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The Future is Now – Physician Discontent and Adopting EHRs Today – Breakaway Thinking

Posted on November 18, 2015 I Written By

The following is a guest blog post by Carrie Yasemin Paykoc, Senior Instructional Designer / Research Analyst at The Breakaway Group (A Xerox Company). Check out all of the blog posts in the Breakaway Thinking series.
Carrie Yasemin Paykoc

In the movie Back to the Future II, a young man named Marty McFly and his time-traveling companion Doc Brown travel thirty years into the future—October 21 2015—to unite his parents and correct the space-time continuum. Although this “future” date occurred several weeks ago, the technological advancements presented in the movie are not far off from reality.  In the “future” Marty cruises around his home town on a new hoverboard and the sky is filled with mechanical drones. There are a few hologram images and people are dressed in brightly colored, plastic outfits. Aside from the fashion statement, many of these technological advancements are well under way. The future is now!

Not all technology has advanced as rapidly as depicted in the movie, though. From a health information technology (HIT) perspective, it often feels like we are back in 1985 dreaming of better technology.  Electronic health records (EHRs) present one of the biggest opportunities for improvement in healthcare.

A recent study published by the RAND Corporation and sponsored by the American Medical Association (AMA) examined how satisfied physicians are with their EHRs. It found that they approve of the concept of EHRs and are largely satisfied by the ability to remotely access patient information at any time. Most physicians, practice leaders, and staff also agreed that advancements in EHR technology such as improved interoperability and improved interfaces have great potential to improve care as well as physician and patient satisfaction. On the other hand, the current state of EHRs worsened overall professional satisfaction among respondents. Data entry, usability, inefficient workflows, and lack of interoperability were a few of the main pain points mentioned in the study.

A recent parody of Jay Z’s Empire State of Mind articulates many of these same frustrations. “Just a glorified billing system with patient info tacked on,” is one of the poignant lyrics mentioned in the video.  Many physicians are fantasizing about going “back to the future” or using a more sophisticated system.

In order to move forward in advancing EHRs and HIT, clinicians, support staff, and administration need to take responsibility for their organization’s initial technology investment. If data entry, usability, and inefficient workflows are causing pain, it is time to re-revaluate those clinical workflows and escalate system issues and enhancements to their vendors.

Each time I am onsite with a client preparing for go-live I am reminded of all the energy spent on implementing these systems. But it is equally important that clinical leaders re-evaluate their initial workflows and develop a plan for sustained use after the initial excitement has faded. And during this time, leaders must provide feedback and escalate system issues to their vendor.

Engaged clinical leadership is required to not only adopt the current state of EHRs but to transform the future of health information technology. How can clinical leaders do both? First, realize an EHR is not something you can throw-away or easily replace without enormous costs.  In our consumer-based culture, old technologies like cell phones or televisions are often thrown out for the latest advancements. Although EHRs are in many ways less sophisticated than some consumer-based applications, most of those applications (if not all) do not have the ability to improve patient care or patient safety. If using today’s EHR technology saves more lives than using paper alone, it is our collective responsibility to adopt these systems.

Once this paradigm shift has occurred and clinical leaders have made a sustained commitment to using EHRs, progressive and impactful change can occur. Conversations can begin to shift to improving clinical workflows, enhancing interfaces, improving interoperability, and utilizing health information exchanges. But these later conversations will never occur if the focus is on the initial difficulties and stress associated with implementing and using these systems. In order to live up to our vision of the “future,” we must accept the realities of today.

Xerox is a sponsor of the Breakaway Thinking series of blog posts.

Fun Friday Healthcare Humor

Posted on November 6, 2015 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.

It’s Friday and I came across this cartoon which is funny and sad at the same time (the best kind of humor). However, I think it reflects the major challenge and a lot of the discontent many feel towards health care today.
The advances in Health-Care seems to be putting some distance between the doctor and patient.

I recently asked some people where all this physician discontent is going to lead. They didn’t have a good answer and I don’t either.

Since it’s Friday, I thought this graphic was worth sharing as well:
Friday Doctor Humor

Thanks to all the hundreds of thousands of doctors who work hard every day and don’t mail it in because it’s Friday, a weekend, late at night, etc etc. You’re true heroes.