The X-Files fans will remember the poster that Agent Mulder had on his bulletin board with a picture of a flying saucer and the words, “I want to believe.”  That’s how I feel reading EMR notes sometimes.  I want to believe, but I doubt. I know how this happens.  The EMR vendor, the practice implementation team and the doctor have a meeting to develop the “normal” template for a hospital admission ...

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How the physician replaced the medical secretary I recently sat in a small room, in the bowels of a local hospital, training for the impending implementation of CPOE. For those not familiar with current health care acronyms, this stand for Computerized Physician Order Entry. Nearing the end of my medical career, I could not help but admire the timing of this phenomenon. “They’ve finally done it,” I mused silently. They ...

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Doctors lack an analytic engine: Why we need EMR 3.0 Health information technology (HIT) has had a tremendous – and mostly positive -- impact on our systems for recording, delivering, monitoring, and reporting the healthcare and services we deliver. Like most of my colleagues, I can tick off at least five or six large "pioneer" corporations – companies like Epic, Cerner, Allscripts, Siemens – in the forefront of the technology explosion that yielded ...

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Dr. Google: Tips for patients who diagnose online For practicing physicians, there’s a tricky balance in believing that the Internet can help save lives. I’m a doctor who encourages families to look up health info online and one who believes technology will afford improved partnerships. Yet, when we’re in the old-fashioned exam room, there isn’t always a place for the Internet. Many clinics block video-streaming sites and don’t allow for traditional email ...

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5 reasons why mobile technology needs clinical trials I have long been a proponent of proven technology in the digital health space.  Probably the most obvious reason is to dispel the generalized notion that these technologies are flimsy.  The HHS Text4HealthTask Force has endorsed clinical studies in its recommendations. There certainly have been studies performed. One interesting one, the final report of The National ...

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The ethics of EMR: How unproven technology affects patients The implementation of the electronic medical record (EMR) in American medicine gained a powerful foothold in medical care with the passage of the American Reinvestment and Recovery Act (ARRA) in 2009. With the passage of this act came the promise of improved efficiencies, safety and ultimately reduced cost delivery for health care. Also, some $18 billion dollars in financial incentives were offered to physicians ...

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Should physicians use a consultant to help choose a practice management system or EHR for their practice? According to recent Medical Group Management Association surveys more than 50% of physicians used the services of a healthcare consultant or firm at least once in the previous 3 years. But did they have to? Was it a smart move? The answer: It depends Not every practice needs a consultant's assistance when replacing and choosing ...

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Using the iPad Mini in the hospital: One doctors experience On my birthday several weeks ago, I was lucky to get an iPad Mini from my husband. I already have an iPad and have shared my experience. In fact, we gave all of our residents iPads (one of them contacted Steve Jobs and got a response), and documented an improvement in efficiency on the wards. ...

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Do patient portals increase patient engagement? Wikipedia defines patient portals as "... healthcare-related online applications that allow patients to interact and communicate with their healthcare providers. Some patient portal applications exist as stand-alone websites and sell their services to healthcare providers. Other portal applications are integrated into the existing web site of a healthcare provider. Still others are modules added onto an existing electronic medical record system. What all of these services ...

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2 ways technology will improve patient care When I completed my internal medicine residency, my fellow trainees knew I was headed for a rural practice in Vermont. Much to my surprise, they gave me a traditional doctor’s black bag – a beautiful leather bag with pockets inside for instruments, tongue depressors, syringes, prescription pads, and all my tools. It was an extraordinarily meaningful gift that acknowledged a launch ...

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