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Interesting EMR Interface Prototype

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I love when doctors and medical students talk about their first encounter with EHR software. In this case, I came across a medical student who ran into Epic in the hospital and writes about it in this post. Here’s his initial response to it:

I took the training module for it and the moment it loaded, I was bewildered. My monitor had turned into a wormhole and was suddenly displaying software built in the 1990s. I stared for 30 minutes at what was basically a wall of text, trying to find my way around small buttons and clogged sub-screens. I hadn’t even learned how to use Epic yet and I was already frustrated. Perhaps it’s because Epic was a platform built upon billing practices that made it so confusing. Either way, I was done before I had even begun.

The great part is that he wasn’t just complaining about the experience. He decided to create a prototype of what he thought an EMR interface could look like. Here’s his video prototype:

Obviously, it’s lacking a lot of detail, but I love his fresh take on how you could navigate the information in the EHR. We need more people who aren’t clouded with current EHR design to offer design suggestions like this.

August 27, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Build Your Own EHR, EMR Patient Satisfaction, and Social Media in EMR

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It looks like Dr. Rob Lamberts is crazy. It’s nice of Farzad to support him. I think Dr. Lamberts response to Farzad was enlightening as well: “Thanks. More endurance than luck, though.” He’s right. None of the individual components of an EHR are technically very hard, but the number of components you have to build is HUGE.


This is a perception thing for sure. We are trained that technology improves whatever it touches. So, when a patient sees a doctor with an EMR, they believe it will mean better quality care. Reminds me of the “Got EMR?” campaign I talked with people about 7 or 8 years ago.


I question the value of having a patient’s social profile in your EMR. However, I think the concept of looking at your EMR as a CRM for patients could become a very important concept over the next 5 years. I think it will take more than just putting in a patient’s social profile though.

August 18, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Mobile for EMR Data Input

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Note: I know that there are some mistakes and incongruencies in this post. That was partially by design since it was illustrating my first attempt at voice recognition for blog posting. I did try and correct many things along the way, but as you’ll read some of it doesn’t read very well.

I’m stuck on the tarmac in JFK airport thought I’d try see how the voice recognition work today to input on a mobile phone.

Amazing thing is this is the first time I’ve used voice recognition on the Android S3 phone. It seems like a pretty good experience so far with voice even with a soft voice in an airplane it’s turning out quite well.

I was a little concerned about how long it would take to write a blog post on the phone but the voice recognition works out quite well. I have had to make a few corrections to it, but for the most part it’s done really well.

I’m not sure how many doctors will want to use voice and of course I haven’t done any medical terms for example I can talk about my son’s previous diagnosis of mastocytosis as an example to see how it will transcribe. As you can see I didn’t actually have to correct it and I got message cytosis without any problem so it did pretty good.  I wonder if other doctors have used the voice recognition on the Android phones or Android tablets to see how well it does with voice recognition of medical terms.  Although the second time I said mastscytosis it didn’t get it right.

Overall I’m pretty happy with the voice recognition. I have written this whole post in about 5 minutes and it’s the first time I’ve use voice recognition on the phone.  With that said I still probably rather type than use voice recognition for blog posts. However, I would rather use voice recognition than the keyboard on the phone.

Have you used voice recognition? In what ways to use voice recognition? I’m looking forward to using voice recognition more and I’ll let you know how it goes. What is amazing is that this technology is built into every new smartphone out there.

I’m off to the CHIME conference later today so I’ll have more details on that coming soon.

October 17, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Perceptions of Hospital IT and Nursing

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In response to my post about the Old Boys Club of Healthcare IT, David Allinder, RN offered these interesting perceptions of IT and nursing. These are generalizations, but worth considering:

PERCEPTIONS OF IT: The IT department is sealed behind coded doors locked away from patient care. The only way to contact them is by calling the help desk (which usually doesnt). Time is taken away from patient care to sit on hold for what seems like forever. And then after you define your issue they say let me contact the IT person they will call you back.

PERCEPTIONS OF NURSING: Nurses are control freaks with OCD issues. No one had better mess with my unit, pateints, processes, workflow. Nursing is sitting in a hallway with opened desks with call lights and phones constantly ringing they are there to respond instantly to demands and requests. Nursing are at the bedside taking care of patients. Electronic devices take too much time away from the patient care. I cant do my job because the stinking computer is broken AGAIN.

Don LeBreux summarized my feelings on the above comments, “Your “perceptions” are basically dead on. Funny and sad.”

What strategies have you seen that work to bridge the divide and overcome these perceptions?

August 3, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Lawsuits Will Eventually Drive EHR Adoption?

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In the recent #HITsm chat, tireless patient advocate Sherry Reynolds offered this intriguing tweet:


Once EHR’s are the standard of care sadly lawsuits will drive adoption .. “so why didn’t you see the lab results doctor?” #HITsm
@eHealthSherry
Sherry Reynolds

The first question I’d ask based on this tweet is when will EHR become the “standard of care.” I’m sure that some could argue that now based on the $36 billion in EHR incentive money that the government is spending. However, even the most optimistic EHR adoption numbers are at 50% and I’d put it closer to 30% with ambulatory EHR dragging that number down. With that said, what would it take to have EHR as the standard of care that a doctor provider? I’m not a lawyer, but I know a number of healthcare lawyers read this blog. I hope that some of them will chime in with their thoughts.

Sherry’s last comment about not having the lab results points more towards the exchange of healthcare data being the real issue a doctor could face. Not only would this be a potential lawsuit issue for doctors, but at some point enough patients will ask this question as well. I’m sure most doctors aren’t worried since we’re pretty far from that tipping point.

I do think that doctors are quite attune to liability and can be a very big motivating factor for them. I think the same will happen with insecure text messaging in healthcare. The first couple lawsuits against a doctor for sending PHI over text and we’ll see widespread adoption of secure text platforms.

While I can see some of the realities that Sherry tweeted about, a part of me really hates to think that fear of lawsuits would end up being the driving force behind EHR adoption.

August 2, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Republican Candidates Healthcare Stances

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Dr. James Coffin, VP of Healthcare and Life Sciences at Dell, has a post up on the Dell Healthcare Community site that looks at the stances of the various Republican candidates for the US Presidential nomination. It’s an interesting read if you haven’t been following the republican candidates very much.

What the article doesn’t address is these candidates stance on the HITECH Act. The key here is to realize that the HITECH act isn’t part of the Affordable Care Act which every GOP candidate is saying they will repeal if they become President. So, where does that really leave the HITECH Act should a republican president be elected?

The problem is that no one really knows. Those who argue that the HITECH Act is safe often lean on the ideas that EMR and EHR has always had bipartisan support. Many often mention that the push for adoption of EHR software was started by a republican president, George W. Bush. I actually agree that both sides of the aisle want to have widespread adoption of EHR. We could certainly argue the benefits or detriments of EHR adoption, but for a relatively uninformed senate, house and president when it comes to EHR, they’re going to easily grab on to the idea that technology can improve healthcare. We may agree or disagree with this point, but I think we’d be hard pressed to find a senator that thinks we shouldn’t have EHR technology in healthcare.

The problem with the above discussion has to do with the way that EHR is being paid for. Again, this isn’t about whether the idea of paying doctors to use EHR software is right or wrong, good or bad. This is more about the political stance of the republicans and how they want government to spend money. It seems very clear to me that Republicans are going to keep sitting on their no spending/cut spending soap box. If a republican becomes President, we’re likely to see widespread cuts. Could HITECH money be a casualty of those cuts? Absolutely. Will they be a casualty? Can anyone predict what Washington will really do?

Should doctors and practices then be afraid of going after the EHR stimulus money? Well, I’ve been advising doctors and practices for the last couple years to not implement an EHR in order to get the government hand out. Those that are doing EHR for “free” government money are going to be disappointed. Not only because the money could be cut, but because sooner or later that money will be gone. So, if you’ve followed my advice, then the loss of the EHR stimulus money will be unfortunate but not too terrible.

On the other hand, those people who only did EHR because the government was waving the carrot and the stick are likely going to be quite disappointed. Particularly if the practice focused on the governments EHR requirements instead of their own individual practice needs when it comes to an EHR. Sadly, I believe there are many clinics in this boat.

I’m sure there are other Washington DC insider workings that are in play as well. Hopefully many of you will share some of what you know in the comments.

Personally, I’m still fairly confident that the EHR stimulus money will play itself out. I’ll be a little surprised if indeed it does get cut. I think republicans will have larger fish to fry. However, there’s certainly that possibility, so doctors should take this into account when they’re selecting and implementing an EHR.

September 9, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Labor Day

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For those of you that were expecting a meaningful use monday post, I’m sorry. Don’t worry though, Lynn will be back with another Meaningful Use Monday post next week. It is Labor Day after all. Although, I saw a great tweet or Facebook status that said, “Why in America do we take the day off on Labor day?” I love plays on words. They also asked why we put a tree in our house for Christmas and not Arbor day.

I must admit that Labor day has become pretty inconsequential for me. Football has already started. My son’s been in school for a week already. Blogging for myself, it’s not like I really get a day off. Plus, we don’t live close to family, so there aren’t even any big family parties.

With that said, I am glad to have the summer behind us. Maybe that’s a function of living in Las Vegas. I’m beginning to understand why retired people come to Vegas in winter and head to cooler areas for summer. Maybe one day I’ll achieve that dream. Although, I also must admit that there’s something comforting about getting back into the routine of school and other activities. Maybe this is a function of younger kids being home all summer.

I must admit that this Labor Day my thoughts have been with many of those who are without jobs. It’s a crazy economic and political environment that we’re in now. I’m afraid we’re looking at a slow recovery and so we’re going to be in the current situation for a while to come.

My one consolation is that there are now 10 writers on the HealthcareScene.com blog network. That’s pretty good considering a year and a half ago when I quit my day job it was just me. I hope I can continue to grow the network and provide even more people income writing about EMR and Health IT. I’m lucky to be associated with such amazing writers. If you don’t know what I mean, go check out some of the other HealthcareScene.com blogs.

Now, time for a little family time. I hear making a fort with my kids is on the agenda today. I love being a kid again.

September 5, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

EHR Growth, HIT and EHR Standards, Hospital EMR User Tracking Bill, and MGMA Conference in Las Vegas

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Time for my roundup of interesting topics seen throughout the interwebs and related to EHR and healthcare IT.

@Allscripts
Astounding growth in use of EHRs – 5x in 2.5 yrs – Dr. Mostashari at #ACE2011 (via Skype) – does your doc use an EHR?

I’d like to see where Dr. Mostashari got those numbers. I think there’s little doubt that EHR use is up. If we say that 2.5 years ago it was at about 15%, then that would mean that using his growth number we’re now at 75%. That seems way too high for me.

@shelleypetersen – Michelle Petersen
US are starting to standardise vendor requirements for #healthit and language used in #EHR regions, important move

Is this a misread of what’s being done with meaningful use and EHR certification? I haven’t seen standards really emerge for most of this. I guess it does say “starting.”

Hospital EMR User Tracking Bill
Don’t ask me why, but this post about a CA Bill Requiring Hospital EMR Software to Track Users came across my tweet stream as well even though it was posted back in June. I guess that’s one thing I love about Twitter. It can bring back interesting content that you wouldn’t have seen otherwise.

After reading the post, I wondered if the CA bill passed or not. I’m guessing not. Although, I’m still shocked by the article’s comments that even an expensive Epic install at Kaiser can’t meet the requirements of reporting on what data for a patient in an EHR has been deleted and who’s accessed that patient data.

MGMA Conference in Las Vegas
I’ll admit that I’ve wanted to go to the MGMA conference for a couple years now. This year I’m lucky that it’s hosted in the beautiful Las Vegas. So, I’ll definitely be there enjoying the event. I’ve been thinking about doing a New Media Meetup at MGMA like I do at HIMSS. Are any readers interested if I put it together? If there’s only a few of you, we could just do a dinner or something. Let me know in the comments or on my contact us page.

September 4, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Best Description of the CareCloud EHR Platform

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In a post on EMR and EHR about Social Media and EMRs, Andre Vovan, MD MBA from Mitochon Systems offered an interesting insight into the comparison between EMR and social media.

Social media and EMR are a natural fit. Think about what social media really enables. The ablity to stay connected, following different strings of info/story weaved by connected people. Say for instance you and your friends went to the Grand Canyon, one person took pictures while the other did the cooking, planning, and was responsible for entertainment during the trip. When they try to retell the story to their friends, each will be able to add different aspect of the story and with social network platforms such as facebook, this is possible.

Now take the story above, and insert 2 doctors and change the trip taken to be a patient going from a diagnosis to a surgery and afterwards trying to tell other physician providers on went on. If we design the EHR with this capability, then medicine will be improved.
A social media version of electronic medical records would have EMHR, HIE and PHR as one product not as separate.

I know that this was actually Andre’s initial vision for Mitochon Systems EHR. He wanted to create an EHR that could bring a healthcare community together in this way. I’m sure he’ll keep grinding away until he can achieve that vision. I haven’t looked at the Mitochon Systems EHR recently, so I can’t say how close they are to achieving that dream, but when I read Andre’s description I couldn’t help but remember the demo of the CareCloud EHR platform.

Many of you might remember my previous (some might call scathing) post about the CareCloud EHR and an opposing view by David about the CareCloud EHR. That post and a recent trip to San Francisco made it possible for me to see the CareCloud EHR first hand.

I had a great time meeting with Albert Santalo and Mike Cuesta from CareCloud. That was good considering my previous devil’s advocate post about CareCloud. One thing is absolutely certain, Albert has a vision of what he wants CareCloud to be and he’s dead set on achieving that vision. I like that in a CEO and founder of a company.

When it comes to their EHR, I must admit that it kind of reminded me of a lot of other EHR out there. There were a few EMR subtleties that I noticed in the demo, but I can’t say I saw any real wow features that made it a must have EHR. Maybe a full demo and experience with the EHR would create a rainbow of EMR subtleties that would change my mind, but it was a relatively short demo.

Instead, the wow factor wasn’t in the EHR software, but was instead in the CareCloud platform that powers the EHR, PMS and CareCloud Community of users. The description above about an almost “social network of doctors” and the health stream of a patient seems like an apt description of what CareCloud has created. In fact, the social elements of the platform are integrated throughout all of the CareCloud software which makes for some really interesting possibilities.

The challenge that CareCloud has is that a social network or Care Platform if you prefer is only as good as the people and organizations that use that platform. If two doctors are seeing a patient, then both doctors need to be on the same platform to really see a lot of the benefits of a patient’s health stream.

I imagine this is part of the reason why CareCloud has to provide a solid PMS and EHR solution on top of the CareCloud platform. Doing so will seed the platform with users so that with each PMS/EHR sold the platform becomes that much more valuable.

It’s hard to predict the future. Maybe CareCloud won’t get outside of its Miami base and maybe they won’t reach their vision of a CareCloud platform (Maybe Andre and Mitochon Systems or some other HIT vendor will do it instead). However, I’m willing to predict that whether CareCloud wins the healthcare platform war or not, some company will create a healthcare platform like what CareCloud has started to create that will be too valuable not to participate.

Full Disclosure: Mitochon Systems is an advertiser on this site, but they didn’t know I was going to post Andre’s comment.

August 31, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

Nationwide EHR and Health Care in the Cloud

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Time to touch on a few popular topics that I found being discussed on Twitter. First, I’ll put the tweets and then a little but of my own commentary on these hot button issues in healthcare IT.

@GovHIT
Does a nationwide #EHR lower healthcare costs? Social media reactions | #GovHIT Blog http://ow.ly/64DL1

I always love when people talk about a nationwide EHR. I actually think that it’s a bad title by Government Healthcare IT, but that it’s a very good question. To me a nationwide EHR implies that there is one EHR for the entire nation. I think a number of other countries which are much smaller and less complex than the US have proven quite well that a nationwide government run EHR is a bad idea. I think the Government HIT article actually refers more to widespread adoption of EHR. To that, I’m obviously amenable and can’t wait for that day. Although, we still have a very long way to go.

@ekivemark – Mark Scrimshire
Should Health Care Move to the Cloud – Absolutely (but carefully)! #EHR #HIT 2.healthca.mp/oMMtNA

Might as well cover the cloud in healthcare issue if we’re talking about hot topics in healthcare. Little by little, I’m really seeing the shift to “the cloud” when it comes to EMR and EHR software. There are certainly still instances where the cloud based EHR doesn’t make sense. We also can’t start counting the days to the death of the client server based EHR software. In fact, non-cloud based EHR software is going to be around for a LONG LONG time to come. There’s far too many millions of dollars invested in these systems. However, I still do sense a shift from in house servers to cloud based EHR solutions.

I do appreciate the comment in the tweet about moving to the cloud…”Carefully!”

August 29, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.