Healthcare Provider Well-being
Conditions
Keywords
Artificial Intelligence, Physician well-being, Healthcare provider
Brief summary
The goal of this clinical trial is to learn whether using Ambient Artificial Intelligence for provider documentation will enhance provider well-being and improve documentation quality. Participants will complete their documentation using the Ambient AI software.
Detailed description
Provider documentation of patient visits is a time-consuming activity that extends throughout the workday and often continues outside office hours. This ongoing clerical burden negatively impacts provider well-being, contributing to burnout and job dissatisfaction. To address these challenges, the researchers propose to test the effectiveness of the Ambient AI tool in improving provider fulfillment and note documentation efficiency. The overarching goal is to leverage AI technology to enhance provider well-being and documentation quality.
Interventions
OTHERArtificial Intelligence
Ambient AI software intervention is implemented into the providers workflow. The software incorporates Automated Speech Recognition technology with Large Language Models to generate clinical documentation in real-time.
Sponsors
University of Wisconsin, Madison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The stepped wedge design involves staggered implementation of an intervention across different providers over multiple time periods, allowing all providers to eventually receive the intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Healthcare Provider in the UW Health Outpatient Clinic Setting * Willingness to engage and use ambient technology * Owns an Apple mobile device, as the software is accessible only on this platform * Adult (greater than 18 years) * English or Spanish speaking * Completed the training and in-servicing required to use the tool * Providing outpatient care to no less than 20 encounters on a weekly average
Exclusion criteria
* Planned leave in 6 weeks following randomization * Not registered onto Epic's mobile Haiku system for access * Enrolled in a virtual scribe program and not willing to leave the program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in provider fulfillment index | Baseline to weeks 6, 12, 18, and 24 | Using the Professional Well-Being Academic Consortium Survey Measures, the fulfillment index is a 6-item questionnaire. Each question is scored on a 0-4 Likert scale, with total possible scores of 0-24. Higher scores indicate greater fulfillment |
| Change in provider burnout | Baseline to weeks 6, 12, 18, and 24 | Using the Professional Well-Being Academic Consortium Survey Measures, the burnout index includes two subcomponents of work exhaustion and interpersonal disengagement. It is a 10-item questionnaire, scored together as a composite. Each question is scored on a 0-4 Likert scale, with a total possible range of 0-40. Higher scores indicate greater burnout, indicating lower well-being |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in time spent on documentation outside work hours | Baseline to 24 weeks | Providers will track amount of time spent on EHR (electronic health records) outside of scheduled patient hours per 8 hours of patient scheduled time |
| Change in task load | Baseline to 24 weeks | Hours spent on documentation per 8 hours of scheduled patient time |
| Change in meaningfulness of work | Baseline to 24 weeks | Meaningfulness of work is a 4-item questionnaire, where each question is scored on a 0-4 Likert scale. Total possible scores range from 0-16, with higher scores indicating lower sense of meaningfulness of work. |
| Change in meaningful relationships | Baseline to 24 weeks | Using the Professional Well-Being Academic Consortium Survey Measures, the negative impact of work on relationships index is a 4-item questionnaire. Each question is scored on a 0-4 Likert scale, with total possible scores ranging from 0-16. Higher scores indicate less meaningful relationships. |
Countries
United States
Outcome results
None listed