Comments on: Why health IT and electronic medical records are so misguided http://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html Tue, 14 Feb 2012 23:00:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-90161 Anonymous Mon, 09 Mar 2009 15:07:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-90161 WHy dont you check out the amazing Electronic Medical Record (CPRS) Computerized Patient Record System; in use at all the VA Medical Centers. You will be surprised. It may not be completely perfect, but it is far ahead of ANYTHING else out there as far a a holistic EHR. WHy dont you check out the amazing Electronic Medical Record (CPRS) Computerized Patient Record System; in use at all the VA Medical Centers. You will be surprised. It may not be completely perfect, but it is far ahead of ANYTHING else out there as far a a holistic EHR.

]]> By: jayparkinsonmdhttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89083 jayparkinsonmd Wed, 07 Jan 2009 02:10:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89083 It's the fact that this technology was built on transactional, pre-internet standards that's never progressed out of 1996 and beyond being a transactional billing engine rather than a tool to communicate and provide valuable information to both patients and doctors using today's technology.<br/><br/>In essence, it all sucks. That's why we're developing our own from the ground up using tomorrow's standards. It’s the fact that this technology was built on transactional, pre-internet standards that’s never progressed out of 1996 and beyond being a transactional billing engine rather than a tool to communicate and provide valuable information to both patients and doctors using today’s technology.

In essence, it all sucks. That’s why we’re developing our own from the ground up using tomorrow’s standards.

]]> By: daccartehttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89082 daccarte Wed, 07 Jan 2009 01:24:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89082 Isn't this technology already in use in some major cities, such as Northwestern Hospital/related practices(in Chicago). I was visiting my daughter and went with her to a drs. appointment. When I saw the laptop in the examining room, my first reaction was "oh no". But as we had to go to other specialists around the city, they were able to bring her history, diagnosis, etc. and saved much time (and in my mind, accuracy).<br/>The doctor seemed to easily and quickly enter preliminary info, then focused on the patient, then updated the info at the end of the visit.<br/>My thought would be to extract "best practices" from hospitals/practices having success with use of electronic records...and use this as a model for the rest of the medical community. I know it's a simplified idea but thought I'd share. Isn’t this technology already in use in some major cities, such as Northwestern Hospital/related practices(in Chicago). I was visiting my daughter and went with her to a drs. appointment. When I saw the laptop in the examining room, my first reaction was “oh no”. But as we had to go to other specialists around the city, they were able to bring her history, diagnosis, etc. and saved much time (and in my mind, accuracy).
The doctor seemed to easily and quickly enter preliminary info, then focused on the patient, then updated the info at the end of the visit.
My thought would be to extract “best practices” from hospitals/practices having success with use of electronic records…and use this as a model for the rest of the medical community. I know it’s a simplified idea but thought I’d share.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89078 Anonymous Tue, 06 Jan 2009 23:27:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89078 Jeff - you do need to learn to type and talk. It's a whole new world there. <br/><br/>My Internist can type and talk and look at me all at the same time. <br/><br/>Probably the next generation of kids who can text with their phones in their pockets like in the move "Departed" will get it right. Jeff – you do need to learn to type and talk. It’s a whole new world there.

My Internist can type and talk and look at me all at the same time.

Probably the next generation of kids who can text with their phones in their pockets like in the move “Departed” will get it right.

]]> By: Jeffhttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89077 Jeff Tue, 06 Jan 2009 20:38:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89077 When all the IT guys are gone and it's just you and the patient, all of the supposed benefits of EMR's fly out the window. Why? Because now it's up to the provider to chart and chart and chart some more. The work falls back onto the shoulders of the provider.<br/><br/>I for one don't see that as an improvement in my personal work flow. Maybe I just need to learn how to type and talk at the same time. When all the IT guys are gone and it’s just you and the patient, all of the supposed benefits of EMR’s fly out the window. Why? Because now it’s up to the provider to chart and chart and chart some more. The work falls back onto the shoulders of the provider.

I for one don’t see that as an improvement in my personal work flow. Maybe I just need to learn how to type and talk at the same time.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89076 Anonymous Tue, 06 Jan 2009 19:53:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89076 Sorry, but this isn't the whole problem. The software and, especially, the user interfaces, are still quite crude and introduce many problems and inefficiencies no matter how carefully the implementation is planned or how many workflows are adjusted. Sorry, but this isn’t the whole problem. The software and, especially, the user interfaces, are still quite crude and introduce many problems and inefficiencies no matter how carefully the implementation is planned or how many workflows are adjusted.

]]> By: Chuck Brookshttp://www.kevinmd.com/blog/2009/01/why-health-it-and-electronic-medical.html#comment-89075 Chuck Brooks Tue, 06 Jan 2009 19:36:00 +0000 http://clients.emmense.com/kevinmd/2009/01/why-health-it-and-electronic-medical-records-are-so-misguided.html#comment-89075 While the techno whizbang often gets ahead of itself and certainly needs to be controlled, the utilization as a business tool does have to be thought out and useful to all, or most, concerned. It's fairly easy to enforce this in a regular business enterprise context, but the health industry has too many conflicting and contradictory requirements to make this easy or reasonably quick. The best example of this is the utter lack of transparancy at hospitals: Costs should be predictable and consistent, and immediately known, no later than at the point of use. The industry sorely needs a kind of reformation (or massive disruption), long overdue. <br/>Chuck Brooks<br/>FutureWare SCG While the techno whizbang often gets ahead of itself and certainly needs to be controlled, the utilization as a business tool does have to be thought out and useful to all, or most, concerned. It’s fairly easy to enforce this in a regular business enterprise context, but the health industry has too many conflicting and contradictory requirements to make this easy or reasonably quick. The best example of this is the utter lack of transparancy at hospitals: Costs should be predictable and consistent, and immediately known, no later than at the point of use. The industry sorely needs a kind of reformation (or massive disruption), long overdue.
Chuck Brooks
FutureWare SCG

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