The PMR is not the EMR

Dr. Wes: "The EMR contains the official transcript of your healthcare received. The EMR is the ultimate arbiter of healthcare delivery that is the undisputed king of records used in liability proceedings. As such, there is little incentive for physicians to maintain two sets of records. The Personal Health Record is just that: personal. It is NOT a health record. Sorry."

There's a reason why universal electronic records are nothing but a pipe dream:

The high cost of EMRs, combined with a small return on investment, is a main reason why physicians have been slow to adopt systems . . . While some EMR functions, such as billing and transcribing notes, financially benefit physicians, most of the return on investment accrues to health plans.

Not enough are, which is why so many of them fail.

Charlie Baker argues that the physicians need to have some financial stake in EHRs in order to be successful:

I'm all for more EMRs, but I continue to believe that EMRs will only work if they're paid for - at least in part - by the people who use them. If the technology's free, it won't get treated with the proper level of diligence and respect that it needs to ...

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EMR tips

A family physician implements an electronic record system and shares her experiences.

When EMR works like a dream

Or not.

OpenEMR

Ridiculous?

EMR realities

Sid Schwab: "The program is so unwieldy, my anesthesia buddy told me, that it's slowing down the OR schedule. Surgeons need way more time to complete operative reports; the OR personnel wait in frustration until it gets done . . . because of the way the program is tied to current patient encounters, exacerbated by what sound like draconian penalties for lateness established by my former board (I was ...

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Irrational health IT exuberance

MedInformaticsMD: "There must come a time when medicine's professionals stand up for their profession and stop permitting politicians, business interlopers and other parasites from attaching themselves to medicine's back and sucking the blood and sweat of its practitioners, and siphoning off capital better used to improve health."

EMRs and malpractice insurance?

First time I've seen a malpractice carrier lower rates for physicians who use electronic records:

Northwest Physicians Insurance Co., one of Oregon's largest medical liability carriers, is offering discounts to doctors that use computerized personal health records and e-mail to communicate with patients.

Depending upon medical specialty, the discounts range from $375 to $2,250 annually. That's potentially greater than the cost of the secure e-mail or personal health ...

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