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Research ArticleTheory

Refining Vendor-Defined Measures to Accurately Quantify EHR Workload Outside Time Scheduled With Patients

Brian G. Arndt, Mark A. Micek, Adam Rule, Christina M. Shafer, Jeffrey J. Baltus and Christine A. Sinsky
The Annals of Family Medicine May 2023, 21 (3) 264-268; DOI: https://doi.org/10.1370/afm.2960
Brian G. Arndt
1Department of Family Medicine and Community Health, University of Wisconsin–Madison, Madison, Wisconsin
MD
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  • For correspondence: brian.arndt@fammed.wisc.edu
Mark A. Micek
2Department of Medicine, University of Wisconsin–Madison, Madison, Wisconsin
MD
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Adam Rule
3Information School, University of Wisconsin–Madison, Madison, Wisconsin
PhD
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Christina M. Shafer
2Department of Medicine, University of Wisconsin–Madison, Madison, Wisconsin
4Independent consultant, Madison, Wisconsin
PhD
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Jeffrey J. Baltus
1Department of Family Medicine and Community Health, University of Wisconsin–Madison, Madison, Wisconsin
MS
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Christine A. Sinsky
5Professional Satisfaction and Practice Sustainability, American Medical Association, Chicago, Illinois
MD
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    Figure 1.

    Formula for calculating WOW8.

    EHR = electronic health record; WOW = work outside of work; WOW8 = time spent in the EHR outside of time scheduled with patients, per 8 hours scheduled with patients.

  • Figure 2.
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    Figure 2.

    An example of physician schedules having the same work hours (0.7 clinical FTE) but different WOW values using Epic’s current TOSH definition.

    FTE = full-time equivalent; TOSH = time outside scheduled hours; WOW = work outside of work.

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The Annals of Family Medicine: 21 (3)
The Annals of Family Medicine: 21 (3)
Vol. 21, Issue 3
May/June 2023
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Refining Vendor-Defined Measures to Accurately Quantify EHR Workload Outside Time Scheduled With Patients
Brian G. Arndt, Mark A. Micek, Adam Rule, Christina M. Shafer, Jeffrey J. Baltus, Christine A. Sinsky
The Annals of Family Medicine May 2023, 21 (3) 264-268; DOI: 10.1370/afm.2960

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Refining Vendor-Defined Measures to Accurately Quantify EHR Workload Outside Time Scheduled With Patients
Brian G. Arndt, Mark A. Micek, Adam Rule, Christina M. Shafer, Jeffrey J. Baltus, Christine A. Sinsky
The Annals of Family Medicine May 2023, 21 (3) 264-268; DOI: 10.1370/afm.2960
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  • Article
    • Abstract
    • INTRODUCTION
    • CURRENT MEASURES OF OUTSIDE-HOURS EHR WORKLOAD (WOW)
    • RECOMMENDATIONS
    • CONCLUSIONS
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Subjects

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Keywords

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  • health information technology
  • time and motion studies
  • ambulatory care
  • workload
  • burnout
  • job stress
  • after hours
  • work outside of work
  • metrics
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