What’s the catch?
Dr. Rob with a typical day. Although difficult to implement, once an EMR is running smoothly, it becomes indispensable.
Much ado has been made touting EMR’s improving quality of care. So far, the data doesn’t back that up:
Electronic health records — touted by policymakers as a way to improve the quality of health care — failed to boost care delivered in routine doctor visits, U.S. researchers said on Monday.
Of 17 measures of quality assessed, electronic health records made no difference in 14 measures, according …
Medgadget with the scoop on the latest:
Here’s an exclusive look at the first, and only, electronic medical record (EMR) compatible with the infamous iPhone. Everything from office notes to prescriptions, x-rays to echos can be viewed in all their multi-touch screen glory on the iPhone. Not to worry, this sexy little program isn’t just for hip, trendy physicians – soon even patients will be able to access their medical …
Concerns about the push towards EHRs and PHRs:
I am becoming increasingly concerned about whether the push for national-scale EMR’s has created a “gold rush” where prospectors of varied honesty and ability have set out to ‘strike it rich’ — by sucking every dollar they can out of an already strained healthcare system under pressure to ‘revolutionize care’ through computerization.
This time at UC-Davis. The transformation of medicine to the electronic age continues to result in some the biggest wastes of money:
A key observation is that “there’s nothing to show why existing staff was not assigned to do what the university paid outside consultants $17 million to do.”
Aside from the disruption during roll-out, many EHR programmers don’t really ask what physicians want. A typical IT top-down mentality:
Few developers have asked the physicians what they need. Fewer developers understand why they encounter such massive physician resistance. Those who have tried to understand the resistance can not get a straight answer . .
. . . I think the reason is that software developers are …
Here is the truth about the so-called “holy grail of medicine”:
Admittedly, other industries have seen large cost savings from computerization, but health care is different. First, the health-care system is hardly a system. It is hundreds of thousands of doctors and thousands of hospitals all practicing medicine their own unique way — and the EMR will not change that. Ideally, the EMR should allow a doctor standing in the …
It makes it easier for the charts to pile up:
When we had paper charts, I’d get freaked out if there were 10 on my desk. I’d quickly scribble out bare-bones histories, ROS, PE findings and plans. Now, it’s really easy to get behind very quickly. Part of the problem is the ability to be so darned thorough. I never felt that pressure with paper charts.
Templates are key. …
It seems so. Many EMRs are template-driven, so you have to work within its confines – rather than the other way around. I also was amused at how the doctor immediately announced how much time she had for the visit:
I was surprised, however, to see this new doctor enter the examining room with a computer on a cart. She didn’t greet me or shake my hand. Instead …
And a soothing recipe at the end to boot. (via The Health Care Blog)
Their EMR is a major reason. Although I don’t think it works this well:
Most private hospitals can only dream of the futuristic medicine Dr. Divya Shroff practices today. Outside an elderly patient’s room, the attending physician gathers her residents around a wireless laptop propped on a mobile cart. Shroff accesses the patient’s entire medical history–a stack of paper in most private hospitals. And instead of trekking to the …
Doctor comments on JAMA’s recent EMR commentary:
Moreover, EMR encourages everyone to copy-and-paste the notes of everyone else so that notes become the same from author to author as well as from day to day. Even consultants are assimilated into the oneness of the EMR Borg. A cardiology consultant recently copied-and-pasted the intern’s note into his own, even including “consult cardiology in AM” in his recommendations. Perhaps he meant …
Microsoft Word that is. This physician explains how he does it.
So the big deal in my practice is the transition to an EMR in the upcoming months. Finally. Our administration has chosen the HealthMatics EMR by A4 Health Systems.
The plan will be to carry these laptops into the exam room, and in an ideal situation, directly enter notes into templates while doing the history.
Anyone have any experience with this system? …
Subscribe to KevinMD and never miss a story!
Get free updates delivered free to your inbox.