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EHRs Aren't Ready For Pay For Performance
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jaysimmons
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jaysimmons,
User Rank: Apprentice
9/23/2012 | 2:00:23 AM
re: EHRs Aren't Ready For Pay For Performance
I believe that Meaningful Use is finally starting to give providers the incentive to start charting worthwhile so that P4P type measures can be accurately accounted for. From my perspective, most quality metrics that have been followed up on are actually rather simple to keep track of and is the easier part of charting within an EHR. For instance patients with certain diagnoses and their lab values.
Jay Simmons
InformationWeek Contributor
justaskjul
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justaskjul,
User Rank: Apprentice
6/19/2012 | 4:58:41 PM
re: EHRs Aren't Ready For Pay For Performance
I think these NLPs are going to have to go a step further and in addition to pulling structured data out of free text, work the opposite way. I think clinicians need to be able to verbally speak through the templated fields as well to make this as user friendly as it needs to be. For example, if I was going through a vital signs template as a clinician and could just speak "120 over 70" (EHR auto tabs to next field) "5 feet" (EHR auto tabs to next field) "4 inches" (EHR auto tabs to next field) "120 pounds" -- I think that would be a huge selling point to any EHR out there.

Julie
InformationWeek Contributor
pcerrato10
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pcerrato10,
User Rank: Apprentice
6/11/2012 | 1:53:36 PM
re: EHRs Aren't Ready For Pay For Performance
BuildYourEMR

You make a valid point, the patient at the point of care comes first and EMRs shouldn't impede the process of caring for patients. So I wouldn't want to see an EMR that eliminated free text.

But we need to look for the best of both worlds, i.e., IT tools that allow both free text and structured entries. That would allow both the patient in front of you--and the 10,000 patients who would benefit from aggregated and structured data--to see the benefits. That's why programs that convert free text into structured data are so appealing.

Paul Cerrato
Editor
InformationWeek Healthcare
BuildYourEMR
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BuildYourEMR,
User Rank: Apprentice
6/11/2012 | 1:29:47 PM
re: EHRs Aren't Ready For Pay For Performance
When it comes to healthcare - complete is always better than perfect. The "paper chart mentality" in many cases is the only way to document the patient problems accurately and completely. Structured data is great for research and for improving quality of care but that should not compromise with the task at hand -- taking care of the patient at point of care. EMRs (templates) should allow customization to help providers transition to more and more structured data gradually. However, it is not fair to expect that a clinic note should not allow free text.


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