EMR non-acceptance

Richard Reece asks whether force or persuasion should be used to increase the EMR adoption rate.

Some say that the medical world isn't ready for a national EMR initiative yet.

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 ...

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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 ...

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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.

VA’s EHR

The strongest point of the VA system is their EHR. I used it extensively during medical school, and really is the only feature that should be copied from the VA system. DB and #1 Dinosaur comment on a Washington Post article.

Another EHR debacle

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 ...

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The real scoop on EMRs

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 ...

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Fat Doctor on EMRs

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. ...

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