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PROVINCIAL EMR STRATEGYMEMBER SURVEY 2022SUMMARY OF RESULTS

Methodology2022Total number of surveys sent14,049(active full members,students andresidents.)Responses2,255Response rate (%)16%The data is valid 19 times out of 20 within a margin oferror of /- 1.89%Administration datesApril 4 - 18Participants were given the opportunity to enter anoptional draw to win one of five 100 Visagift cardsThe survey was hosted and reported by2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)2

SynopsisPhysicians want a simple, fulsome sharing of patient information across the province with a fewexceptions 56% of members are satisfied with their current EMR; 43% are satisfied with their EMR vendor Changing EMRs is a time consuming and expensive process The current number of EMRs creates fragmented communications EMRs in the community and across hospitals don’t communicate with each other Some have experienced what they view as superior systems in Alberta, the US or New ZealandContext limits the ability to design and belief that an optimal system is possible Bad change experiences Unique workflows and needs Difficult to use current systems Distrust of Health Authorities and the Ministry of HealthPersonal ideology and beliefs also inform how the system should be governed Competition breeds innovation and reduced costs Government will not be responsive to user needs Corporate monopolies will not serve the interests of patients or physiciansRespondent’s conclusion Patient care and system costs are negatively impacted by limitations to the communication systems There is no consensus on how to address the challenge of full, secure, and timely patient information2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)3

Sample Both54%Familyphysician65%Urban(N 2,250)(N 2,253)43%Specialist16%Facility(N 2,246)56%CommunityTENUREAGE3%Resident12%Under 3510%65 or older4%1st Year in Practice15%2 to 5 Years28%26 Years25%55 to 64(N 2,250)(N 2,241)30%35 to 4424%45 to 5419%Rural16%6 to 10 Years13%21 to 25 Years11%16 to 20 Years11%11 to 15 Years0% Medical student2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)4

Sample ProfileHEALTH AUTHORITY0%First NationsHealth AuthorityHealth Authority Sample Sizes2022First Nations Health Authority2Fraser Health Authority575Interior Health Authority397Island Health Authority460Northern Health Authority103Provincial Health Services Authority93Vancouver Coastal Health Authority61127%VancouverCoastal Health4%Provincial HealthServices Authority26%Fraser Health(N 2,241)18%Interior Health5%Northern Health21%Island Health2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)5

These questions focus on your experiences and thoughts on the EMR systemyou currently use in your practice or a facility you work within.56% of respondents are satisfied with their current EMR system.43% of respondents are satisfied with their current EMR vendor.If you use multiple EMRs, please respond about the one you use primarily/most often or have influence or say regarding.Rate your level of satisfaction with your currentEMR system (i.e., the EMR product itself).(N 2,222)Rate your level of satisfaction with your currentEMR vendor (i.e., the company that owns andprovides the EMR product).(N 2,100)6% 13%7% 8%18%18%35%20%44%32%Extremely satisfiedSatisfiedNeutralDissatisfiedExtremely dissatisfiedExtremely satisfied2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)SatisfiedNeutralDissatisfiedExtremely dissatisfied6

HEATMAP – Satisfaction with current EMR systemRate your level of satisfaction with yourcurrent EMR system (i.e., the EMR productitself).What EMR system do you useprimarily/most often?MedAccess (N 430)Accuro (N 310)Cerner (N 235)Profile (N 200)Meditech (N 184)Plexia (N 153)Other (N 126)Oscar (N 124)OSCAR Pro (N 118)Wolf (N 94)MOIS (N 68)Juno EMR (N 67)CHR (N 44)Open OSP OSCAR (N 35)iClinic (N 24)Arya (N 5)Myle (N ed/ %50%60%63%80%100%2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)7

HEATMAP – Satisfaction with current EMR systemRate your level of satisfaction with yourcurrent EMR system (i.e., the EMR eutralSatisfied/ ExtremelysatisfiedFamily physician (N 1,198)Specialist (N 943)Other (N 79)22%26%41%21%19%20%58%56%39%Community based (N 1,237)Facility based (N 343)Both (N 637)18%42%27%18%24%20%64%34%53%1st year (N 80)2 – 5 years (N 333)6 – 10 years (N 364)11 – 15 years (N 255)16 – 20 years (N 231)21 – 25 years (N 284)26 years (N 607)Resident (N %44%50%58%57%60%59%61%32%Fraser (N 570)Interior (N 392)Island (N 452)Northern (N 103)PHSA (N 91)Vancouver Coastal (N 6%47%55%DEMOGRAPHICS2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)8

HEATMAP – Satisfaction with current EMR vendorRate your level of satisfaction with yourcurrent EMR vendor (i.e., the company thatowns and provides the EMR product).What EMR system do you useprimarily/most often?MedAccess (N 420)Accuro (N 308)Cerner (N 235)Profile (N 192)Meditech (N 163)Plexia (N 150)Other (N 108)Oscar (N 110)OSCAR Pro (N 113)Wolf (N 93)MOIS (N 65)Juno EMR (N 67)CHR (N 43)Open OSP OSCAR (N 33)iClinic (N 24)Arya (N 5)Myle (N ed/ 8%33%49%63%80%100%2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)9

HEATMAP – Satisfaction with current EMR vendorRate your level of satisfaction with yourcurrent EMR vendor (i.e., the company thatowns and provides the EMR Satisfied/ ExtremelysatisfiedFamily physician (N 1,146)Specialist (N 943)Other (N 79)25%24%42%34%30%27%41%46%31%Community based (N 1,196)Facility based (N 299)Both (N 601)22%40%24%32%34%32%46%26%43%1st year (N 69)2 – 5 years (N 318)6 – 10 years (N 346)11 – 15 years (N 245)16 – 20 years (N 224)21 – 25 years (N 273)26 years (N 570)Resident (N %33%35%41%43%46%43%50%22%Fraser (N 542)Interior (N 378)Island (N 418)Northern (N 100)PHSA (N 82)Vancouver Coastal (N 7%40%44%DEMOGRAPHICS2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)10

These questions focus number of EMR Systems45% of respondents used 1 EMR in the past year.55% of respondents used 2 or EMR’s in the past yearHow many EMR systems have you used in the pastyear? (N 2,236)45%(N 2,250)11 EMREMR»»»»»»»»8%»»234%EMRs22 EMRs313%3 EMRs 38%What EMR system do you use primarily/most often?19% MedAccess14% Accuro11% Cerner9% Profile8% Meditech7% Plexia6% Other6% Oscar5% OSCAR Pro4% Wolf»»»»»»»»»3% MOIS3% Juno EMR2% CHR2% Open OSP OSCAR1% iClinic0% Arya0% Myle0% Colcamex OSCAR0% MustimuhwI use more than 3EMRs2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)11

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 2023)7%14%8%15%17%13%Family Physicians10%10%6%14%8%14%15%11%All Physicians9%5% 7%8% 4% 5%Subsidized costof EMRGreater choice 7%19%9%50%560%612%11%6%14%7%14%77%14%6%2% 10%70%80%90%89102022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)10%100%12

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 2023)1%3%Family PhysiciansMore choice ofEMRs with lessinteroperability4% 4% 7%6%4% 4% 8%5%2% 3%All Physicians15%22%15%15%21%22%16%23%Less choice ofEMRs with moreinteroperabilitySpecialists3%SpecialistOther4% 4% 4% 8%2%2%2% 3%0%5% %70%780%82022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)990%100%1013

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 2023)All PhysiciansAll Physicians8%11%10%6%17%6%9%11%8%14%9%14%Mode: 5Family PhysiciansYou manageyourcontract/licence7%Family Physicians9%9%6%17%8%10%10%Mode: 5Specialists9%Specialist13%10%7%16%5%9%12%6%13%A central third-partymanages yourcontract/licenceOther4%Other0%7%10%123%7% 2%20%28%30%340%46%50%512%60%6710%70%21%80%82022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)990%100%1014

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 2023)13%All de: 3Family PhysiciansCustomization(e.g., ofworkflows,reporting,dashboard, etc.)Family Physicians10%14%16%9%11%5%10%10%Mode: 3Standardization (e.g.,of workflows, reporting,dashboard, 0%216%19%30%38%40%48%6%50%513%68%60%74% 7%8%4% 7%6%15%4%70%80%90%82022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)910%100%1015

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 2023)All PhysiciansAll Physicians14%15%11%6%10%5%9%12%7%11%Mode: 1You decidewhat data topush out fromyour EMR to ashared EMR15%16%Family PhysiciansMode: 5%9%5%9%14%7%13%An external health careprovider (e.g., hospitalstaff or pharmacist)can query and pulldata directly from yourEMROther8%7%Other0%10%111%7%20%30%235%2% 8%40%419%50%510%60%6723%70%80%90%89102022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)100%16

These questions focus on your thoughts on key interests to inform EMRstrategy and priorities in BC.There are trade-offs to consider when selecting an EMR. To help inform our EMR strategy, please use thesliding scale to weigh the following competing interests. (N 1,770 – 3%8%8%Mode: 5Family PhysiciansFlexibility tocustomize or useexternalapps/sourcesoutside your EMR6%Family veEMR apps withinyour EMR with 11%50%560%670%782022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)8%13%80%90%910100%17

These questions focus on your experiences and thoughts on the EMRsystem you currently use in your practice or a facility you work within.We are interested in potential ways to lower the cost of community-based EMRs. To support consideration ofthis, please indicate which of the following is the highest priority (choose one). (N 2,232)Interoperability is ranked the highest priority to lower cost.Interoperability - the EMR isconnected with the health systemChoice of features andfunctionalities of the EMR40%29%Don't know/ Not sure238% 3Choice of EMR11%Training and technical/issuesupport for the EMRYour ownership and controlof the EMR contract/licence8%8%5%2022 Provincial EMR Strategy Member Survey(percentages have been rounded to the nearest whole number)18