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A Video to Discuss the Advantages of eHRs

12 Responses

1. Hope R. Hetico RN MHA, on October 23, 2011 at 2:26 PM said:

   Docs Need More EHR Training – Survey Suggests

   Not so fast – Physicians apparently need at least three to five days of training to feel satisfied with their electronic health-record system. Proper use of the EHR functions required for meaningful-use incentive bonuses took two weeks of training—but almost half of the doctors responding to a recent survey reported that they received three days or less of EHR training.

   The survey was conducted by AmericanEHR Partners, an online community developed by the American College of Physicians and Cientis Technologies. The survey showed that the findings of previous surveys were confirmed, that participating physicians noted a higher level of satisfaction if they had a hand in selecting the system they used.

   http://www.americanehr.com/

   Source: Andis Robeznieks, Modern Healthcare [10/21/11]

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2. Jennifer, on October 27, 2011 at 2:37 PM said:

   Now the Worst eHR Practices

   This partial list of eHR snafus serves to emphasize the need for a better system of tracking errors.

   http://www.informationweek.com/news/healthcare/EMR/231901674

   Jennifer

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3. D. Kellus Pruitt DDS, on November 27, 2011 at 10:42 PM said:

   eHRs Lack Common Sense

   We can put a man on the Moon, yet EHRs still lack common sense! Imagine that!

   According to recent government-funded research published in the Journal of the American Medical Informatics Association, physicians’ practices have benefited from e-prescribing – up to a point. (See: “New Study Finds e-Prescribing is Safe and Efficient, but Barriers Remain” – no byline).

   http://www.marketwatch.com/story/new-study-finds-e-prescribing-is-safe-and-efficient-but-barriers-remain-2011-11-21

   “Physician practices and pharmacies generally view electronic prescribing as an important tool to improve patient safety and save time, but both groups face barriers to realizing the technology’s full benefit, according to a study funded by the U.S. Department of Health and Human Services’ (HHS) Agency for Healthcare Research and Quality (AHRQ). The study is published online today in the Journal of the American Medical Informatics Association.”

   Until e-prescription software can reliably interpret and correct doctors’ mistakes – similar to spell-check, I suppose – it looks like pharmacists will continue to be needed to protect American patients by interpreting careless keystroke errors rather than bad handwriting.

   “Pharmacies noted the need to sometimes manually edit certain prescription information, such as drug name, dosage and quantity. One common cause reported by both physicians and pharmacists was that physicians must select medications with more specificity when e-prescribing and make decisions about such factors as packaging and drug form. Such decisions had typically been made by pharmacists for handwritten prescriptions.”

   Once HIT experts work out that algorithm for common sense, e-prescribing promises to be cheaper than thought – up to a point.

   D. Kellus Pruitt DDS

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4. Dr. Tom, on March 29, 2012 at 10:33 AM said:

   Out of Business EHR Providers?

   What happens if you use an online EMR or “cloud” EHR provider and they go out of business? Is it possible that you will lose access to your medical records, patient data, etc?

   Dr. Tom

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5. Dr. Tom, on April 17, 2012 at 7:23 PM said:

   Search is on to Cure EHR Alert Fatigue

   Almost every physician who has typed orders into an electronic health record or e-prescribing system probably has experienced so-called alert fatigue — the frustration of warning after warning popping up before that order is accepted. The alerts are designed to inform physicians of possible patient safety issues, but their frequency and often lack of necessity make them the electronic equivalent of the boy who cried wolf.

   As researchers and healthcare organizations work to alleviate alert fatigue, it’s clear that the answer is to create systems that take human behavior and supplemental patient data into account when writing rules that decide when and why an alert is fired off. That way, the alerts could have more success in their purpose: protecting patient safety.

   Source: Pamela Lewis Dolan, AMNews [4/16/12]

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6. Dr. Tom, on September 20, 2012 at 10:29 PM said:

   Harvard, U Penn profs: EHRs don’t save money

   Despite government “hype” and billions of dollars in incentive payments, electronic health records don’t actually reduce healthcare costs or improve patient care, according to two healthcare academics.

   http://www.fierceemr.com/story/harvard-u-penn-profs-ehrs-dont-save-money/2012-09-18?utm_medium=nl&utm_source=internal

   Dr. Tom

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7. Ann Miller RN MHA, on December 13, 2012 at 11:09 AM said:

   More doctors Using More-Sophisticated EHRs

   Three federal researchers Wednesday shone a brighter light on last week’s already positive assessment of national trends in electronic health-record system adoption. A growing number of office-based physicians are using more-robust EHRs that have higher-level functions needed to help the doctors qualify for federal EHR incentive payments and assist them in providing better, safer care for patients, the researchers reported.

   Nearly three-quarters—73%—of physicians surveyed said their EHRs could write prescriptions electronically, while 68% could keep a list of a patient’s medication allergies. Two other EHR functions necessary under meaningful-use requirements, the ability to provide patients with a copy of a clinical summary and the capacity to aid a clinician with at least one clinical decision-support rule, were available in 56% and 50% of the EHRs of physicians surveyed, respectively.

   Source: Joseph Conn, Modern Healthcare [12/12/12]

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8. Dr. DK Pruitt, on April 20, 2013 at 1:13 PM said:

   Farzad Mostashari’s promise

   ONC head Farzad Mostashari promises “a stake in the process” to EHR vendors who help fund the ONC. Sound familiar?

   “Health IT National Coordinator Farzad Mostashari Defends Proposed EHR Vendor Fee,” by Anuja Vaidyam was posted today on Becker’s Hospital Review.

   http://www.beckershospitalreview.com/healthcare-information-technology/health-it-national-coordinator-farzad-mostashari-defends-proposed-ehr-vendor-fee.html

   “Farzad Mostashari, U.S. national coordinator for health IT said the proposed user fee for electronic health record vendors would give the ONC’s certification program an assured funding base, which would lead to less uncertainty for the industry, according a Government Health IT report.” Apparently, it is not lost on Mostashari that uncertainty is hugely expensive for the vendors he’s hitting up for money.

   Uncertainty has always been a source of anxiety for software developers, and right now, not even Mostashari should not be making promises. Just this week, a half dozen GOP senators criticized the spending of $35 billion to promote the use of electronic health records.

   http://thehill.com/blogs/healthwatch/medicare/294273-gop-senators-raise-concerns-with-push-for-electronic-medical-records

   According to Anuja Vaidyam, Mr. Mostashari said the additional money is needed to replace the ONC’s declining funding under the HITECH Act. Mostashari even suggested that the user fee is an opportunity for software vendors – who are dependent on the ONC for meaningful use certification – to “have a stake in the process.” Similarly, in 2008, Allscripts (former) CEO Glen Tullman told Alex Nussbaum of Bloomberg.com that physicians should take out loans to invest in Allscripts EHRs “to ensure that doctors have some skin in the game.”

   http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aX4cYX.5J0pg&refer=home

   HIPAA-covered entities should hope that Mostashari gets all the help he needs from the vendors because he seems desperate to find money for his ONC rather than downsizing. Since monetary penalties assessed by the ONC for HIPAA violations is already intended to be the primary source of funding for the ONC… call me cynical, but if EHR vendors and other stakeholders don’t finance Mostashari’s efforts, HIPAA-covered entities who are found to be not in compliance can expect to help pay the vendors’ portion. Audits resume in 6 months, Doc.

   The interests of HIT stakeholders have always been more important to Congress than HIPAA-covered entities’ and their patients’. Allscripts can afford better lobbyists than HIPAA-covered entities.

   Darrell

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9. Henry, on April 25, 2013 at 6:14 PM said:

   Not so fast!
   [Why health IT could be headed in the wrong direction?]

   Doctors who are fed up with the state of today’s EHR technology have some new friends in a group of six Republican senators.

   http://medicaleconomics.modernmedicine.com/medical-economics/news/tags/health-information-technology-economic-and-clinical-health-act/why-healt

   Henry

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10. Gunder, on November 1, 2013 at 10:15 AM said:

    Could mobile make EHRs irrelevant?

    Parmeeth – With mHealth becoming the norm instead of the exception, a panel at Partners HealthCare’s 10th Annual Connected Health Symposium last week concluded that EHR vendors will have to find a way to modify their products to focus on data that the patient and his or her care team want, or they’ll become obsolete.

    http://www.hiewatch.com/news/could-mobile-make-ehrs-irrelevant

    So, is this another waste of tax money?

    Gunder

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11. D. Kellus Pruitt DDS, on May 29, 2015 at 8:07 PM said:

    First, do no harm

    “Why Doctors Are Frustrated With Digital Healthcare” By Todd Hixon for Forbes, May 28, 2015

    http://www.forbes.com/sites/toddhixon/2015/05/28/why-doctors-are-frustrated-with-digital-healthcare/

    “CareFirst, Third Major Health Insurer This Year To Be Hit By Cyberattack” by Daniel Meier for JD Supra Business, May 28, 2015

    http://www.jdsupra.com/legalnews/carefirst-third-major-health-insurer-29297/

    “Commentary: How Obamacare demoralized doctors and degraded care” By Charles Krauthammer for the Chicago Tribune, May 28, 2015

    http://www.chicagotribune.com/news/opinion/commentary/ct-obama-doctors-ehr-records-medicare-perspec-0529-20150528-story.html

    “Erlanger Electronic Medical Records Purchase Doesn’t Add Up – And Response” By Donald Kent for The Chattanoogan, May 29, 2015

    http://www.chattanoogan.com/2015/5/29/301369/Erlanger-Electronic-Medical-Records.aspx

    “Wide Data Sharing Poses Problems With Consent” By Marcia Frellick for Medscape, May 29, 2015

    http://www.medscape.com/viewarticle/845566

    “Why Medical Identity Theft Is Rising And How To Protect Yourself” By Laura Shin for Forbes, May 29, 2015

    http://www.forbes.com/sites/laurashin/2015/05/29/why-medical-identity-theft-is-rising-and-how-to-protect-yourself/

    Not everyone agrees. Anonymous, unresponsive ADA officials are not above telling lies to protect non-dues revenue for the organization.

    For over a year, the ADA Business Resources has marketed The Dental Record EHR system as “the only EHR system endorsed by the ADA.” The title of the ad in the ADA News is “EHRs provide long-term savings and convenience” – no byline, December 6, 2013.

    http://www.ada.org/en/publications/ada-news/2013-archive/december/ehrs-provide-long-term-savings-convenience

    Perhaps dentistry would safer and cheaper without the ADA Business Resources.

    D. Kellus Pruitt DDS

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12. Dr. Tom, on July 4, 2015 at 1:06 PM said:

    EHRs’ broken promise

    Electronic health records (EHRs) promised to revolutionize healthcare delivery. In some respects, they have.

    http://medicaleconomics.modernmedicine.com/medical-economics/news/ehrs-broken-promise

    But, for physicians deluged by patients, EHRs have yet to fulfill their lofty promises.

    Dr. Tom

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