on working on one thing (e.g. answering phone calls or reviewing labs) at a time and not go from folder to folder
- Assign time during the day to perform specific tasks (e.g. answering My Chart messages)
- Build margin into your day to catch up on charting and messages (schedule a block of time in the day)
- Strategically building time throughout the day by extending your admin time on other days instead of one large block of time on a single day
- Pre-charting – make optimal use of pre-charting to prepare for your day and to streamline note writing
- Template use for notes
- Typing as you discuss – assess re-structuring exam room to include the ability to do this and be engaged with the patient
- Using dictation software – may need to find space to be able to do this outside of common workroom to minimize noise and distractions
- MINIMIZE distractions/interruptions
- Using space outside the work room to minimize distractions
- Don’t wait for results to finish your documentation
- Work to finish in real time before moving onto the next encounter
- Teamwork – engaging other members of the team (technician, nursing with additional tasks that you can defer to others to maximize use of your time)
- Time audit software – to try to identify how you are using time throughout your clinic morning (there is available software programs that can help you with auditing your time)
- Decision fatigue – how can you minimize decisions
- Record videos of common education that you provide (i.e. chemo teaching for common chemotherapy agents; how to use inhalers etc)
- Ask for feedback from staff as they observe flow/structure of clinic
Additional eRecord Resources
Unified Clinical Communications
- Web Paging Intranet Site (Training resources, support, links, and other information)
- Digital Health Intranet Site (Billing for prolonged MyChart Messages that require E and M)
General Tips
UR Tools
- UR Medicine Employee Wellness
- Employee Assistance Program (EAP)
- UR Well-U
- Behavioral Health Partners (for Employees and their Families)
External Resources
AMA Documentation and Coding Toolkit
Further Reading
- Physician Well-being 2.0. Where are We and Where are We Going? Shanafelt T. Mayo Clin Proc. 2021 Oct;96(10):2682-2693. doi: 10.1016/j.mayocp.2021.06.005.
- Adopting the Quadruple Aim: The University of Rochester Medical Center Experience: Moving from Physician Burnout to Physician Resilience. Anandarajah A et al. Am J Med 2018 Aug;131(8):979-986.doi: 10.1016/j.amjmed.2018.04.034
- Wellness-centered Leadership: Equipping Health Care Leaders to Cultivate Physician Well-being and Professional Fulfillment. Shanafelt T et al. Acad Med 2021 May 1;96(5):641-651. doi: 10.1097/ACM.0000000000003907.
- Estimating the Attributable Cost of Physician Burnout in the United States. Han S et al. Ann Intern Med. 2019 Jun 4;170(11):784-790. doi:10.7326/M18-1422
- The Business Case for Investing in Physician Well-being. Shanafelt T et al. JAMA Intern Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340
- Burnout and Satisfaction with Work-life Balance among US Physicians Relative to the General US Population. Shanafelt T et al. Arch Intern Med. 2012;172(18):1377-1385. doi:10.1001/archinternmed.2012.3199
- Kindness as a Stress Reduction-Health Promotion Intervention: A Review of the Psychobiology of Caring. Fryburg DA. Am J Lifestyle Med 2021 Jan 29;16(1):89-100. doi:https://doi.org/10.1177/1559827620988268.