Clinical by Design: The Art and Science of Physician Efficiency

By Sonny Hyare, MD

Software is eating the world, and healthcare is no exception. From chatbots to virtual scribes, the promises of AI and automation continue to reshape medicine. Yet amid this technological revolution, one fundamental challenge persists: enabling physicians to work efficiently with their EHR systems.

Our previous article, “From EHR to ROI: Connecting Dots in Physician Efficiency,” explored the impact of complex navigation, redundant interfaces, and inadequate training contributing to physician burnout and decreased productivity. As the pendulum swings from antiquated to new methods, ReMedi Health Solutions maintains focus on what matters most: patients, clinicians, and healthier outcomes.

While the industry experiments with futuristic solutions, we take a fundamentally different approach with our Physician Personalization & Efficiency Sessions—one where clinical expertise drives technological transformation. Through personalized, peer-to-peer engagement and advanced analytics, we deliver sustainable improvements at scale. This article, the second in our three-part series, unpacks the inner workings of our clinical by design methodology and its power to transform EHR utilization across health systems.

The Physician Efficiency Challenge

The consequences of inefficiency are significant: physician burnout, reduced patient face time, and compromised care quality. ReMedi’s approach addresses these challenges through a unique combination of clinical leadership, targeted optimization, and physician-led training that consistently delivers measurable improvements in efficiency and satisfaction.

The ReMedi Difference: Clinical Leadership at the Core

What sets ReMedi apart is our unwavering commitment to clinical excellence through physician-led innovation. Our programs are designed and led by physicians who have walked in our clients’ shoes, understanding both the pressures of patient care, constantly changing reimbursement models, and the highs and lows of healthcare technology. Our physician informaticists bring a unique perspective towards EHR anywhere in its lifecycle by:

  • Identifying efficiency opportunities that others miss
  • Designing solutions that align with real clinical workflows
  • Delivering training that resonates with clinicians
  • Driving adoption through peer-to-peer engagement
  • Optimizing documentation to maximize reimbursement potential and ensure compliance across all care models

Delivering Efficiency at Scale

ReMedi’s approach goes beyond traditional EHR training by combining peer-to-peer expertise with a scalable tech stack. Our Physician Efficiency Programs create sustainable improvements through a carefully crafted methodology that scales across healthcare organizations while maintaining personalization for each physician.

Personalization with Purpose

What makes our approach unique is our ability to tailor EHR systems to each physician’s specific needs while maintaining organizational standards. By focusing on individual workflow patterns and specialty requirements, we ensure that every output directly enhances clinical efficiency. Our physician informaticists work one-on-one with clinicians to customize their digital workspace, streamlining documentation, orders, charge capture and clinical review processes.

Data-Driven Optimization

Our approach to efficiency uses analytics to identify opportunities for improvement while measuring the impact of our interventions. This technology-enabled approach allows us to:

  • Target high-impact optimization opportunities
  • Measure doctor’s real-world efficiency gains
  • Ensure sustained adoption of improvements
  • Scale solutions across departments and specialties

Measurable Impact Across Healthcare Organizations

ReMedi’s “clinical by design” approach consistently transforms how physicians interact with technology, delivering results that matter to both clinicians and healthcare leaders:

Physician Time Recovery

Our programs consistently save physicians 60-70 minutes per day on documentation, dramatically reducing administrative burden through optimized workflows. While ambient AI technology promises to revolutionize clinical documentation, it addresses just one facet of the physician’s digital experience. Direct EHR interaction remains essential—from verifying AI-generated notes to managing complex clinical scenarios and maintaining compliance requirements. 

Furthermore, personalized EHR optimization creates a synergistic effect: as ambient AI handles routine documentation, customized workflows enable physicians to navigate remaining tasks with unprecedented efficiency. This comprehensive approach translates directly to increased patient care, improved work-life balance, and reduced burnout risk.

Enhanced Clinical Efficiency

Over 85% of physicians report significantly faster order entry after implementing our solutions, while streamlined clinical review processes across all specialties ensure faster, more accurate decision-making. By reducing time spent on non-clinical tasks, we enable physicians to focus on what matters most: patient care.

Increased Physician Confidence

Nearly 100% of physicians report increased confidence in their EHR use, with over 50% improvement in self-reported proficiency after each session. This enhanced mastery of digital tools leads to sustainable improvements in workflow efficiency and better clinical outcomes.

Exceptional Satisfaction

Our physician-led approach consistently earns exceptional satisfaction ratings above 4.9/5, with nearly 100% of participants recommending our programs to colleagues. This outstanding satisfaction reflects our deep understanding of clinical needs and our ability to deliver meaningful improvements that resonate with practicing physicians.

Anonymous physician comments from ReMedi Personalization Surveys:

“I have already used [EHR] for over ten years, so it was useful to learn new “tricks”.”

“Thank you. My experience with my 1:1 Trainer was very informative and eased my anxiety about the transition. She helped me set up a streamlined view and process to use [EHR]. Please continue to offer these 1:1 sessions. They are invaluable.”

“The focused training was much more beneficial than the previous sessions. I definitely feel more confident with the system after the session today.”

Beyond Traditional EHR Training

Standard vendor training treats the EHR like any other software platform, focusing on individual role competencies. But healthcare is different. Patient care flows across departments, specialties, and roles—requiring a more sophisticated approach to EHR education. Our programs go beyond basic feature training to address the full complexity of clinical workflows, ensuring that efficiency improvements benefit the entire patient journey rather than isolated tasks.

The Path Forward: Key Considerations for Health IT Leaders

The transformation of healthcare technology goes beyond efficiency metrics—it’s about creating an environment where excellence in patient care can lead the way. Consider these critical factors for achieving true physician efficiency:

  • Clinical leadership must drive technology optimization, not the other way around.
  • One-size-fits-all EHR training consistently fails to deliver sustainable results.
  • Physician time savings must be measured in hours per week, not minutes per task. 
  • True EHR optimization doesn’t just save time—it improves how physicians practice.
  • Real transformation doesn’t require a shiny new tool. It happens at the intersection of workflow, specialty expertise, and technical capability.
  • The most successful EHR optimization programs prioritize physician wellness alongside operational metrics and payor reimbursement models.

Ready to explore how these principles can transform your organization? Connect with ReMedi to begin the conversation.

About the Author:

Sonny Hyare, MD, brings 15+ years of clinical technology expertise to his role as Chief Executive Officer of ReMedi Health Solutions. As a former physician executive with Advisory Board Company, he led EHR transformations at some of the nation’s largest health systems. His proven approach to physician efficiency has shaped how leading healthcare organizations implement and optimize their EHR systems.

Connect with Sonny on LinkedIn to discuss your EHR implementation and optimization strategy.

From EHR to ROI: Connecting Dots in Physician Efficiency

This article is the first of a 3-part series where we explore all things physician efficiency, starting with the “why”.

At ReMedi Health Solutions, our Physician Informaticists have coached and trained practicing physicians in EHR efficiency and Personalization for over 15 years. We’ve seen it all—happy doctors, frustrated informatics teams, and passionate, curious super users. Over the past years, Team ReMedi, led by Dr. Sonny Hyare and Dr. Rajeeb Khatua, has developed a novel hybrid model to improve physician performance. We call our approach: Physician Efficiency Sessions. In short: these are highly tailored and custom EHR Personalization sessions conducted by physicians. 

Each session builds upon early-stage Personalization methods that are typically conducted before and during the implementation of a new EHR system (e.g. Epic, Oracle Health). However, ReMedi’s model expands into focused, peer-to-peer efficiency coaching sessions that are specialty-specific. This approach not only enhances EHR proficiency but also addresses the broader issue of physician inefficiency in healthcare.

The Hidden Costs of Physician Inefficiency

Impact on Patient Care

When it comes to physicians underperforming due to the EHR, most would begin crunching the numbers surrounding the impacts to the health system’s bottom line. While the numbers are not small (we will review them later) let’s not forget the real priority in the equation: the patients

Patient satisfaction plunges when simple expectations cannot be achieved. At ReMedi, we stress the importance of not allowing the EHR to hinder patient care. When health systems as a whole responsibly deliver care that prioritizes elements such as dignity, autonomy, prompt service and achievement of patient expectations – patients from all walks of life win. Health systems achieve less wait times, greater patient satisfaction scores, and happier clinicians when the EHR is leveraged efficiently.  

Physician Burnout

The link between inefficient EHR use and physician burnout is well-documented. According to recent reports from KLAS Research and the Arch Collaborative, 34% of physicians report some level of burnout, with 54% of these burned-out physicians citing the EHR as a major contributor. Burnout not only affects physicians’ well-being but also their ability to provide optimal care.

As healthcare IT leaders, it’s important that we identify solutions that directly combat some of the leading causes of physician burnout:

  • Staffing shortages
  • Afterhours workload 
  • EHR inhibits efficiency and quality 
  • No control over workload

Doctors that receive EHR Personalization support from a peer report higher efficiency and less burnout. The need for using personalized EHR tools is critical: the doctors using optimized Note Templates, Order lists and Sets, Macros, Filters, Report views experience faster documentation and less burnout.

Regarding implementation and Go-Live, it’s important for physicians to start using the new system efficiently. Generally, classroom training isn’t designed to maximize efficiency. When a physician starts off using the EHR with a peer that coaches them based on their desired workflows, it increases user satisfaction and increases system adoption. 

Financial Implications

Physician burnout has significant financial repercussions for healthcare organizations. Based on a study from the National Bureau of Economic Research, the cost of turnover caused by burnout and inefficiency is estimated at $87,000 per physician. KLAS and the Arch Collaborative’s survey efforts identified 4,279 physicians reporting EHR-related burnout, translating to around $372 million in financial risk.

Personalized EHR Training: Quantifiable Improvements in Healthcare Delivery

Evidence Supporting Personalization Techniques

Basic training and classroom style sessions are useful for the basics of EHR functionality. However they won’t improve chart-closure rates, nor decrease after-hours charting and burnout. In fact, 98% of UTHealth physicians that received Personalization with ReMedi felt more confident using Epic before Go-Live.

As former clinicians, the team at ReMedi recognizes the fact that physicians can be, well, nuanced. For this reason, we find that 1-on-1, peer-to-peer training is the most effective format to improve the efficiency of physicians. As referenced in the levels of training below, peer-to-peer training is the deepest level of training possible and creates the highest likelihood of increased EHR satisfaction for physicians. 


Source:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8491113/ 

We find that peer-to-peer physician training does more than just build essential skills. It fosters a culture of collaboration across the entire health system. This approach creates best practices and yields improvements in documentation quality, efficiency, and overall clarity of the system. By focusing on physician empowerment and system optimization, our Personalization sessions give providers back what they lack most: time.

By tailoring the EHR training session to the specific needs and workflows of each physician, they become more proficient and comfortable with the system, leading to increased satisfaction and productivity.

Functions of the ReMedi Physician Efficiency Program and Personalization Sessions

  • Continuing EHR Education: Ongoing training ensures physicians stay updated with the latest features and best practices.
  • Improving Clinician Wellness: Efficient EHR use reduces stress and workload, contributing to better mental health.
  • Peer-to-Peer Training: Physicians training physicians fosters a more relatable and effective learning environment.
  • Workflow-Specific Training: Tailored training addresses the unique challenges of different specialties.

Implementing a Culture of Clinician Wellness

Creating a culture that prioritizes clinician wellness is essential for maintaining a happy and productive workforce. Addressing EHR inefficiencies is a critical component of this culture shift. By investing in personalized EHR training, healthcare organizations send a signal to its workforce that they are committed to providing adequate resources and supporting a path to success. 

Why Health Systems Must Invest in EHR Personalization

Long-Term Benefits

Investing in personalized EHR training offers a substantial return on investment. Improved efficiency leads to cost savings, better patient outcomes, and increased physician retention. 

The goal of creating more efficient doctors is not just financial ROI. For physicians, an increase in EHR efficiency dramatically improves job satisfaction, yields less burnout, and increases happiness in and out of the clinic. Overtime, the improvement in physician performance becomes the rising tide that lifts all the other boats (patients, healthcare systems, vendors, start-ups, etc.).

Competitive Advantage

Healthcare organizations that prioritize physician efficiency and wellness position themselves as leaders in the industry, attracting top talent and enhancing their reputation. Moreover, it improves the health system’s reputation among its patients. When a health system’s EHR processes are streamlined, it leads to more accurate documentation, directly impacting quality scores and reimbursement rates. The end-result of EHR efficiency is cultivating a continuous cycle of improved care quality and financial performance.

Regulatory Compliance

Health systems that prioritize EHR efficiency achieve greater levels of regulatory compliance, including more accurate reporting and reducing the potential for issues. We find that when focus is placed on accurate documentation practices, errors go down. By optimizing EHR workflows, organizations can more easily meet requirements for quality reporting. This efficiency also leads to more accurate clinical documentation and precise coding, reducing compliance risks while improving reimbursement through better case mix index and fewer claim denials. In the long-run, streamlined EHR workflows enable robust data analytics, supporting population health management and easier adaptation to evolving regulatory frameworks like MIPS, HCCs, APMs, and others.

Conclusion

Physician inefficiency, particularly with systems like Epic and Oracle Health, has far-reaching implications—from decreased patient satisfaction to significant financial losses due to burnout. ReMedi Health Solutions’ Physician Efficiency Sessions and Personalization solution offer a proven solution to these challenges. By investing in personalized, peer-to-peer EHR training, healthcare organizations can enhance physician efficiency, improve clinician wellness, and ultimately provide better patient care.

Schedule a ReMedi Personalization Program Demo

We invite health system leaders to schedule an interactive demo to better understand how ReMedi’s Personalization program can be implemented to improve physician performance and satisfaction. Visit this link to schedule a demo.

In our next article, we’ll delve into how our unique approach to physician efficiency works and why it stands out in the industry.

After Leading Epic Go-Lives for over 15 Years, here’s what we’ve learned.

At ReMedi Health Solutions, our decades of experience leading Epic implementations have taught us invaluable lessons about ensuring successful go-lives. From taking a clinical-first approach to engaging end-users and investing in comprehensive training, we’ve honed in on best practices that drive Epic adoption, efficiency, and better care delivery. Below are some non-exhaustive insights we’ve collected over the years from a healthcare executive’s perspective.  

Epic Go-Live Lessons Learned from a Physician Executive

Lesson One. Solve clinical first, then IT.

For health IT leaders, one of the biggest decisions is determining how to optimize clinical workflows within Epic to support superior care delivery and revenue cycle management. All too often, the technical capabilities drive decisions rather than clinical needs.

For a health system that is transitioning from, merging, or acquiring a practice using an EHR like Cerner, Allscripts, or Meditech and going live on Epic, it’s critical to understand the ins and outs of both systems at the outset of the migration project. Using a strategic Change Management approach, it’s vital to know deeply how clinical workflows facilitated care on Cerner and how they will be optimized using Epic. Implementing new workflows across the entire system is difficult, but possible when the leadership team can explain both systems.

At ReMedi, we advocate a clinical-first philosophy. This means understanding and seamlessly integrating Epic into existing workflows for each role – from physicians to nurses, to billing specialists. Training staff to the top of their licensure by role allows them to practice at their highest level within Epic’s functionality.

We approach Epic solely through a clinical lens first, before examining the technical/IT requirements. Solutions are built around enhancing medical practices and decision-making capabilities, not structured around Epic system specs. For any issues that arise, our physician informaticists determine whether they stem from functionality gaps requiring optimization or necessitate system builds/integrations.

Lesson Two. Engage your end-users early and often.

One key challenge health IT leaders face is achieving buy-in and adoption from frontline clinical staff. Epic go-lives are major transformations – without end-user engagement, satisfaction plummets. According to a recent 2024 Arch Collaborative report, some examples of the tops methods that improve EHR satisfaction include:

  • Making EHR education more accessible to all clinicians and staff
  • Prioritizing effective communication with clinicians 
  • Involving clinicians in the EHR decision-making process
  • Working closely with vendors to address challenges
  • Promoting clinician well-being

From the start, ReMedi emphasizes consistent communication and incorporating feedback from doctors, nurses, care teams and administrators. We make them partners, not recipients, fostering a sense of control over the Epic implementation. This cultivates organizational investment and overall culture change.

The effects of end-user engagement on Epic adoption are tangible – when staff feel their voices are truly heard, there is a stronger sense of team cohesion and ownership over the success of implementing Epic. This personal stake translates to higher satisfaction ratings and adoption rates.

Lesson Three. Training is everything: build an army of super-users.

No amount of Epic functionality matters if staff aren’t trained comprehensively on leveraging those tools. Yet creating a structured, effective training program is one of the most complex decisions health IT leaders face.

At ReMedi, we advocate developing a multi-pronged training program for a frictionless go-live. This includes immersive classroom sessions, web-based training resources, and most importantly, building an army of super-users. This approach has proven to foster trust, boost adoption rates, and maximize the long-term return on your Epic investment.

Empowering a dedicated group of end-users with in-depth training and ongoing support creates a core group of internal champions. These super-users, familiar with your organization’s culture and workflows, become in-house experts and resources for their peers throughout implementation and beyond. 

By providing super-users with advanced Epic training and developing their skills as educators, healthcare organizations create reliable support systems. Staff have a trusted network of peers to turn to for issue resolution and continued optimization of Epic use. 

Graphic depicting ReMedi's steps to build a Super User program.
ReMedi’s strategic approach to build a Super User program

Lesson Four. Epic Personalization is critical, especially for physicians.

Physician burnout and Epic dissatisfaction are well-documented challenges in the era of electronic records. Epic interruptions and administrative burdens are often cited as root causes.

However, ReMedi’s approach illustrates how proper personalization and optimization can instead make Epic a productivity multiplier for doctors. We provide functional Epic training tailored specifically for physicians, so they understand the tools geared towards their specialty and responsibilities.

For more details on our approach to personalization, read ReMedi’s case study with UTHealth to conduct Epic User Settings Labs and personalization sessions

Inside of personalization and physician efficiency sessions, we unlock powerful Epic capabilities like smart phrases, order sets, and preference lists – all personalized to each doctor’s unique speciality and workflows. These shortcuts and efficiency hacks save physicians significant time per patient encounter. Rather than being a burden, Epic becomes streamlined for their workflow.

Furthermore, by pairing doctors with ReMedi’s physician informaticists specialized in their clinical area, we shed light on new ways to maximize the potential of Epic across the continuum of care. Doctors gain an enlightened perspective on Epic’s full potential directly from peers who have optimized the system for their respective field.

ReMedi’s approach to Personalization utilizes real-time analytics dashboards to validate training and outcomes.

Lesson Five. The investment paradox: spend now or pay later.

Perhaps the biggest decision for health IT leaders is determining the optimal level of investment for Epic go-live and optimization efforts. At-the-elbow support is an additional cost, requiring short-term staffing for hyper-personalized assistance as issues arise during an Epic Go-Live.

However, skimping on knowledgeable resources risks crippling issues, workforce frustration, and sub-optimal Epic facilitated care down the line. ReMedi has found that implementing a hybrid model with both on-site and virtual support can optimize implementation costs without sacrificing quality. For an example of the outcomes from a hybrid Epic Go-Live, read this case study. 

The investment paradox really comes down to taking a short-term perspective versus long-term view. While the upfront expenditure for comprehensive training, embedded resources, and persistent optimization is high, ReMedi has seen how this approach catalyzes positive impacts for decades in a healthcare system’s operations, clinician satisfaction, and quality of care metrics.

A major achievement upon going live on Epic is maintaining normal patient volumes and wait times from day one. We have found that patient data strategy plays a major impact on the ability to serve normal patient volumes during the Go-Live phase. We advise our health system partners that the optimal approach to optimizing patient data in Epic not only includes electronic conversion, but also data abstraction and chart preparation

Patient data must be reconciled in Epic prior to a patient’s first visit in order to avoid “every patient feeling like a new patient” for clinicians. Working with a clinically trained, outsourced data team is an efficient method for health systems to achieve better data quality upon Go-Live at a sustainable cost. 

Health IT leaders who take the plunge achieve instrumental wins – staffing costs decline as productivity skyrockets, medical errors reduce as decision support tools are maximized, and revenue cycles become more efficient and lucrative long-term.

By taking a clinical-centric approach, engaging staff as partners, providing multi-layered training, personalizing for providers, and making a focused investment, healthcare organizations can revolutionize the delivery of quality care using Epic. ReMedi’s 15+ years implementing this blueprint have proven these strategies overcome even the most daunting implementation challenges.

To meet with ReMedi’s talented Physician Executives about Epic, contact us here.