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Need Point of Care EMR Documentation to Meet Future EMR Documentation Requirements

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As part of my ongoing writing about what people are starting to call the EHR Backlash, I started to think about the shifting tides of EMR documentation. One of the strongest parts of the EHR backlash from doctors surrounds the convoluted documentation that an EMR creates. There is no end to the doctors who are tired of getting a stack of EMR documentation where 2 lines in the middle mean anything to them.

Related to this is the physician backlash to “having to do SOOOO many clicks.” (emphasis theirs) I still love the analogy of EHR clicks compared to playing a piano, but unfortunately EHR vendors haven’t done a good job solving the two things described in that article: fast predictable response and training.

With so many doctors dissatisfied with all the clicking, I predict we’re going to see a shift of documentation requirements that are going to need a full keyboard as many doctors do away with the point and click craziness that makes up many doctors lives. Sure, transcription and voice recognition can play a role for many doctors and scribes or similar documentation methods will have their place, but I don’t see them taking over the documentation. The next generation of doctors type quickly and won’t have any problem typing their notes just like I don’t have any issue typing this blog post.

As I think about the need for the keyboard, it makes me think about the various point of care computing options out there. I really don’t see a virtual keyboard on a tablet ever becoming a regular typing instrument. At CES I saw a projected keyboard screen that was pretty cool, but still had a lot of development to go. This makes sense why the COWs that I saw demoed at HIMSS are so popular and likely will be for a long time to come.

Even if you subscribe to the scribe or other data input method, I still think most of that documentation is going to need to be available at the point of care. I’ve seen first hand the difference of having a full keyboard documentation tool in the room with you versus charting in some other location. There’s just so much efficiency lost when you’re not able to document in the EMR at the point of care.

I expect that as EMR documentation options change, the need to have EMR documentation at the point of care is going to become even more important.

April 12, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

EMR Documentation Pitfalls, EMR Adoption Numbers, and from the Hospital EMR

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This article is one of the most thoughtful pieces I’ve read about the challenges and benefits of EMR versus paper charts. It hits the nail on the head of the opportunities that are available with EMR, but also the stark realities of what’s happening with EMR implementations as well. Go read it and I think you’ll agree.


I’m always suspicious of EMR adoption rates that are put out there. This one puts EMR adoption at 69%. What I think is more significant is the change in EMR adoption rate from their previous survey in 2009 where EMR adoption was at 46%. A 23% increase in EMR adoption is definitely a trend, but we didn’t need a survey to tell us that shift was happening.


You should probably just go read all of Dr. Killpatient on Twitter. Yes, I’m sure many of you will cringe at what’s tweeted. I did in some cases too, but it is a really transparent look into one ER doc’s views. I wonder what his nurses would think of the tweet above. It’s also interesting what’s documented in the EMR. I wonder what Dr. Killpatients note looked like. Probably not as specific as the tweet.

November 25, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

EMR Templates

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I’m always fascinated by a discussion of EMR templates. A little while back on the 3M blog, they wrote what I think is a pretty good summary of the pros and cons of EMR templates:

Using template-based documentation provided by most EHR vendors allows for documentation to be available almost immediately for communication with the rest of the care team, which is important especially for daily progress notes. Choosing templates over dictation-transcription eliminates the variable of transcription turnaround time, which can range from a few hours, to a day or more. Templates also allow documentation to be created in a consistent and structured format, with up-to-date problem lists.

There are clearly many benefits associated with the use of templates, however from what we’re hearing there also are a number of drawbacks to this strategy. Coding, communication with other care providers, and physician efficiency can all be impacted by template-based documentation. We’re seeing that physicians don’t capture as much information when they fill out a form-based template as they do when they are allowed to capture the patient narrative in their own words, either through writing or dictating. Key information may be missing, which impacts both the care team and coding—and could result in the dreaded “every patient looks the same from the documentation” issue. Some physicians tell us that templates slow down their daily workflow, making them frustrated with their organization’s EHR implementation.

The discussion of EMR template use is a complex one. In many cases you can see the benefits of using an EMR template, but there are also a lot of downsides to their use. I remember when Dr. West wrote a blog post about why he loves his EMR templates. As I thought about his views I realized what the difference was in his templates and the templates that many other doctors use. He created his own EMR templates that were specific to him. I think that makes all the difference in the world.

Turns out that no one really hates EMR templates or loves EMR templates. They’re just a means to an end. What then are the benefits and challenges of using EMR templates.

EMR Template Benefits:

  • Saves Time (if designed well)
  • Helps Ensure Standard of Care
  • Documentation Always Found in Same Location on the Page

EMR Template Challenges

  • Every Chart Looks the Same
  • Lots of Clicks (if designed poorly)
  • Abnormals are Difficult to Identify
  • Difficult to Document Multiple Chief Complaints
  • Template Not Physician Specific (or takes a lot of time to create ones that are)

I’m sure there are other points worth noting. I look forward to hearing which ones I might have missed in the comments. I think the key when considering templates is how to make sure you get the benefits while mitigating the down sides. I think this is possible, but it takes some time and a thoughtful approach to make it happen.

September 6, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Paper Has Healthcare Spoiled

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As I was thinking about the radical invention of something called paper, I realized that we’re really quite spoiled by paper and its amazing benefits. Let me just list a few of the radical benefits that paper provides a doctor using a paper chart.

* Immediate response to pen – Yes, tablets and styluses are getting better, but there’s nothing like the instant satisfaction of putting pen to paper and seeing the ink spread across the page. Sure, the pen runs out every once in a while, but that’s generally pretty rare. A nice pen just flat out works with an immediate response in the exact location you want something written. There’s no calibration needed. You just pick it up and start using it. It’s beautiful.

* Never a delay when flipping pages – Think about the beauty of paper’s ability to flip between pages. When I turn a page I get an immediate response to that flip and see the desired result (a new page) immediately. I’ve never seen an hour glass when flipping between pieces of paper. I’ve never had a page partially load and need to refresh. Paper has the unique ability to flip pages with instant display of the next page.

* Instant On – Speaking of instant, paper charts are the true epitome of “Instant On” technology. Computers are getting better at making boot times fast and computers turning on quickly. However, anyone who regularly uses a computer knows all the screens you have to see as your computer boots up. A paper chart is beautiful in its ability to immediately be available for you to work. It has true Instant On capabilities.

* No training needed – Ok, maybe this is a stretch of a title. There is no training needed for paper, because since elementary school we’ve been taught how to write with pen and paper. The ability to write is near universal thanks to training in doing so since we were children. You hand a new doctor some pen and paper and they can start documenting their visit. No login or password required. No needing to know how to access Citrix so you can open the chart. Just hand them the chart and a pen and they start charting.

* Multiple page view – The display area of paper is so expandable. If you need a dual monitor dual page view of the paper you just slide it open. If you need a quad page view, you’re only limited by the amount of desk space you have or you could even move to the floor if needed. This easy to manage multi page view is powerful since it’s quite often that you want to see multiple pages at the same time.

* Fast page switching – Take a paper chart and watch how fast you can switch back and forth between pages of the chart. I call this “thumb in chart mode.” With 5 fingers you can even instantly “bookmark” up to 5 locations in the chart which you can switch to and back very quickly with zero load time.

* Flexible to an infinite number of documentation methods – Does paper support the SOAP format? Yes! Does it support every specialty? Yes! Paper has the ability to morph to every medical specialty’s documentation needs. In fact, it can easily be adapted to a different documentation method for every doctor within every specialty. It’s designed so flexibly that there really are an infinite number of documentation methods it can support.

* Easily supports text and graphic input – Oh the beauty of paper. In the same input area you can easily add text or graphics. In fact you can easily link the text and graphics in whatever way you see fit. Some might prefer to write male or others might prefer to draw the universal symbol for male. It’s completely extensible to text or graphics in every area of the page.

I’m sure there are other areas where paper spoils us that I’ve missed, but this is a good start. Hopefully you’ll add any areas I’ve missed in the comments.

Watch for future posts in my “Healthcare Spoiled” series.

March 16, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

EPOWERdoc and Unique Features of ED EMR Software

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As many of you know, when an EMR or EHR vendor wants to show me their system, instead of getting a full demo of their EMR I instead ask them to show me the unique features of their EMR. Basically, I’m interested in seeing the features, functions, approach, etc that makes an EMR or EHR vendor unique from the 300+ other EMR companies in the market today. This was my approach when EPOWERdoc approached me with a request to take a look at what they’ve created with their EMRDoc software.

Turns out that EPOWERdoc has been around for 12 years and is already in 250 hospitals in 40 states. That’s a pretty good footprint for an Emergency Department comnpany. In fact, I read that they’ve done 17 million Emergency Department visits in North America in their 12 year ED EHR history. Of course, these numbers come from EPOWERdoc and we know how good EMR install counts are from EMR vendors. However, even if that numbers bloated it’s a decent sized install base. Update from EPOWERdoc: The client numbers and ED visits are correct, we started out as a Paper Template system from software printing and that is where the large client base is predominantly. We are 36 months into the EDIS market with the product you looked at and have 18 live and another 9 by first qtr 2012.

During the short demo, EPOWERdoc showed me 3 or 4 interesting things about their Drummond Group modularly certified EHR. However, the feature that hit me most was the EMRDoc prose generator. In fact, this demo was one of the reasons that I’ve started predicting an EMR documentation revolution against hard to read, bulky, clinical notes.

I wish EPOWERdoc had a video of their EMR notes prose generator to demo it. If they create a video, I’ll post it to my EMR, EHR and Healthcare IT videos website. Until then, here are before and after screenshots of the EPOWERdoc interface which shows the granular data entry and the note that was created (click on the image to see the full image).

And now the image of the outputted documentation:

We could certainly debate the finer points of the user interface for inputting the data. Plus, a screenshot doesn’t show some of the other elements they’ve created to be able to quickly handle the input of the granular data elements. What hit me was how much the second image read like a clinical note. To be honest, as I read it I felt like I was hearing someone dictating a clinical note. Are their subtle differences where dictation is better, definitely. However, they seem to have done a good job of taking the granular data and turning it into clinical prose. I’ll be interested to hear some doctors thoughts on the above to see if they agree or disagree.

There were a few other interesting EMRDoc features that stood out to me in my short EMR demo.
-As an ED EMR, you have a different workflow than an ambulatory practice. As such, you need the ability to manage multiple open records at the same time. What I think EMRDoc does really well is switching between patients, but then also tracking your last documentation location for that patient.
-Related to seeing multiple patients, EMRDoc documentation feedback tool provides the user (doctor, nurse, etc) with a real time feedback as to the status of the level of documentation for medical coding as well as what has been completed in the note. In the ED where you’re regularly pulled away to deal with a pressing problem, the feedback statuses are a great little feature.
-EMRDoc has a feature that forwards clinical information and data from the Nursing Record to the Physician Record and from various sections of the Physician Record to other sections. Pretty slick implementation that reduces having to document that same thing multiple times.
-One of the big questions for an ED EHR like EPOWERdoc is how they deal with the hospitals large HIS system. EPOWERdoc’s answer was a partnership with Iatric who uses technology allowing data insertion into non accepting systems such as Epic, Cerner, McKesson or Meditech. I’d seen Iatric (They had the amazing trick shot pool table guy at HIMSS), but it sound like I should get to know them a little more. Maybe I can get Katherine Rourke to cover them over on Hospital EMR and EHR as well.

As I said, I didn’t do a full scale top to bottom demo of the EMRDoc ED EHR system, but I thought these were some interesting features of their EHR that were worth sharing. I’d love to hear some first hand experiences from any EPOWERdoc users. Let’s hear what you think in the comments.

October 11, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Shareable Ink

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Ever since HIMSS (still seems like yesterday, but was really a month and a half ago), I’ve been wanting to do a writeup about the company Shareable Ink. A number of people asked me at the show what the most innovative thing I’d seen at HIMSS was and my most common answer was Shareable Ink.

The interesting thing about Shareable Ink is that they provide such an interesting middle ground between a technical solution and continuation of paper. I remember about 5 years ago when I heard someone describe the perfect clinical documentation system. It was completely flexible. Required little to no training. Supported every possible documentation style. etc etc etc. Then, they acknowledged that what was being described was the paper chart. It was then that I recognized that while EMR can provide some benefits that paper charts can’t provide, paper charts also had some advantages that would be difficult to provide using an EMR. (See also this post about EMR’s being designed as more than a paper chart).

I think this background is why I found the Shareable Ink approach to documentation so fascinating. I really see it as an interesting way to try and capture the benefits of granular data elements and electronic capture of the data while still enjoying the benefits of paper.

My simplified explanation of the Shareable Ink technology is as follows. You print out a form that you want to use for the patient visit. Each page that’s printed out has a unique background (although it just looks like a colored page to the naked eye). When you use the Shareable Ink pen to write on the printed out page, the pen uses a camera to record what you wrote on that page and where you wrote it. Then, once you sync the pen it recreates the document you wrote on in the system.

It also has some really interesting advanced functionality as far as being able to do check boxes on the printed out form and even will convert your handwriting into text on the electronic document if you wish. I’m certainly not doing all of the features justice in this description, but I think you get the general idea. It’s a pretty cool demo if you get a chance to see it. I wish they had some videos on their website of it in action so I could show you. (UPDATE: Stephen from Shareable Ink sent my this link to a YouTube video of it in action. I’d like to see a few more specific examples of it in action like I saw at HIMSS, but it does do a pretty good job of showing some of what I described above.)

I think they’re also taking a smart approach to the market. Their strategy was to focus on areas of healthcare that were slow to go electronic: Anestheiologists, Emergency Room, Hospitalists and ambulatory Physicians. A smart plan since this hybrid paper/electronic system might get those that love their paper off the fence and into the digital world.

I do have some concern about how well this would do over the arc of the day. How often would there be issues with a pen that frustrates the providers? How much work is it to print off the sheets for each patient? How well could this integrate with an EMR (although, I’d love to see it used with a number of the “Hybrid” EHR vendors out there)? Not to mention, how will the syncing of the pen work? Will it sync flawlessly every time or will you have a bunch of doctors wondering where the documents are/were since the pen didn’t synch for some reason?

I’ll be keeping an eye on Shareable Ink and how well they do. There’s certainly an existing market of users that love their paper and so I’ll be interested to see how these doctors like Shareable Ink’s technology.

An interesting side note is that I find it interesting that Shareable Ink left the Boston area and moved their headquarters to Nashville, TN. Very interesting move I think.

April 13, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Doctors’ Training vs. Transcriptionists’ Training

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This will be a bit simplified, but I think you’ll get the idea. If you consider a doctor’s training. Doctors are trained in an incredible volume of information and then how to use that information along with a lot of other variables to be able to evaluate patients conditions, provide care and at the end of the day solve problems.

On the other hand, transcriptionists are trained to do repetitive tasks very well with high accuracy. Certainly they have to have some skills with the medical terminology. Also, many have moved beyond transcription into helping with the clinical documentation and ensuring that it’s documented properly.

None of this should be news to anyone. Now for the big finish…

Which training is more suited for someone doing a million clicks on an EMR?

Is it any wonder that scribes and other creative models for documenting a patient visit in an EMR are becoming an important part of the discussion? Watch for many more creative models using people to come out in the next year.

April 12, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Video EMR

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Back in March 2006, I had this great idea about synchronizing video with the EMR. Essentially instead of having to do all these pick lists of information, you’d just record the whole visit with the doctor and that would be all the documentation you’d need. Ok, so that won’t quite work, because you need some things recorded granularly, but the idea of a video EMR was and is really interesting.

Thus, you can imagine my interest when I saw this article about a company, CareCam, that’s developing a video based EMR. Here’s a quote from the article:

CareCam is developing an EMR system based on video. The idea came to founder and president Shannon Pierce from her days working as a nurse. Data entry distracts clinicians from patient care, she said.

But the based in Greenville, S,C.-based company’s 2009 patent on the method of documenting health records describes the technology as an electronic documentation system consisting of “documentation devices having a digital video recorder directed towards the patient.”

The device will record video and audio information about the care of the patient, categorizing the data and logging it for future reference. That would be a different tack from most EMR offerings on the market, which aim to move paper records to the digital world, but without the audio and video that CareCam proposes.

EMR may eventually replace paper records altogether, but doctors, and likely their patients, will ultimately decide whether a video record is preferable to other formats. CareCam completed its first pilot in December, according to Pierce.

As I look at their website, there’s not much information. However, it seems to me more like the cameras are for virtual office visits and not for recording visits in the doctor’s office like it described in the quote above. Of course, these type of video cam visits from home are a popular topic and I can definitely see them becoming very popular. Especially as more and more devices start coming built in with a camera like the iPad (the iPad 2 has 2 cameras).

I’m still really intrigued by the idea of integrating an EMR with video. Video is becoming more and more popular on the web and I can see integrating video into an EMR being a very interesting next step. Most EMR systems can actually support some video today. I can easily see a dermatologist taking a video of a person’s skin and uploading it to the EMR. There wouldn’t be the seamless playback that would make it really cool, but it’s certainly possible today. Hardest part today is getting it off the camera and into the EMR. A nice iPad or smart phone app could easily solve that problem.

Looks like I should have patented my video EMR idea back in 2006.

March 18, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

Complaints of EMR Documentation Aren’t Completely the EMR Vendors’ Fault

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One of the biggest complaints surrounding the implementation of an EMR is the way the EMR software handles the documentation method. Beyond just the learning curve, there are plenty of EMR software that have a terrible user experience.

While I don’t want to totally let EMR vendors off the hook, I do think it’s worth noting that EMR vendors aren’t completely to blame for the unwieldy interfaces. I believe one of the biggest reasons that the EMR documentation interfaces are so terrible is thanks to the crazy insurance billing and documentation requirements.

Seriously, it’s a total mess. Everyone that’s involved with insurance billing in healthcare knows what I’m talking about. Trying to code an application that’s easy to use, works well for the doctors and still handles all the insurance billing and documentation requirements is a serious challenge and so it’s not surprising why so many EMR software fails to deliver a great user experience.

That’s not to say that all EMR software have terrible user experiences. Although, let’s be honest that they’re taking on a nearly impossible task. I guess I compare the insurance documentation and billing requirements to cleaning a toilet. Nobody really likes to do either. Yet, they’re absolutely necessary jobs. Certainly there are some tools that can make cleaning a toilet easier (gloves, wands, cleaning solutions, etc). However, it’s still a task that isn’t fun to do no matter how you slice it (unless you pay someone else to do it, but the pain of the expense is still there). The billing and documentation parts of an EMR software are trying to do the same thing: make a task that no one likes easier. Unfortunately, using an EMR isn’t going to change a task that no one likes into something fun.

I hope that EMR vendors don’t use this as an excuse to not focus on creating usable software. It’s NOT! However, I think it’s important to consider the true impact of the EMR. Is it really the EMR software that is so bad or did you hate these parts of practicing medicine before having an EMR as well?

If you find that it’s the EMR software that’s so bad, then hopefully you were smart in the contract you signed with your EMR vendor (see the EMR contract section of my Free EMR Selection e-Book). You won’t be the first or the last practice to switch EMR vendors.

Of course, if the complicated insurance billing and documentation is the problem. Maybe Obamacare’s single payer insurance plan will help to solve that issue. At least there would only be one organization to deal with.

November 24, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.

“The Impossible Day” Issue with EMR Software

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In continuation of my posts about RAC auditors and other audit issues that EMR software can help or hurt, the following comment was sent to me by an EMR and HIPAA reader. Maybe all of you have heard of “The Impossible Day” but I found the concept interesting and it seems like EMR software could be well positioned to control this issue. Is this a major problem or only a problem for a few people that like to code too high?

The RAC audits are an interesting and mindful subject. Some practices have been getting into trouble with the “impossible day” which their EMR’s seem to help perpetuate. Some seem to end up with more documentation in files, but when RAC auditors do the math on how long the docs are supposed to be legitemately spending, its not adding up… Thereby “The Impossible Day” emerges.

I’ve asked some EMR vendors if there is some sort of a control feature with a warning on the total time based on visits/notes for a day. Most are not familiar with this. Just like anything else, if we hear more about it from the RAC audits, more will pay attention.

November 11, 2010 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 14 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John 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. Healthcare Scene can be found on Google+ as well.