EHR Proliferation Hurts Physician Workflow - InformationWeek

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EHR Proliferation Hurts Physician Workflow
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Gary_EL
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Gary_EL,
User Rank: Ninja
6/22/2014 | 1:41:20 PM
Re: Growing Pains
Yes, I am interested in working on this problem. I'm not sure if it is proper InformationWeek procedure to put my email address in a comment, so I will contact a managing editor on Monday to find out how to contact you.
don voltz
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don voltz,
User Rank: Author
6/22/2014 | 8:14:44 AM
Re: Growing Pains
Hello Gary,

I completely agree these issues will not be solved overnight. I think instead of continually lamenting about the problems, physicians and other providers need to become part of the solution. Granted, this is not for everyone, but those inclined to put in the time and energy to bring solutions to the market or to the IT folks in a non-threatening way just might help our plight. I fully appreciate the limitations of expanding and customizing the complex EMR's that have been deployed. With our input, reflection on our workflows, and communication of our needs (possibly even bringing other solutions to the table), will help move this issue along. I have been involved in this aspect of healthcare while maintaining a full-time clinical position. Although I am frustrated and feel like we have a huge hurdle to climb, it is my hope that we can collaboratively address the clinical needs and help move the initiative in a direction for the betterment of healthcare. If you are interested in working together on solutions please let me know. The more of us tackling the problem the better. 
Gary_EL
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Gary_EL,
User Rank: Ninja
6/21/2014 | 8:43:02 PM
Growing Pains
Unfortunately, the problems that Dr. Voltz brings up are all too common, and not likely to go away soon. Competing systems do not play well with each other, and medical MIS people have a tremendous task on their hands forging an army out of the various militias, to take an analogous example from today's news. Some hospital system have the size and clout to FORCE the providers to build solid hooks into their part's so that their MIS departments can forge them into a solid working machine. Perhaps the federal government can take the embryo standards developed therein and use them as a basis for a national standard.
Alison_Diana
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Alison_Diana,
User Rank: Author
6/20/2014 | 2:34:43 PM
The Default Position
One approach some hospitals are taking is to standardize on one EMR throughout the entire organization, eliminating the best-of-breed approach that allowed different departments -- say, ER, radiology, and cardiology -- to pick their preferred EMR. While this doesn't address all the issues you raise, it does get rid of the multiple electronic records often associated with one patient. However, many physicians I've spoken to don't like this practice since some EMRs are not well-suited to the intriciacies of specific departments, according to them. They're unwilling to cede EMR control to a central body, which makes buy-in more challenging. 


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