Tuesday, September 25, 2012

Negative effects of EHR systems on adoption and informatics | EHRintelligence.com

Interesting article on the inability to get much out of EHRs.  They’re vendor centric, not patient or even provider centric systems.

While the architects of federal programs such as meaningful use have pegged EHR and health IT systems as the vehicles for driving changes in healthcare, Marsolo contends that their efforts to increase the adoption of these systems appear to have more significantly benefitted vendors rather than providers. While users of EHR systems must adjust to working electronically and avoid reproducing paper-based approaches to using this technology, they are subject to the vendor’s vision of how these systems work with limit power to effect change. “Without outside pressure from the marketplace, from patients, and from clinicians, however, vendors have no incentive or motivation to change,” argues Marsolo.

Negative effects of EHR systems on adoption and informatics | EHRintelligence.com

Friday, September 21, 2012

Answer to: A Major Glitch for Digitized Health-Care Records

The link below references a WSJ column that’s subscription only and I don’t subscribe so unable to way if I agree with the assertion here or not.

Based on a WSJ Opinion piece EMR software is “is generally clunky, frustrating, user-unfriendly and inefficient.” Although I will not disagree with this “generalization,” I do take exception with the articles na├»ve view that Health IT systems have not improved patient health.

Answer to: A Major Glitch for Digitized Health-Care Records

I’ll track it down though, and read and comment, as it’s an assertion that’s not going to go away and will be the subject of some research (I hope).

Tuesday, September 18, 2012

The Big Shortage: Rethinking The Need For More Primary Care Doctors – Health Affairs Blog

Last week’s most read article.  Teams and technology as replacements for the primary care model.

I think it’s time. A thoughtful article that should be most read.

The Big Shortage: Rethinking The Need For More Primary Care Doctors – Health Affairs Blog

Doctors Use EHRs To Do 'Chart Biopsies' - Healthcare - Electronic Medical Records - Informationweek

I’m always curious about trade-off moments and what information’s exchanged in them.  I’m not certain the  EHRsys I know would lend itself to this pre-tradeoff inquiry.

As the number of hospitals with electronic health record systems grows, a new study finds that inpatient physicians who receive patients from the emergency department have begun to do "chart biopsies" of electronic records to prepare for the handoffs.

Doctors Use EHRs To Do 'Chart Biopsies' - Healthcare - Electronic Medical Records - Informationweek