Recently, I had an initial appointment with a primary care practice. As I expected, I had a lot of paperwork to fill out, including not only routine administrative items like consent to bill my insurer and HIPAA policies, but also several pages of medical history.
While nobody likes filling out forms, I have no problem with doing so, as I realize that these documents are very important to building a relationship with a medical practice. However, I was very annoyed by what happened later, when I was ushered back into the clinical suite.
Despite my having filled out the extensive checklist of medical history items, I was asked every single one of the questions featured on the form verbally by a med tech who saw me ahead of my clinical appointment. And I mean Every. Single. One. I was polite and patient as I could be, particularly given that it wasn’t the poor tech’s fault, but I was simmering nonetheless, for a couple of reasons.
First, on a practical level, it was infuriating to have filled out a long clinical interview form for what seemed to be absolutely no reason. This is in part because, as some readers may remember, I have Parkinson’s disease, and filling out forms can be difficult and even painful. But even if my writing hand was unimpaired I would’ve been rather irked by what seemed to be pointless duplication.
Not only that, as it turns out the practice seems to have had access to my medication list — perhaps from claims data? — and could have spared me the particularly grueling job of writing out all the medications I currently take. Given my background in HIT, I was forced to wonder whether even the checkbox lists of past illnesses, surgeries and the like were even necessary.
After all, if the group is sophisticated enough to access my medications list, perhaps it could have accessed my other medical records as well. In fact, as it turned out, the primary care group is owned by the dominant local health system which has been providing most of my care for 20 years. So the clinicians almost certainly had a shot at downloading my current medical data in some form.
Even if the medical group had no access to any historical data on my care, I can’t imagine why administrators would require me to fill out a medical history form if the tech was going to ask me every question on the form. My hunch is that it may be some wrongheaded attempt at liability management, providing the practice with some form of cover if somebody failed to collect an accurate history during the interview. But other than that I can’t imagine what was going on there.
The reality is, physician practices that are transitioning into EMR use, or adopting a new EMR, may end up requiring their staff to do double data entry to one extent or another as practice leaders figure things out. But asking patients to do so shows an alarming lack of consideration for my time and effort. Perhaps the practice has forgotten that I’m not on the payroll?