Taking a Team Approach: Keep Up with the EHR with a Training and Optimization Program

The findings suggest that ETOPs are inconsistently implemented across HCOs, and while there are some commonalities, there is a wide variety of designs and methods of evaluation for the programs. Though the problems to solve (EHR efficiency, proficiency, and satisfaction) are the same, the organizational structure and culture of HCOs vary widely, which may partially explain the variability seen in reported ETOPs. When considering the measured outcomes, ETOPs may have direct and indirect effects on HCW burnout by improving EHR efficiency and satisfaction, as well as driving organizational culture toward teamwork and flexible problem-solving. For this reason, ETOPs may also serve as a model for addressing other challenges in health care delivery. ETOPs are a promising intervention to enhance HCW experience with the EHR and reduce burnout. More research is needed to identify the optimal features, methods, and outcomes of ETOPs, and to disseminate them across HCOs.