Comments on: EMR non-acceptance http://www.kevinmd.com/blog/2007/07/emr-non-acceptance.html Tue, 14 Feb 2012 11:46:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2007/07/emr-non-acceptance.html#comment-77763 Anonymous Tue, 17 Jul 2007 00:53:00 +0000 http://clients.emmense.com/kevinmd/2007/07/emr-non-acceptance.html#comment-77763 Medical school in the early 1980's. Someone showed us computer-related teaching tools.<br/><br/>Software,with a simulated patient response. I'd enter questions.<br/><br/>"So what brings you here today?"<br/><br/>"Abdominal pain."<br/><br/>"Where does it hurt?"<br/><br/>"Yesterday it hurt in the middle, but today it hurts on the lower right side."<br/><br/>You imagine the progression. No appetite. High white count.<br/><br/>At the end, my answer was "appendicitis".<br/><br/>I failed. The correct answer was "acute appendicitis".<br/><br/>That was some twenty-five years ago, and I have maintained skepticism ever since. Medical school in the early 1980′s. Someone showed us computer-related teaching tools.

Software,with a simulated patient response. I’d enter questions.

“So what brings you here today?”

“Abdominal pain.”

“Where does it hurt?”

“Yesterday it hurt in the middle, but today it hurts on the lower right side.”

You imagine the progression. No appetite. High white count.

At the end, my answer was “appendicitis”.

I failed. The correct answer was “acute appendicitis”.

That was some twenty-five years ago, and I have maintained skepticism ever since.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/07/emr-non-acceptance.html#comment-77760 Anonymous Tue, 17 Jul 2007 00:31:00 +0000 http://clients.emmense.com/kevinmd/2007/07/emr-non-acceptance.html#comment-77760 How 'bout the EMR companies actually make a decent product, that offers interoperability with other systems, that doesn't require hundreds of hours of staff and professional time to train on, that allows customization for all specialties (delivered when the system goes on line, not vaporware for some time in the future), that doesn't require ever increasing investments in hardware, that is secure: In short, a decent product?<br/><br/>When that happens, I think that most physicians would adopt an EMR. I know that I would...but not now. Why should I act as a revenue conduit from medicare to EMR bandits? How ’bout the EMR companies actually make a decent product, that offers interoperability with other systems, that doesn’t require hundreds of hours of staff and professional time to train on, that allows customization for all specialties (delivered when the system goes on line, not vaporware for some time in the future), that doesn’t require ever increasing investments in hardware, that is secure: In short, a decent product?

When that happens, I think that most physicians would adopt an EMR. I know that I would…but not now. Why should I act as a revenue conduit from medicare to EMR bandits?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/07/emr-non-acceptance.html#comment-77757 Anonymous Mon, 16 Jul 2007 23:41:00 +0000 http://clients.emmense.com/kevinmd/2007/07/emr-non-acceptance.html#comment-77757 Exactly. The best part is that this piece on forcing physicians to adopt EMRs (despite zero evidence that they have a positive impact on outcomes) is written by ... the co-founder of an EMR company.<br/><br/>EMRs are just another scheme to bilk money out of the health care system. Which would be all well and dandy if they weren't going to be a pain in my ass for the next 30 years. Exactly. The best part is that this piece on forcing physicians to adopt EMRs (despite zero evidence that they have a positive impact on outcomes) is written by … the co-founder of an EMR company.

EMRs are just another scheme to bilk money out of the health care system. Which would be all well and dandy if they weren’t going to be a pain in my ass for the next 30 years.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2007/07/emr-non-acceptance.html#comment-77756 Anonymous Mon, 16 Jul 2007 23:34:00 +0000 http://clients.emmense.com/kevinmd/2007/07/emr-non-acceptance.html#comment-77756 The entire discussion begs the question whether EMRs are desirable in the first place. So far I have see _nothing_ to indicate that EMRs would improve patient care -- no studies, no hard data, not even a convincing train of thought.<br/><br/>Does anyone else remember the promises of the "paperless office"?<br/><br/>Cheers,<br/>Felix Kasza.<br/><br/>captcha: "pyeef" -- the sound the EMR makes when the hot air is let out. The entire discussion begs the question whether EMRs are desirable in the first place. So far I have see _nothing_ to indicate that EMRs would improve patient care — no studies, no hard data, not even a convincing train of thought.

Does anyone else remember the promises of the “paperless office”?

Cheers,
Felix Kasza.

captcha: “pyeef” — the sound the EMR makes when the hot air is let out.

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