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A Ring Around the EHR and Health IT Twittersphere

Posted on March 11, 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.

One challenge that many bloggers face is creating good titles for all of their posts. I usually don’t have too much problem creating one. Although, I have to admit that when I do my weekend Twitter round ups, I often do have a problem coming up with a title. I don’t like them all to be essentially the same. Maybe I’ll just do the top two stories in the title in the future and then say and more… I mostly mention that because of the creative title above.

Ok, enough discussion of blog titles. Let’s get to the meat of the tweets that I found. A number of these are really substantial pieces of news. So, take a look and enjoy.


I’m sure many might be wondering why this is in an EMR and health IT roundup. The EMR mentioned in the tweet is not electronic medical record. However, if you love tech, you’ll be amazed at that post. It’s such a great illustration of how what Amazon is doing with EC2 and their other “cloud” services is going to continue lowering the costs for so many internet services.

I like to think about it this way. How many servers are running at maximum capacity all the time? The answer is none of them. In fact, many of them often use some small percentage of what that server could process. So, that means there’s a lot of wasted processing power on servers. I think services like Amazon EC2 create such an interesting model since they have so many fewer wasted resources.


Yes, this is a survey by CDW healthcare, but that’s a pretty strong number regardless of who is doing the survey.


I’ve become more and more annoyed by the way our current payment system causes so many perverse incentives. It really makes me want to find ways to change the system.


It could be the most overlooked. Although, the question we should be asking is why is it overlooked? I think the answer is that it’s not an easy thing to understand during the selection process.


Nice job by Neil of covering Epocrates selling their EHR software. This is BIG news. Sure we could argue that Epocrates didn’t have the DNA in their company to build and sell EHR. However, this should be a cautionary tale for other EHR vendors trying to enter the market. Of course, entrepreneurs will ignore this caution and enter anyway. That’s why I love entrepreneurship.


This story was passed around on Twitter all week this last week. It probably deserves more than a tweet at the end of a Twitter round up. This is a great story about an iPad EMR saving a life, but it’s also a great story about patient information being available in emergent situations. I’ve met a number of companies that are working on this problem (including My Crisis Records who advertises on one of my sites). I think over the next 5 years we’re going to see a really dramatic change in how an emergency responder addresses a medical situation. I look forward to that day. I believe information is power and I think we can do a lot better getting them the information that will make them more powerful.

Payment Reform and EHR Adoption

Posted on June 9, 2010 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.

In a recent comment by Bobby Gladd (check out his REC Blog), he makes a really interesting connection between the need for healthcare payment reform and EHR adoption. Here’s his comment:

I would just observe that, absent significant payment reform (I won’t be holding my breath), there’s a very real problematic barrier to effective EHR use if we don’t change the basic paradigm. For example, fundamental to the concept of the “patient-centered medical home” trial initiatives now getting underway is the argument that primary care docs should properly be seeing no more than 8-10 patients per day (e.g., think about the typical hour attorney consult visit), that the customary 25-30 pts/day is driven by the need to bill, to keep the doors open; that roughly half of outpatient visits are of marginal to nil clinical value.

I and one of my REC colleagues did a clinic assessment visit the other day. We interviewed 4 docs, one of whom was a severe Dr. NO!” on the topic of HIT. His beef was basically a “productivity loss” complaint, i.e. that seeing mostly older, complex problem list pts (he’s Internal Med) made it nigh impossible to effectively chart electronically in within the scheduling constraint.

Now, perhaps with a lighter, more rational daily patient load (and more extensive EHR training) he might come around and truly “adopt.”

I consulted with an attorney a couple of years ago regarding legal guardianship over my dementia-addled (now late) Dad. The initial hour cost me $300. The entire deal ended up costing about $4,000.

A physician, however, is supposed to take in myriad data and make a comparably expert decision in 15-30 minutes — and hope he/she can eventually get reimbursed a relative pittance.

It’s crazy.

So, OK, where are we? We’re facing a current and projected shortage of perhaps 40-50,000 primary care docs, and under PCMH theory we propose to cut their pt volumes in HALF ore more so they can provide better care? All while bringing tens of millions of the previously uninsured into the (non-ER) system under Obamacare reform.

Right.

I don’t have a good answer for the skeptical docs who argue that the EMR gold rush is more about billing imperatives and vendor welfare, that the docs’ pt care-analytic needs are a distant 3rd at best.

It’s a vexing circumstance.

My only comment to the “productivity loss” complaint and the EMR gold rush that he refers to at the end is…
Maybe they’re looking at the wrong EMRs. Unfortunately, the EMR stimulus does promote mostly the wrong EMR vendors. That’s why the EMR selection process is so important.