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 ...


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 ...


Template-driven EMRs

Attack of the clones: "What I see constantly when I receive EMR records from other practices (where the patient was first treated elsewhere and the treatments were not successful so they are now coming to me) is that the patients look identical. That is - I can see histories populated from checklists and quick electronic choices . . . The diseases all look the same. There ...


Another EMR fear

With so many vendors out there, there is always the risk of your vendor going out of business.

EMR exuberance

EMRs are being promoted as the Holy Grail. But, no one is willing to put money where their mouth is. Another example of sticking it to physicians:

Also, one wonders, say, why airline pilots are not forced to purchase, out of their own pockets, computers in their cockpits designed to prevent pilot error or collisions, but that in testing actually often doesn't work, or just makes piloting ...


The free EMR

Free, open-source software, to run your medical practice on a shoestring budget.


Homegrown EMR

Why shell out thousands for an EMR when you can use Microsoft Word? Here's the equipment that this urologist uses for a DIY EMR.

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