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On Demand

GROSS: Getting Rid Of Stupid Stuff from Your EHR

Total Credits: 1 including 1 AOA Category 1-A Credit(s)

Average Rating:
State Associations:
VOMA - Virginia
Richard Truxillo
1 Hour
Never expires.


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



Richard Truxillo's Profile

Richard Truxillo Related Seminars and Products

A graduate of West Virginia School of Osteopathic Medicine, Dr. Truxillo is a board certified Clinical Informaticist and Epic certified physician builder for Carilion Clinic.  He completed his family practice residency at Carilion Clinic in Roanoke, VA and serves as faculty at the Virginia Tech Carilion School of Medicine Family Medicine Residency.  Dr. Truxillo's passion is the application of technology to modern medicine with the goals of bettering patient care and improving quality of life for his physician colleagues. 


Dr. Truxillo has no disclosures.


Accreditation Information

The Virginia Osteopathic Medical Association (VOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. VOMA designates this program for a maximum of 1 AOA Category category of credits 1A CME credits and will report CME credits commensurate with the extent of the physician’s participation.

​Grievances regarding program administration and reporting of AOA CME credits will be handled on an individual basis Initially, all grievances should be directed to VOMA Executive Director. Participants with grievances that cannot be resolved will be sent to the AOA Council on CME , 142 East Ontario Street, Chicago, IL 60611.



Overall:      4.5

Total Reviews: 20