TrendBurden: Pulse Survey on
Excessive Documentation Burden for
Health Professionals©
Data analyses conducted by Anup Mishra, PhD, MS, SMIEEE, Mayo Clinic.
AMIA 25x5 Task Force. "TrendBurden: Pulse Survey on Excessive Documentation Burden for
Health Professionals© Database (version 1.0)." AMIA.org 2024.
Sloss, E. A., Owoyemi, A., Mishra, A. K., Sidwell, K., Abdul, S., Dawood, G., Allen, M., Austria, D.,Pope, Z., Chekeni, F., Corley, S., Grigg, A., Hartman, V., Johnson, K. B., Levy, D. R., Marshall, K.,
Murphy, J., Newman, B., Phillips, T., Smith, K., Szymanski, J., & Rossetti, S. (2024). Development of
the TrendBurden Survey: Capturing the Pulse of the Nation Related to Excessive Documentation
Burden for Health Professionals. Prepublication.

TrendBurden: Pulse Survey
The amount of time and effort I
spend documenting patient care isappropriate.

Recently, there has been a
noticeable decrease in the time oreffort or both needed for me tocomplete my documentation tasks.

I finish work later than desired orneed to do work at home becauseof excessive documentation tasks.

The effort or time required for me
to complete documentation tasks
impedes patient care.

Likert Scale
I find it easy to document patientcare using the electronic healthrecord.

•Strongly agree

•

Agree

•

Neither agree nor disagree•

Disagree•Strongly disagree

TrendBurden: Pulse Survey• 1,253 Responses• Administered April 10-30, 2024
• Biannual— track and trend changes over time
• Responses from 49 states and the District of Columbia• 36% Physicians• 25% RNs
• 70% of respondents have 11 or more years of clinical experience#CIC24TrendBurden: Pulse Survey
Most Responded Professional Roles• Physician/Surgeon 36.07%• Registered Nurse 24.82%• Other Professionals 13.65%• Educator 8.38%• Informatician 6.07%

Least Responded Professional Roles• Radiologist 0%• Respiratory Therapist 0%• Speech and Language Pathologist 0%• Dentist 0.16%• Pharmacist 0.24%• Medical Assistant 0.24%#CIC2

TrendBurden: Pulse Survey
Work Setting• Outpatient clinics 31.76%• Inpatient/Hospital 30.17%• Academic Medical Center 21.47%• Community-based Organization 21.15%• Urban 9.98%• Rural 9.9%
• Telemedicine/Telehealth 9.58%• Private practice 8.22%• Suburban 7.58%• Other 6.7%
• Emergency department 5.51%• Urgent care/Walk-in clinic 3.67%• Nursing Home/Rehab/Long term care facility
1.68%

Note – The work setting responses are not mutually exclusive and add up to more than 100%.

#CIC24

TrendBurden: Pulse Survey on Excessive Documentation
Burden for Health Professionals
1. The amount of time and effort I spend documenting
patient care is appropriate.

Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

18.04%8.70%
73.26%

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.
3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

77.41%
8.22%
14.37%

Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

16.84%
16.52%
66.64%

4. The effort or time required for me to complete
documentation tasks impedes patient care.

Agree/Strongly AgreeNeither agree nor disagree
Disagree/Strongly Disagree

74.38%
13.49%
12.13%

5. I find it easy to document patient care using theelectronic health record.

Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

31.76%
23.62%
44.61%#CIC24

TrendBurden: Pulse Survey on Excessive
Documentation Burden for Health Professionals
1. The amount of time and effort I spend documenting
patient care is appropriate.
Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

18.04%
8.70%
73.26%

TrendBurden: Pulse Survey on ExcessiveDocumentation Burden for Health Professionals
2. I finish work later than desired or need to do work athome because of excessive documentation tasks.
Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

77.41%
8.22%
14.37%

TrendBurden: Pulse Survey on Excessive
Documentation Burden for Health Professionals
3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete my
documentation tasks.
Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

16.84%
16.52%
66.64%

TrendBurden: Pulse Survey on Excessive
Documentation Burden for Health Professionals
4. The effort or time required for me to complete
documentation tasks impedes patient care.
Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

74.38%
13.49%
12.13%

TrendBurden: Pulse Survey on Excessive
Documentation Burden for Health Professionals
5. I find it easy to document patient care using theelectronic health record.
Agree/Strongly Agree
Neither agree nor disagree
Disagree/Strongly Disagree

31.76%
23.62%
44.61%

Overall Responses, by Role, to TrendBurden Pulse SurveySurvey Question

The amount of time andeffort I spend documenting
patient care is appropriate.
I finish work later thandesired or need to do workat home because of excessive
documentation tasks.
Recently, there has been a
noticeable decrease in thetime or effort or bothneeded for me to complete
my documentation tasks.
The effort or time required
for me to complete
documentation tasks
impedes patient care.
I find it easy to document
patient care using theelectronic health record.

Response

RoleTotaln (%)
1 (12.50)
2 (25.00)
5 (62.5)

Technicians
and Assistantsn (%)
15 (38.46)
6 (15.38)
18 (46.15)

n (%)
70 (20.29)
44 (12.75)
231 (66.96)

226 (18.03)
109 (8.70)
918 (73.26)

7 (58.33)
3 (25.00)
2 (16.67)

7 (87.50)
1 (12.50)
0 (0.00)

24 (61.54)
5 (12.82)
10 (25.64)

262 (75.94)
33 (9.57)
50 (14.49)

970 (77.42)
103 (8.22)
180 (14.37)

22 (20.0)
10 (9.09)
78 (70.91)

3 (25.00)
6 (50.0)
3 (25.00)

1 (25.00)
0 (0.00)
7 (87.5)

11 (28.51)
6 (15.38)
22 (56.41)

51 (14.78)
72 (20.87)
222 (64.35)

211 (16.84)
207 (16.52)
835 (66.64)

213 (74.22)
33 (11.50)
41 (14.29)

80 (72.73)
15 (13.64)
15 (13.64)

7 (58.33)
2 (16.67)
3 (25.00)

6 (70.00)
0 (0.00)
2 (25.0)24 (61.54)
9 (23.08)
6 (15.38)

238 (68.99)
55 (15.94)
52 (15.07)

932 (74.38)
169 (13.49)
152 (12.13)

117 (40.77)
60 (20.91)
110 (38.33)

31 (28.18)
33 (30.00)
46 (41.82)

7 (58.33)
3 (25.00)
2 (16.67)

3 (37.50)
2 (25.00)
3 (37.50)

18 (46.15)
8 (20.51)
13 (33.33)

125 (36.23)
96 (27.83)
124 (35.94)

398 (31.76)
296 (23.62)
559 (44.61)

PhysicianRN

NP-APN-PA

Agree/Strongly Agree
Neither Agree nor Disagree
Disagree/Strongly Disagreen (%)
56 (12.39)
23 (5.09)373 (82.52)

n (%)
58 (20.21)
23 (8.01)
206 (71.77)

n (%)
19 (17.27)
11 (10.00)
80 (72.73)

n (%)
7 (58.33)
0 (0.00)
5 (41.67)

Agree/Strongly Agree
Neither Agree nor Disagree
Disagree/Strongly Disagree

377 (83.41)
25 (5.53)
50 (11.06)

204 (71.08)
27 (9.41)
56 (19.51)

89 (80.91)
9 (8.18)
12 (10.91)

Agree/Strongly Agree
Neither Agree nor Disagree
Disagree/Strongly Disagree

61 (13.50)
53 (11.73)
338 (74.78)

62 (21.60)
60 (20.91)
165 (57.49)

Agree/Strongly Agree
Neither Agree nor Disagree
Disagree/Strongly Disagree

364 (80.53)
55 (12.17)
33 (7.30)

Agree/Strongly Agree
Neither Agree nor Disagree
Disagree/Strongly Disagree

97 (21.46)
94 (20.80)
261 (57.74)

LPN

Case Manager

Other(N=1253)n (%)#CIC24

Sloss, E. A., Owoyemi, A., Mishra, A. K., Sidwell, K., Abdul, S., Dawood, G., Allen, M., Austria, D., Pope, Z., Chekeni, F., Corley, S., Grigg, A., Hartman, V., Johnson, K. B., Levy, D. R., Marshall, K., Murphy, J.,
Newman, B., Phillips, T., Smith, K., Szymanski, J., & Rossetti, S. (2024). Development of the TrendBurden Survey: Capturing the Pulse of the Nation Related to Excessive Documentation Burden for HealthProfessionals. Prepublication.

Q1. Responses, by Role, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.
ALL

PhysicianRN

NP-APN-PATechnicians
andAssistants

Agree/Strongly Agree

18.03%

12.39%

20.21%

17.27%

38.46%Neither Agree Nor Disagree

8.70%

5.09%

8.01%

10.00%

15.38%Disagree/Strongly Disagree

73.26%

82.52%

71.77%

72.73%

46.15%#CIC24

Q2. Responses, by Role, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.
ALL

PhysicianRN

NP-APN-PA

Technicians
andAssistants

Agree/Strongly Agree77.42%

83.41%

71.08%

80.91%

61.54%Neither Agree Nor Disagree

8.22%

5.53%

9.41%

8.18%

12.82%Disagree/Strongly Disagree

14.37%

11.06%

19.51%

10.91%

25.64%#CIC24

Q3. Responses, by Role, to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete my
documentation tasks.
ALL

PhysicianRN

NP-APN-PA

Technicians
andAssistants

Agree/Strongly Agree16.84%

13.50%

21.60%

20.00%

28.51%Neither Agree Nor Disagree

16.52%

11.73%

20.91%

9.09%

15.38%Disagree/Strongly Disagree

66.64%

74.78%

57.49%

70.91%

56.41%

Q4. Responses, by Role, to TrendBurden Pulse Survey

4. The effort or time required for me to complete
documentation tasks impedes patient care.
ALL

PhysicianRN

NP-APN-PA

Technicians
andAssistants

Agree/Strongly Agree74.38%

80.53%

74.22%

72.73%

61.54%Neither Agree Nor Disagree

13.49%

12.17%

11.50%

13.64%

23.08%Disagree/Strongly Disagree

12.13%

7.30%

14.29%

13.64%

15.38%

Q5. Responses, by Role, to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.
ALL

PhysicianRN

NP-APN-PA

Technicians
andAssistantsAgree/Strongly Agree31.76%

21.46%

40.77%

28.18%

46.15%Neither Agree Nor Disagree

23.62%

20.80%

20.91%

30.00%

20.51%Disagree/Strongly Disagree

44.61%

57.74%

38.33%

41.82%

33.33%#CIC24

Q1. Aggregate Response, by Region, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Aggregate Response, by Region, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

Q3. Aggregate Response, by Region, to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in the time or
3. or both needed for me to complete my documentation
efforttasks.

Q4. Aggregate Response, by Region, to TrendBurden Pulse Survey

4. The4. effort or time required for me to complete
documentation tasks impedes patient care.

Q5. Aggregate Response, by Region, to TrendBurden Pulse Survey

5. I5.find it easy to document patient care using theelectronic health record.

Q1. Responses to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Responses to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

#CIC24

Q3. Responses to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Q4. Responses to TrendBurden Pulse Survey

4. The effort or time required for me to completedocumentation tasks impedes patient care.

Q5. Responses to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.

#CIC24

Q1. Responses, Physician, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Responses, Physician, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

#CIC24

Q3. Responses, Physician, to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Q4. Responses, Physician, to TrendBurden Pulse Survey

4. The effort or time required for me to complete
documentation tasks impedes patient care.

Q5. Responses, Physician, to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.

#CIC24

Q1. Responses, RN, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Responses, RN, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

#CIC24

Q3. Responses, RN, to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Q4. Responses, RN, to TrendBurden Pulse Survey

4. The effort or time required for me to complete
documentation tasks impedes patient care.

Q5. Responses, RN, to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.

#CIC24

Q1. Responses, NP-APN-PA, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Responses, NPA-APN-PA, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

#CIC24

Q3. Responses, NP-APN-PA, to TrendBurden Pulse Survey3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Q4. Responses, NP-APN-PA, to TrendBurden Pulse Survey

4. The effort or time required for me to complete
documentation tasks impedes patient care.

Q5. Responses, NP-APN-PA, to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.

#CIC24

Q1. Responses, Technicians and Assistants, to TrendBurden Pulse Survey

1. The amount of time and effort I spend documenting
patient care is appropriate.

#CIC24

Q2. Responses, Technicians and Assistants, to TrendBurden Pulse Survey

2. I finish work later than desired or need to do work athome because of excessive documentation tasks.

#CIC24

Q3. Responses, Technicians and Assistants, to TrendBurden Pulse Survey

3. Recently, there has been a noticeable decrease in thetime or effort or both needed for me to complete mydocumentation tasks.

Q4. Responses, Technicians and Assistants, to TrendBurden Pulse Survey

4. The effort or time required for me to complete
documentation tasks impedes patient care.

Q5. Responses, Technicians and Assistants, to TrendBurden Pulse Survey

5. I find it easy to document patient care using theelectronic health record.

#CIC24