EMR
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Voice of the Doctor – JulyThis month we will be July 6I will be joined by my friend and colleague Reid Coleman who joined Nunace as the CMIO for Evidence Based Medicine. Reid was previously the CMIO for Lifespan. He and I both attended the recent Association of Medical Directors of Information Systems 21st annual […]
So there was a lot of interest in the paper published in JAMIA Method of electronic health record documentation and quality of primary care published on JAMI this month. A quick summary They evaluated 18,569 primary care visits, 234 doctors in 2007-08 •Note taking Breakdown –62% of free-text notes –29% structured documentation –9% mainly dictated […]
June 15 Speaking with Ruthann Lipman, DO from the Department of Otolaryngology, Millcreek Community Hospital and David Eibling, MD, FACS from the Department of Otolaryngology, University of Pittsburgh and VA Pittsburgh who are presenting a paper at Human Factors and Ergonomics Society (HFES) this October titled: “Re- engineering the Healthcare Team: Meeting the needs of Providers with Information Specialists” June 22 Joel Selzer (@jbselz), the CEO Ozmosis will […]
Clinical documentation is an increasingly time consuming challenge for clinicians offering significant pressures that are vested in a range of requirements not always tightly aligned with clinical decision making. (See Documentation Coding Burdens) Electronic Medical Records (EMR’s) have added to the burden of information capture and while the prevailing view is that EMR’s improve care (and […]
We are facing significant changes to the world of clinical documentation with the big push encompassed in the Meaningful Use requirements that push provides and healthcare facilities inexorably towards an electronic medical record (EMR) but there remain significant concerns over the potential impact these solutions can and will have on our clinical documentation. In this […]
In the Spirit of helping those that face the digital tidal wave of technology in healthcare with trepidation I offer the following top ten reasons why this will be a good thing and include some thoughts on easing the transition from current methods to a digitized clinical office 1) Ready Access for EveryonePaper medical records […]
Medicine is complex and providing the best possible care is a challenge, and it is getting more complex on a daily basis. I’m willing to bet that at least a few readers will still hold onto the belief that playing music, in particular Mozart, can improve brain function. IN fact searching Google Scholar reveals about […]
Harvard business review blogger Jeff Goldsmith wrote a pretty damming write up on the healthcare technology sector: “Has the US Health Technology Sector Run out of Gas“. He covers the lack of recent innovation and development across the board including pharmaceuticals, medical devices and even the once promising bio technology and personalized medicine/gene therapy concepts. […]
In an article in the April 29 issue of the New England Journal of Medicine titled What’s Keeping Us So Busy in Primary Care? A Snapshot from One Practice (pdf) Richard Baron analyzes his practices activities. What is surprising is the extent to which non-reimbursed activities are part of the general work.The breakdown of services […]
Pauline Chen wrote a piece in the NY Times on April 22, 2010 titled: An Unforeseen Complication of Electronic Medical Records which in many respects is an understatement. There are many untended consequences big and small and while the appreciation of the benefits: fewer missing charts streamlined information and efficient work-flow patterns It was with […]
