EHR Nightmare

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Throughout the past two years, I have rotated mainly through one system. To my dismay, it had been one of the worst as far as electronic health records (EHR) are concerned. Most days I observed the workflow, thinking “If they just did this, they would cut the duration of morning rounds in half.” Let us look past the point that I was usually bored out of my mind!
There was just so much wasted time in dealing with documentation and communication. We are in the digital age. It really shouldn’t be this complicated. I cannot imagine how frustrated the residents and attending physicians must have gotten during this nonsense. This part of the job, which is non-medical, has likely been the direct cause of many doctors’ burnout statuses.
Since I have limited exposure to other systems, I am curious to know if this was a well-below average situation or a fairly normal one (feel free to comment below).

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Why physicians are changing their EHRs

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To start off I am new to the industry and have been inundated with copious amounts of information.  I have to admit; at first it was confusing and overwhelming. As I become more educated about the process of Meaningful Use Stage 2 achievement, the required implementation of ICD-10, and the various other factors that make up EHRs / EMRs; it appears that the growing trend is physicians are not pleased with their current EHR / EMR.  Some of the key issues that I see trending lately are cost, functionality, and support.  There have been recent articles and surveys (medicaleconomics.modernmedicine.com) stating that almost 70% of physicians are unhappy with their current EHR / EMR.  While physicians are receiving government incentives (HITECH Act) to comply; it does not seem to offset the costs.

 

Why specialists don’t like their EHRs

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The list of reasons why specialists don’t like their EHRs could go on for pages, but what it really comes down to is this: most EHRs try to satisfy everyone’s needs, an impossible feat in a world with hundreds of medical specialties. Hospitals and primary care practices can sometimes make a one-size-fits-all EHR work, but specialists have a much harder time adjusting to having an EHR as part of their workflow.

A recent Black Book Rankings survey found that specialists are much less happy with their current EHR than family physicians are. However, most physicians place the blame on themselves. The top three reasons for considering a vendor switch all have to do with picking the right EHR:

  1. Solution does not meet the individual needs of the practice, including workflow (80 percent)
  2. The practice did not adequately assess its needs before selecting the original EHR (79 percent)
  3. Design of EHR is not suited for the practice specialty (77 percent)

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AMA and TMA Comment on ONC Patient Safety Plan

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The Office of the ONC has begun putting together a plan to look and find areas where electronic medical records can cause harm to patients.  Two agencies, the American Medical Association and the Texas Medical Association have made comments and suggestions.  iHealthBeat has done a nice job providing a summary of the recommendations made by each. Continue reading: AMA and TMA Comment on ONC Patient Safety Plan

“It’s the System Stupid”, And the Laws of Unintended Consequences Reviewed

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Today we have an opinion piece from Dr. Edmund Billings from Medsphere relaying a message that we have all probably thought about at one time or another if you are in the Health IT business.  How did all of this transpire in the medical record business?  Continue reading: “It’s the System Stupid”, And the Laws of Unintended Consequences Reviewed

Electronic Medical Records Are the New Normal

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By now we all know this is true that is this the new normal,but a little reminder doesn’t hurt once in a while to re-address the benefits as well as the processes of implementing one. Continue reading: Electronic Medical Records Are the New Normal

The RAND Report: Are Healthcare and Health IT in a Dysfunctional Relationship?

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Today we hear from Dr. Edmund Billings, Chief Medical Officer from Medshpere systems.  In short he is addressing some different points of view regarding the recently released Rand Report.  Medical records have changed many times since the beginning states and what have we evolved to?  It has been stated many times on the web that the progression of medical records has been leaning more toward the insurer or payer side of the coin and the doctor asks some questions in this area and has a couple ideas open for discussion. Continue reading: The RAND Report: Are Healthcare and Health IT in a Dysfunctional Relationship?