Comments on: Data entry in EMRs, and why doctors are slow to adopt information technology http://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html Wed, 15 Feb 2012 00:27:00 +0000 hourly 1 By: TrenchDochttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-113647 TrenchDoc Sat, 10 Oct 2009 21:16:54 +0000 http://www.kevinmd.com/blog/?p=40164#comment-113647 Yes after 32 years of practice as a primary care doc I MIGHT have a clue what a medical transcriptionist does. They keep me cracking up laughing at the spelling errors they make and you expect me to hire them to check a patients medical facts. Now who's really clueless in this discussion. There is also no CPT code for "checking the facts" so code no pay. Yes after 32 years of practice as a primary care doc I MIGHT have a clue what a medical transcriptionist does. They keep me cracking up laughing at the spelling errors they make and you expect me to hire them to check a patients medical facts. Now who’s really clueless in this discussion. There is also no CPT code for “checking the facts” so code no pay.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112625 Anonymous Thu, 24 Sep 2009 17:03:38 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112625 There's a solution to preventing medical errors in EMRs. There are "scribes" available now who have years of experience proofreading, editing and fact-checking patient documentation before it becomes a part of a patient's permanent record. They're called medical transcriptionists. Before sending them all to the unemployment line in order to reduce costs, consider the true costs of eliminating their role from the production of medical records. Do you even have a clue what an experienced medical transcriptionist does on a day-to-day basis? There’s a solution to preventing medical errors in EMRs. There are “scribes” available now who have years of experience proofreading, editing and fact-checking patient documentation before it becomes a part of a patient’s permanent record. They’re called medical transcriptionists. Before sending them all to the unemployment line in order to reduce costs, consider the true costs of eliminating their role from the production of medical records. Do you even have a clue what an experienced medical transcriptionist does on a day-to-day basis?

]]> By: TrenchDochttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112115 TrenchDoc Fri, 18 Sep 2009 03:12:00 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112115 All you have to do is look at the junk data pharmacy benefits managers and insurance companies send you about your patients. Examples are: 1. Patient may be noncompliant with medication. 2. Patient on ACE and needs potassium checked. ETC. And these are more extensive systems than your average doc can afford. If it does not make may job of patient care easier then the system is junk. What we need are electronic scribes that can record each and every patient interaction. When that happens then we can show how much PCPs are underpaid for what they provide. All you have to do is look at the junk data pharmacy benefits managers and insurance companies send you about your patients. Examples are: 1. Patient may be noncompliant with medication. 2. Patient on ACE and needs potassium checked. ETC. And these are more extensive systems than your average doc can afford. If it does not make may job of patient care easier then the system is junk. What we need are electronic scribes that can record each and every patient interaction. When that happens then we can show how much PCPs are underpaid for what they provide.

]]> By: Finnhttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112112 Finn Fri, 18 Sep 2009 02:45:09 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112112 If insurance companies gain access to providers' EMRs, coding bingo goes out the window as a method for primary care providers to get paid adequately for the time they spend with patients. If the information flows the other way, from insurer to EMR, the amount of garbage in my medical record will increase exponentially. My insurance record lists 10 illnesses/conditions for me, only 5 of which are accurate. I do not have cataracts, acne, abdominal pain, chest pain, or respiratory insufficiency, but they're all in my insurer's record as reasons for various medical encounters. If insurance companies gain access to providers’ EMRs, coding bingo goes out the window as a method for primary care providers to get paid adequately for the time they spend with patients. If the information flows the other way, from insurer to EMR, the amount of garbage in my medical record will increase exponentially. My insurance record lists 10 illnesses/conditions for me, only 5 of which are accurate. I do not have cataracts, acne, abdominal pain, chest pain, or respiratory insufficiency, but they’re all in my insurer’s record as reasons for various medical encounters.

]]> By: dockjhttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112104 dockj Fri, 18 Sep 2009 00:51:50 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112104 The larger issue here is that the EHR we are expected to adopt most of the time does little to actually improve patient care, it's about documenting worthless drivel that will never be looked at again by any reasonable human in the process of that patients care. But ask the average Family Physician with an EHR to give you a list of his Diabetics with A1Cs over 9 so you can call them and have them come in, and most EHRs will fail miserably at this simple data retrieval task. Why, you may well ask? Because the drivel we record is for insurance companies and lawyers that add nothing of value to the system except overhead. KJ The larger issue here is that the EHR we are expected to adopt most of the time does little to actually improve patient care, it’s about documenting worthless drivel that will never be looked at again by any reasonable human in the process of that patients care. But ask the average Family Physician with an EHR to give you a list of his Diabetics with A1Cs over 9 so you can call them and have them come in, and most EHRs will fail miserably at this simple data retrieval task. Why, you may well ask? Because the drivel we record is for insurance companies and lawyers that add nothing of value to the system except overhead. KJ

]]> By: Anonymoushttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112087 Anonymous Thu, 17 Sep 2009 20:50:52 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112087 There is no way to correct an erroneous record, or at least make a notation that some previous record is erroneous?Of course, the patient with the erroneous breast cancer history will now not be able to buy an individual medical insurance policy, or, if s/he does manage to buy one, will probably have it rescinded when filing a large claim due to "undisclosed pre-existing breast cancer". There is no way to correct an erroneous record, or at least make a notation that some previous record is erroneous?

Of course, the patient with the erroneous breast cancer history will now not be able to buy an individual medical insurance policy, or, if s/he does manage to buy one, will probably have it rescinded when filing a large claim due to “undisclosed pre-existing breast cancer”.

]]> By: ICMCC News Page » Data entry in EMRs, and why doctors are slow to adopt information technologyhttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112078 ICMCC News Page » Data entry in EMRs, and why doctors are slow to adopt information technology Thu, 17 Sep 2009 19:55:13 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112078 [...] Article Winslow W. Murdoch, KevinMD.com, 17 September 2009 SHARETHIS.addEntry({ title: "Data entry in EMRs, and why doctors are slow to adopt information technology", url: "http://articles.icmcc.org/2009/09/17/data-entry-in-emrs-and-why-doctors-are-slow-to-adopt-information-technology/" }); [...] [...] Article Winslow W. Murdoch, KevinMD.com, 17 September 2009 SHARETHIS.addEntry({ title: "Data entry in EMRs, and why doctors are slow to adopt information technology", url: "http://articles.icmcc.org/2009/09/17/data-entry-in-emrs-and-why-doctors-are-slow-to-adopt-information-technology/" }); [...]

]]> By: Anthonyhttp://www.kevinmd.com/blog/2009/09/data-entry-emrs-doctors-slow-adopt-information-technology.html#comment-112075 Anthony Thu, 17 Sep 2009 19:41:07 +0000 http://www.kevinmd.com/blog/?p=40164#comment-112075 Nice article. Could you please list your references, in particular the $100K statistic.Thanks. Nice article. Could you please list your references, in particular the $100K statistic.

Thanks.

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