The title itself should make us all cringe!  If there’s one thing I know to be true, it is that putting clinicians at the helm of electronic medical record (EMR) design is doomed to create a product with limited scope and lack of forward-thinking trajectory.  Yet, the concept of integrating and considering the physician point of view and workflow is critical to successful EMR functionality. The question is how can clinician ...

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I have been a way from blogging for a a bit and tried to clear my head a bit with a vacation skiing.  I left the computer at home, disconnected (as best I could), and had the luxury of feeling the knees working less fluidly than they had before, but still had some fun for a brief 3 day stint.  It was nice to notice that there's a whole world ...

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I’ve been working with the latest electronic medical record (EMR) for almost a year now. You know the one. There are many positive changes, to be sure. It has helped me more than a few times with calculating doses for kids’ medications. I can now easily check in on my patients’ progress when they are admitted to the hospital. And, of course, the notes are far more legible. But what do ...

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If you’re a practicing provider, chances are you still feel some anxiety about several issues related to the ICD-10 transition that are critical for maintaining the health of your practice. These probably include reimbursement, documentation workflows, potential audits, and claims denial. As a family medicine provider, what I hope to see develop is the opportunity for providers to encourage payers to be more transparent about topics like the level of coding ...

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From MedPage Today:

  1. 5 Ways Doctors Can Use Data Analytics. Reimbursements are increasingly linked to quality and value metrics, but providers often don't have the best tools to handle that transition.
  2. Killing Pain: Script by Script. Primary care doctors wrote about 53 million benzodiazepine prescriptions in 2013, roughly four times the number written by psychiatrists, a group that penned 13 million benzo scripts.

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A few months ago, I spent 15 minutes filling out a detailed health data form at the doctor’s office. The paper form contained multiple questions about my health, family history, medications and basic demographic information. I assumed that an administrative specialist would code it into the practice’s electronic medical record (EMR) to be put to use. So it came as a surprise when I spent another 5 minutes reviewing the ...

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Have you ever encountered an intrusive, insistent popup decision support screen while trying to take care of patients? Found yourself stuck in a dead end electronic hallway without egress? A situation where you had to choose an option that was inappropriate for your patient just to exit the screen? This is the situation with my local medical institution's "DVT Advisor," a mandatory decision support screen for all patients. DVT Advisor was implemented ...

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Do I value the privacy of my health information? What do you mean? That if I email my doctor about an embarrassing symptom, only my doctor will read it? That only my doctor, my nurse and I have access to the information in my electronic medical record, including notes on our confidential conversations, prescriptions and test results? That my local drug store doesn't sell information about me to pharmaceutical companies? That if I ...

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If you are a CEO or COO of a health care organization, and your IT people have been trying to get your attention, it’s time to have a serious sit-down with them. If they haven’t been trying to get your attention, it’s time to have an more serious sit-down with them, complete with charts and graphs and arrows on fip charts. Here’s why. Remember in November it was revealed that the Target retail ...

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It started with a dead laptop. For the first time in more than 3 years I felt like a doctor again. I had forgotten what it was like. Having neglected to plug in my laptop the night before, it was without power. (Without power!) An opportunity for an uprising, of consciousness if not full revolt. For the first 1½ hours of clinic I entered each exam room without the weight of the ...

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