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Clinician Efficiency and Personalization
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Clinician Wellness and Reducing Burnout
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Reports: Clinician-Wellness-and-Reducing-Burnout
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Easy Lifts for Quickly Improving EHR Satisfaction 2024
Jan 2024
Easy Lifts for Quickly Improving EHR Satisfaction 2024
High-Impact Methods to Achieve Clinician EHR Satisfaction with Few Additional Resources

Healthcare organizations are continually looking for ways to improve clinician EHR satisfaction despite tight budgets and staffing shortages. According to Arch Collaborative data, organizations who spend more of their budget on their EHR don’t necessarily realize a higher Net EHR Experience Score†. In contrast, those who prioritize and reallocate resources toward high-impact interventions can often see improved clinician EHR satisfaction—proving that high satisfaction is possible despite budget and staffing constraints. Drawing from Arch Collaborative case studies, this report provides examples of high-performing organizations or those with improved performance who have made small but effective efforts to increase clinician EHR satisfaction.
Lauren Manzione | Monday, January 29, 2024
Understanding & Addressing Trends in Physician & Nurse Burnout 2024
Jan 2024
Understanding & Addressing Trends in Physician & Nurse Burnout 2024
Since 2018, burnout rates have increased for all types of clinicians, particularly physicians and nurses. Though recent KLAS data indicates burnout rates are slightly decreasing among these two groups, their burnout rates are still above pre-pandemic levels. The Arch Collaborative conducts research on burnout, focusing on how it intersects with the EHR. In the EHR experience survey, clinicians share their current level of burnout and which factors are contributing. Using this data—collected between January 2022 and August 2023—this report details how burnout rates have evolved for physicians and nurses, what the main contributors are, and how organizations can combat burnout. Data in this report comes from 20,229 physicians and 32,782 nurses, and some physicians and nurses have reported burnout levels across multiple years.
Connor Bice & Miles Hepworth | Monday, January 22, 2024
Epic Signal Data 2023
Nov 2023
Epic Signal Data 2023
Examining Its Implications for EHR Satisfaction, Burnout, and Turnover

Signal (Epic’s provider-efficiency tracking tool) is a familiar sight at many organizations using the Epic platform—these organizations harness Signal data to understand the diverse and complex ways end users interact with the EHR. They often use Signal data to pinpoint providers who may be struggling and could gain the most from EHR training interventions. Many Arch Collaborative members ask KLAS whether Signal data can predict a provider’s EHR satisfaction, degree of burnout, or likelihood to leave the organization. Current analysis of Collaborative data confirms past findings: while Signal data has many effective and valuable uses, it is not a meaningful or predictive measure to discern whether providers are dissatisfied with the EHR, experiencing burnout, or considering leaving the organization.
Jacob Jeppson and Jenna Anderson | Friday, November 3, 2023
Arch Collaborative Provider Guidebook 2023
Sep 2023
Arch Collaborative Provider Guidebook 2023
Arch Collaborative Provider Guidebook2023—Creating EHR Mastery: Onboarding EHR Education; Creating EHR Mastery: Ongoing EHR Education; Creating Shared Ownership: Provider Relationships and Communication; Creating Shared Ownership: Governance; Creating Provider Efficiency: Personalization; Creating Provider Wellness: Reducing Burnout; Building a Technological Foundation: System Reliability and Response Time
Tyler Hendricks, Lauren Manzione, Connor Bice | Friday, September 8, 2023
Understanding Your Risk for Physician Turnover 2023
Jun 2023
Understanding Your Risk for Physician Turnover 2023
Clinician turnover remains a major concern for healthcare organizations because high-quality clinicians make the difference for strong patient outcomes—the highest goal of healthcare. Turnover is also tied to significant financial cost. To mitigate negative impacts and improve retention, organizations must employ strategies that reduce the risk of turnover. Do you know which physicians are most likely to leave your organization? This white paper examines early data from 200+ physicians across three organizations, along with insights from 54 physicians (across all participating Collaborative organizations) who decided to stay at their organization after previously indicating plans to leave. Their experiences provide initial insights into how to identify potential turnover and which factors make the biggest difference for reducing physician turnover.
Jacob Jeppson | Friday, June 9, 2023
Provider Burnout and the EHR Experience
Nov 2022
Provider Burnout and the EHR Experience
Following the COVID-19 pandemic, healthcare organizations have seen massive provider burnout, which ultimately leads to issues with staff shortages and quality of patient care. What can organizations do to alleviate and prevent provider burnout? Since 2018, the Arch Collaborative has conducted research on burnout, with particular focus on its intersection with the EHR. In the EHR experience survey, clinicians share their current level of burnout and which factors are contributing. Using this data and other measurements from the Arch Collaborative, this report details what organizations can do to combat provider burnout. Note that this report focuses on physicians, residents, fellows, and advanced practice providers—called “providers” throughout. Note: Data in this report comes from 181 unique provider organizations, some of which have measured provider burnout across multiple years.
David Evans | Friday, November 11, 2022
Exploring EHR Satisfaction by Organization Type
Jun 2022
Exploring EHR Satisfaction by Organization Type
The various healthcare organizations in the Arch Collaborative differ widely in terms of size, focus, patient demographics, EHR systems, and leadership structures. These differences can affect end users’ EHR satisfaction, particularly when it comes to key indicators like training and governance. This report examines organization-specific trends uncovered by the Collaborative data and highlights opportunities and strategies for improvement.
Ruirui Sun | Wednesday, June 8, 2022
Global EHR Satisfaction 2022
May 2022
Global EHR Satisfaction 2022
In 2019, KLAS published early findings on EHR satisfaction outside the United States. Since then, additional non-US organizations have participated in Arch Collaborative measurement, revealing new insights on the state of EHR satisfaction around the globe. Based on 28 Collaborative measurements from 23 health systems in Asia/Oceania, Europe, and the Middle East, this report seeks to help healthcare organizations in regions outside the US better understand the factors that contribute to clinician satisfaction with the EHR. On average, clinicians in the Middle East report the highest EHR satisfaction, but there are highly satisfied users in each global region, and we can learn helpful information from each.
Anna Beyer | Wednesday, May 11, 2022
Clinician Turnover and the EHR Experience
Apr 2022
Clinician Turnover and the EHR Experience
Two years into the COVID-19 pandemic, healthcare organizations in the US are dealing with multiple repercussions—including major staffing shortages. Clinician turnover is high, staffing costs have risen, and even when organizations are able to hire new providers and staff, the need to train them can strain existing employees. These challenges result in overburdened clinicians, millions of additional dollars spent by healthcare organizations, and, ultimately, a diminished capacity for patient care.
Lauren Manzione | Friday, April 8, 2022
EHR Satisfaction in Providers with Complex Work Arrangements
Jan 2022
EHR Satisfaction in Providers with Complex Work Arrangements
72% of acute care providers in Arch Collaborative research deal with complex work arrangements—meaning they work in multiple locations or additional care settings. For reasons ranging from differences in the EHR system and workflows to differences in the level of EHR support provided by their organization, providers who have complex work arrangements generally have higher burnout, lower EHR efficiency, and lower EHR satisfaction compared to peers who work solely in a single hospital. This report details these findings and uses the Arch Collaborative’s Keys to Success to share what organizations can do to support providers in complex work arrangements. (Providers who work solely in ambulatory care are not included in this research.)
Ruirui Sun | Friday, January 7, 2022
Clinician Burnout 2021
Dec 2021
Clinician Burnout 2021
COVID-19 Increasingly Cited in Rising Burnout

The Arch Collaborative’s first look at clinician burnout after the start of the COVID-19 pandemic revealed levels of nurse and physician burnout to be only slightly elevated. However, these numbers have continued to rise as the pandemic has trudged on and healthcare professionals have had to face challenges such as the Delta variant, vaccine reluctance and misinformation, and hostility from patients and their families. This report examines key findings regarding clinician burnout and how it is being impacted by the COVID-19 pandemic.
Jacob Jeppson | Friday, December 3, 2021
Improving EHR Satisfaction in Ambulatory Settings
Oct 2021
Improving EHR Satisfaction in Ambulatory Settings
Optimization Sprints Show Early Promise

Reporting significant benefits, including increased EHR satisfaction and more effective teamwork, four Arch Collaborative organizations have implemented EHR optimization sprints† in their ambulatory clinics. Based on pre- and post-intervention surveys from over 400 clinicians that participated in these sprints, this report seeks to (1) evaluate the effectiveness of the sprint methodology by examining changes in participants’ overall EHR satisfaction, degree of burnout, and satisfaction with ongoing training and (2) share overarching principles and best practices for successfully implementing your own optimization sprint.
Jacob Jeppson | Friday, October 15, 2021
Role of Healthcare IT in COVID-Related Burnout
Apr 2021
Role of Healthcare IT in COVID-Related Burnout
After a year of packed ICUs, PPE shortages, and other COVID-19 related stressors, there is hopefully light at the end of the tunnel, with vaccines becoming widely available and COVID-19 case numbers declining. However, the pandemic has certainly had significant impacts on the healthcare community. This report explores the impact on clinician burnout and examines whether healthcare technology has played a role in current levels of burnout.
Lauren Manzione | Wednesday, April 14, 2021
Why Invest in Measurement?
Feb 2021
Why Invest in Measurement?
KLAS Arch Collaborative Report
Cole Duda and Bob Cash | Friday, February 12, 2021
Immediate Chart-Closure Rates
Dec 2020
Immediate Chart-Closure Rates
The percentage of charts closed immediately after patient interactions is a simple measure of a complex idea: a provider’s ability to keep up with their workload, which is influenced by time, efficiency, and many other factors. Comparing immediate chart-closure rates to other indicators suggests that providers who report higher chart-closure rates also have higher Net EHR Experience Scores and lower levels of burnout. Furthermore, closure rates also correlate with factors such as a provider’s perception of the quality of their initial EHR education and the degree to which a provider has personalized the EHR.
Lauren Manzione | Friday, December 18, 2020
Nurse Burnout 2020
Sep 2020
Nurse Burnout 2020

Clinician burnout is an important problem facing the healthcare industry. While previous Arch Collaborative research has explored the issue across all clinicians, this report narrows the focus specifically to nurses, one-quarter of whom report some degree of burnout. What are some of the most commonly reported causes of this burnout, and can any EHR-satisfaction best practices also help reduce burnout?
Matt Brunken | Friday, September 18, 2020
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