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First Hand EMR User Experiences, Slaying the Paper Dragon, and EMR GUIs

Posted on July 1, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Time again for a quick look around some of the EHR and Health IT topics being discussed on Twitter. It’s an interesting time for healthcare IT on Twitter. They’ve started accepting nominations for what they’re calling the #HIT100. A number of people have already nominated my @techguy and my @ehrandhit Twitter accounts as a #HIT100 nomination. I’m honored that people would consider me in that group. I’ll be interested to see who ends up making it on the list. Those lists aren’t perfect, but I enjoy them for discovering new people I didn’t know about.

Also, before I go through some tweets, be sure you check out the Around Healthcare Scene post on EMR and EHR.


I love Inga from HIStalk and I love these first person perspectives and comments on EMR software. We need more doctors, practice managers, nurses, etc talking about their experience. Props to Inga for putting that together.


I love the concept of the “paper beast.” Such a perfect description and something that so many people forget about when their planning their EHR implementation. Dealing with the existing and future paper (yes, paperless is a myth) is an absolute must in a good EHR implementation.


This is a topic we’ve discussed many times before. Although, I think we need to keep pointing it out so that physicians take a good hard look at the documentation method of EHR software. There are so many options out there that doctors shouldn’t settle for something less than optimal.

Early Attestation Results: Some Observations – Meaningful Use Monday

Posted on August 8, 2011 I Written By

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money.

Lynn Scheps is Vice President, Government Affairs at EHR vendor SRSsoft. In this role, Lynn has been a Voice of Physicians and SRSsoft users in Washington during the formulation of the meaningful use criteria. Lynn is currently working to assist SRSsoft users interested in showing meaningful use and receiving the EHR incentive money. Check out Lynn’s previous Meaningful Use Monday posts.

At last week’s HIT Policy Committee meeting, Robert Tagalicod, (the new director of the Office of E-Health Standards & Services), presented an analysis of the attestation experience to-date [See John’s previous Meaningful Use Details post for the slides and report]. The results lend themselves to some interesting observations—admittedly preliminary findings, but revealing nonetheless: 

  • The average performance levels were quite high—on those measures that have thresholds to be met, providers attested to results considerably above the level required for successful accomplishment. This is a positive sign that once providers commit to an EHR and to meaningful use, they try to use the EHR on a routine basis, not just to satisfy the minimum requirements. True, these initial attesters represent early EHR adopters who have had time to become successful EHR users, but hopefully this trend will be sustained.
  • Care coordination measures seem to present a challenge for many providers—the most commonly deferred (i.e., not selected) menu measures were medication reconciliation and summary of care at transitions.
  • Very few providers were actually able to conduct a test of their ability to electronically submit syndromic surveillance information to public health agencies or submit immunization data to registries (5% and 28% of attesters, respectively). Not surprisingly, most EPs either excluded or deferred these public health measures

Of the 2,383 EPs that attested, 137 were unsuccessful. I’d be interested to know where they stumbled and if they will succeed in another reporting period.

Big Winners from Obama EHR Stimulus HITECH

Posted on February 19, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

UPDATE: Check out this post I did updating the Big Winners from the HITECH EHR Stimulus Incentive Program.

Whenever government decides to spend $20 billion, there are bound to be a lot of winners. The money has to go somewhere. I previously posted how I think that EHR adoption won’t significantly increase because of HITECH. However, there will be some BIG winners from this legislation. Lets’s take a quick look at a few of them.

  • EHR Vendors – I don’t think there’s any doubt that vendors will benefit from $18 billion of investment in EHR.  The legislation was signed yesterday, and I’ve already seen ads for Allscripts talking about learning about the EHR stimulus.  Marketers for every “certified” EHR are going to beat this stimulus like a dead horse.
  • Health Care IT Consultants (ohhh…maybe I should become one) – Business should be just fine for EHR and health care IT consultants despite the current economic crisis.  I didn’t think there were enough before.  Even a small increase in EHR adoption will mean higher demand for health care IT consultants.
  • Existing EHR Users – Despite my feeling that this stimulus won’t stimulate EHR adoption, I do think that already implemented EHR users should benefit from this EHR stimulus.  I didn’t read any “first time home buyer” provision in this legislation.  This could mean a bit of free (minus a little paperwork) cash for those who find themselves already using a certified EHR.
  • CCHIT (if they get chosen) – This is a big IF, but I believe that CCHIT’s survival hinges on them being chosen as the certification required to receive stimulus.  It would say a lot if they weren’t chosen.  Let’s hope HHS has the guts to not choose them despite the incredible lobbying efforts I’m sure they’ll receive.
  • Hospital Systems – I’m familiar with one hospital system that has over 100 multi specialty clinics with many of them using a centralized EHR.  Seems like a great investment to pay someone to make sure they meet the required standards.  100 clinics X number of doctors in a clinic X $40k = a lot of money
  • Health and Human Services (HHS) – Even just the $2 billion in discretionary funding is a huge boost to that organization.
  • Obama’s HIT Donors

Anyone else I should add to the list?