My Future Vision of eHRs and Medical Professionalism

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From Good Products … to Diminished  Physician Autonomy

Dr. David Edward Marcinko MBA

[Certified Medical Planner™]

Over time, I’m convinced that successful eHR products, and the doctors and medical professionals that use them, will eventually become commodities or commodity-like, much like the PC [hardware] is today.

Of course, getting the product “right” will cause the cost of eHRs to plunge, but it will also mean a slash in physician prestige, professionalism, esteem, social stature, employment prospects and salary. Here’s a few hints why and how this might someday [soon] occur? IMHO.

1. eHR Use Can Cause Docs’ Skills to Diminish

While electronic health records may lessen physician workloads, save time and improve patient care, adapting to the technology can lead physicians to perform in a more standardized, compartmentalized and routine way, eventually causing them to lose some of their clinical decision making and other skills. 

http://www.fierceemr.com/story/ehr-use-can-cause-docs-skills-diminish/2011-09-29?utm_medium=nl&utm_source=internal

2. Will HIT take MDs Jobs and Salaries?

Faster than you might think, robots are coming after doctors’ jobs, according to a recent article from “Slate.” And those who are most vulnerable to the rise of technology may be surprising, according to author Farhad Manjoo, whose wife is a pathologist. It’s highly trained specialists–those by definition who focus on narrow slices of medicine–who may first find themselves at least partially replaced by machines

http://www.fiercepracticemanagement.com/story/will-technology-take-docs-jobs-salaries/2011-09-28?utm_medium=nl&utm_source=internal

Stopping the Madness … Changing the Paradigm

So, how does one stop this madness? By turning the massive amounts of personal data contained within the eHRs into a [increasingly] valuable item. And, by data mining and analyzing it, and then reselling the aggregated or drilled-down information back to other customers [insurance companies, health plans, or Uncle Sam, etc] in an enhanced form. The worth of the eHR user will be maintained, and the value of eHRs will be geometrically augmented.

From Dead to Alive

In other words, the otherwise depreciating “dead or static” eHR thus becomes an appreciating “living or dynamic” asset. But, of course, not for medical provider end-users if they won’t, don’t or can’t “own” the original raw patient data.

I even see third-party firms springing up to outsource the transfer of huge quantities of raw data, into geo-data, meta-data and more granular data forms, as well as doctors leasing eHRs on a revolving basis from the “cloud” – while never owning the actual product.

Assessment

Again, this is similar to what’s happening in the tech sector with SaaS computing. I am not sure exactly when this all will happen, but current players will either join this revolution or lose out.

Disruption again!

Paradigms will change!

End game for the docs!

Conclusion

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

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