A Doctor’s Problem With Electronic Records #Flower #NHIN #EMR

If electronic records are only used to optimize billing and improve chart audits, patients will see little benefit.  I doubt my patients received better care from the change.  Electronic records can only play a supporting role in a broader effort to change our troubled system.  Until our health care system imagines patients as more than grist for billing, I will happily take my chances with a colleague’s inscrutable scrawl over a phone-book-sized stack of printouts.

The WSJ article simply articulates the issues many of us have discussed over and over and over…. that is the problem with having a developer/programmer work on a problem with no front end user input. EMR *developers* need to take a lesson from Apple, Hello Health and others…. in the case of a typical EMR *complexity breeds complexity* … in the iPhone decade, that is unacceptable… my three year old can find and interact with her videos and games on an iPhone — but my less computer savvy colleagues have difficulty finding where to input useful, non macro’d data onto a typical EMR platform….

The health IT world is *messed up*… all anyone is thinking about is adoption and standards… not how to use the platform to actually improve the lives of our patients; and since “WE ARE ALL PATIENTS”, our own lives as well. Health IT is a tool, not a goal. In its current form, EMRs are simply creating siloed, tethered electronic copies of its cousin, the paper chart. We do not possess a means of sharing this information in a meaningful way in our extremely inefficient system. Put computers and layer IT on top of an inefficient, broken system and all you do is accelerate, potentiate and basically speed up the pace of inefficiency (does that make sense :-))

When EMRs are capable of improving the quality of care delivered in the US, diminishing costs by minimizing duplicative testing, broadening the use of accepted standards of care, enable the identification of harmful devices and medications far earlier then we do now, and enable patients to view their records, correct their records and transport their records to another provider or institution then Health IT will matter.

The *win* in Health IT is not adoption, nor the current focus on standards. The win will arrive when Health IT can make a difference.

The organizations below have a chance at making a difference… open standards, not necessarily open source, and meaningful change is possible and there are a lot of very smart, talented and ambitious folks working on making a difference right now… care to join us????

http://www.speakflower.org

http://nhindirect.org/

http://clinicalgroupwarecollaborative.com/

Adopted from post on Jay Parkinson’s Blog: http://blog.jayparkinsonmd.com/post/458984831/the-problem-with-electronic-rec…

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About hjluks

A busy Academic Orthopedic Surgeon, Digital Strategist, Chief Medical Officer and father... intently and efficiently navigating the intersection of Social Media and Health Care.
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