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Dental EHRs are Coming to an End?

Dental EHRs are Coming to an End

By Darrell Pruitt DDS

The reckless third-party push for adoption of increasingly dangerous dental EHR systems is the most harmful scam in the history of dentistry.

But it’s almost over, Doc. Equifax was hacked.

“If a company like Equifax can make significant investments, have every incentive to keep the most sensitive kind of information secure, but still experience a breach … it stands to reason that our playbook needs a revision,”

Josh Mayfield: [Platform Specialist at Firemon Immediate Insight]. (See: “Equifax, U.S. consumers alike will struggle to overcome massive hack” By Tim Johnson for Mcclatchy, September 8, 2017).


Why should anyone assume electronic dental records are any more secure than Equifax records?

Not only do digital health records subject Americans to increasing risk of medical identity theft – which can be lethal – but they are increasingly more expensive than paper dental records.

What’s more, electronic dental records offer dental patients NO TANGIBLE BENEFITS:  When is the last time you witnessed a practice advertise the benefits of digital records? On the other hand, you may have also noticed the appearance of paper files in the backgrounds of promotional photos.

A decade ago, I tried to persuade American Dental Association leadership to consider de-identification of dentists’ primary dental records. After all, if identities are unavailable, they simply cannot be stolen. ADA leadership summarily discarded the idea in favor of full disk encryption – which dentists summarily rejected in favor of luck …. And so here we are, Doc. “First, do no harm.”



Dental EHR vendors simply will not survive transparency without fundamental changes in how patients’ welfare is guarded – which will further increase their cost and liability.

The future is obvious, yet I am the only dentist in the nation openly warning of the inevitable collapse of the electronic dental record industry. Unlike physicians, who treat four to five times as many patients a day and depend on quick interoperability with other physicians, dentists can safely return to paper. They won’t like the inconvenience of carbon paper, but following the Equifax breach of almost half of the nation’s consumers – virtually every one of them mad as hell – dentists will have no choice. Ehrs have become too costly.


This week, a dentist on Facebook who tried but failed to defend the censorship habits of a popular dental consultant said I was on a “one-man crusade.” I don’t think he meant it in the good way. I ask you to remember that remark for future reference.


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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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3 Responses

  1. EHRs: No return on investment

    “EHRs falling short in achieving a return on investment – The Electronic Health Records Meaningful Use program has generated a poor return for the industry, according to 1,100 healthcare professionals responding to a recent survey.”


    Q: Do you know what businesspeople call technology that doesn’t offer a return on investment? A hobby.

    Darrell Pruitt DDS


  2. The failure of dental EHRs

    In the last 4 months, popular dental consultants Lorne Lavine and Larry Emmott revealed they have lost confidence in electronic dental records.
    The failure of dental EHRs
    “Dr. Lorne Lavine, founder and president of Dental Technology Consultants, had once advocated for dental practices to invest in EHRs but is no longer a proponent.” (See: “9 questions to ask about EHR” By Lauren Krzyzostaniak for Dental Products Report, June 9, 2017).
    “These massive high visibility breaches can not help but damage people’s trust in technology and the Internet. True EHRs stored in the cloud and available as needed are doomed unless better security can be developed.” – Dental HIT consultant Larry Emmott, Emmott On Technology blog, October 9, 2017.
    The electronic dental record market is collapsing before our eyes. But then, what would one expect? Dental EHRs are not only more dangerous for both dentists and patients than paper records, but they increase the cost of dental care without offering patients any tangible benefits.
    I began warning about the EHR scam over a decade ago – eventually costing me my membership in the American Dental Association – which continues to endorse The Dental Record dental EHR system in return for non-dues revenue (no strings attached). “EHRs provide long-term savings and convenience.” No byline, ADA News, December 6, 2013.
    Dr. Matthew Roberts, then President of the Texas Dental Association, offered me probation for my “unprofessional conduct” he refused to describe. “You know what you did,” he said. According to the terms of probation, I would have been prohibited from posting anything about electronic dental records without prior approval by the TDA. Naturally, I declined.
    D. Kellus Pruitt DDS 


  3. EHRs Continue to Lead to Medical Malpractice Suits

    The Doctors Company’s analysis of claims in which EHRs contributed to injury show a total of 216 claims closed from 2010 to 2018. The pace of these claims grew, from a low of seven cases in 2010 to an average of 22.5 cases per year in 2017 and 2018. EHRs are typically contributing factors rather than the primary cause of claims, and the frequency of claims with an EHR factor continues to be low (1.1 percent of all claims closed since 2010). Still, as EHRs approach near-universal adoption, they may become a more prevalent source of risk.

    Source: Darrell Ranum, JD, thedoctors.com via Dr. Allen Jacobs
    via Jimmy


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