GROSS: Getting Rid Of Stupid Stuff from Your EHR


Over 60% of health care providers experience one or more symptoms of burnout. The perceived clinician burden resulting in burnout arises from factors such as poor electronic health record (EHR) usability and documentation burden leading to less clinical time with patients. Burnout can have detrimental effects on health care quality and contributes to increased medical errors, decreased patient satisfaction, substance use, workforce attrition, and suicide.

By removing redundant data entry and low value tasks from the electronic health record, we can reduce the administrative burden from the EHR, decrease cognitive load and allow physicians to document more efficiently.

Learning Objectives

Following the completion of this lecture, the participant will be able to:

  1. Define the GROSS Initiative and its overall goals to increase physician efficiency.
  2. Examine evidence-based approaches to identifying issues in the electronic health record that add administrative burden without clinical benefit
  3. Define an algorithm clinicians can use at their own organizations to help identify GROSS items in their own Electronic health record and take action
  4. Review real examples from an EHR of GROSS items that have improved clinician efficiency in their daily work