Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and HIPAA for FREE!!

Unthinkingable 10 Years Ago…

Posted on February 10, 2014 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.

There’s this really awesome post over on the mHealth Insight blog that looks at what mHealth will make what’s unthinkable now a reality in the future. I love the concept and encourage those of you who read this to participate in the thinking exercise.

Here were a few they offered that caught my eye:
“10 years ago it was unthinkable that we would be making the majority of our incomes from something that wasn’t the office visit” -Family GP

“10 years ago it was unthinkable that when our health declined we’d learn about it first from our mobile phones” Patient

I’d add a few:
“10 years ago it was unthinkable that a video visit led to a prescription drug being automatically delivered to my house by drone within the hour.”

“10 year ago it was unthinkable that heart attacks wouldn’t exist because the risks for it were all determined well before they happened.”

What a powerful concept!

Avoiding The EMR Alienation Effect

Posted on I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Recently, I stumbled across a very interesting article talking about I call the “patient alienation effect” generated by EMRs.  The author, Charles Smith, who practices at the University of Arkansas, is an EMR old hand who has been using the Centricity ambulatory EMR for more than a decade.

The article, which appears in the Journal of Participatory Medicine, talks about the well-known offputting effect EMRs have on patients, and the frustration that they impose on doctors. And as readers know, we’re not talking about a minor impact here.

In the new EMR world, he notes, physicians have a list as long as your arm of EMR related tasks they must perform during the patient visit, including medication reconciliation, managing the problem list, e-prescribing, updating the patient’s history, review of systems, physical exam, entering the follow-up plan into the record, and printing “after the visit” summaries for the patient. And as he points out, this all has to happen for the patient is still sitting in the exam room.

The way he handles this problem is to treat the challenge is one for the patient and physician to solve things together:

*  At the outset, he and the patient have an open discussion of the EMR issue with new patients, discussing the advantages and challenges of the computer in the room.

*  Then, he asks the patient’s to allow him to move their chair beside him in the computer, noting that they will “all three” work together during the visit.

* He also tries to create a hybrid experience of completing some EMR tasks during the visit and others after (for example telling the patient, “hold on while I enter this order for you) before returning to face-to-face conversation.

* He finds that it works best to take notes here and there during the patient visit, then complete the past medical, surgical, family and social history and the review of systems together with the patient directly in the EMR.

Obviously, there’s no one right way to integrate patients into the process of documenting their visit in an EMR. But these ideas seem like good ones.

Where Are We Headed with Clinical Decision Support? – Google Plus Hangout

Posted on 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.

Note: The following image will become the live video stream about 5 minutes before the start of the G+ hangout and then will be the embedded video after the hangout. Subscribe Here to be notified of future hangouts.

Jonathan Teich, MD, PhD, Elsevier’s Chief Medical Informatics Officer and a physician at Brigham and Women’s Hospital in Boston
Jonathan Teich - Elsevier
What: A Google+ Video Hangout with Jonathan Teich, MD discussing where we’re at with clinical decision support and where the technology is heading. We’ll also discuss how clinical decision support can improve clinical care, prevent adverse events, and streamline clinical workflow.
Date: Thursday, February 13, 2014
Time: 12:00 – 12:30 p.m. EST
Location: About 5 minutes before the event, we’ll embed the video stream on this page or you can find the video stream on the G+ hangout event page as well.

About Jonathan Teich
Jonathan’s primary focus lies in the design of innovative information systems to directly improve clinical care, prevent adverse events and streamline clinical workflow to address the most critical needs of the healthcare community.

A practicing physician, Jonathan boasts a wealth of experience in the scientific and technical fields. He is an assistant professor of medicine at Harvard, and a board-certified attending physician in emergency medicine at Brigham and Women’s Hospital (BWH), where he has practiced since 1983.

A recognised leader in his field, Jonathan serves on a number of industry and government leadership councils. He is co-chair of the panel responsible for the HHS-sponsored Roadmap for National Action on Clinical Decision Support and is a board member of the eHealth Initiative, a fellow of the American College of Medical Informatics and of HIMSS, and a member of the American Health Information Community Quality Workgroup. He has authored or co-authored over 100 peer-reviewed papers, books, and editorials in the field of medical informatics and healthcare information systems.

Jonathan has also helped to found Healthvision, Inc., an internet healthcare company producing innovative, web-based, clinical information systems and patient/community information sites for large healthcare organisations. He served Healthvision as chief medical officer, responsible for strategic product vision across clinical and patient product areas.

Subscribe Here to be notified of future EHR and Healthcare IT hangouts.

If you have any questions you’d like to pose before or during the hangout, send them to @ehrandhit on Twitter and we’ll do our best to incorporate them into the discussion.