re: EHR Adoption Passes The Tipping Point
On Long Island, EHR penetration appears to be very low. Doctors who have Medicare or Medicaid patients want MU money; otherwise most would prefer to keep as far away from EHR's as they can. Doctors I've talked to who have had EHR's added to the hospital or practice they work in have numerous complaints about top down dumping of systems on them with no input and minimal training and support. A few doctors like them but point to numerous problems. My favorite example; an orthopedic EHR asks what sex the patient is. And then, the MALE patients get asked a series of questions about their pregnancy status. Piles of garbage the doctor has to step through before actually putting anything useful into the EHR. However, this one doctor puts up with it because of the great imaging capabilities attached to the EHR. Others without any such use and without Medicaid or Medicare patients, and not attached to hospitals, generally seem to be in no hurry at all.
This will change to a degree as hospitals encourage doctors to join their systems, and as more practices find they need EHR's for numerous reasons. But it is slow going since it can still be extremely difficult to accomplish.