September 15, 2014 – This anniversary will accommodate a fair allotment of acclaim for bloom advice technology and its allowances for acknowledging able and able care, but it comes on the heels of some acrid criticism by one California pediatrician who is arguing that EHR technology hinders the analytical cerebration of physicians.
“As a physician, I do not appetite my cerebration to be bound in any accessible way by a arrangement that I charge to ample out in adjustment to actualize a note,” writes Charles McCormick, MD, FAAP. “Every accommodating is different, and not a distinct one of us fits into the aforementioned box. We are, unfortunately, dumbing bottomward medical affliction providers aloof like we dumbed bottomward our teachers.”
In his address of EHR use, the Stockton-area physician identifies two deficiencies in the accepted technology preventing healthcare organizations and providers from acumen the promised allowances of adopting these systems and casework — a abridgement of interoperability and arrangement design.
“Different almanac systems currently do not acquaint with one another, although annal can be affected and beatific to addition physician,” McCormick contends. “Hospital systems are essentially altered from systems acclimated in clandestine offices and the systems acclimated in our bounded hospitals are generally conspicuously counterintuitive and Byzantine.”
For the pediatrician and Associate Medical Director for Bloom Plan of San Joaquin, the EHR presents constraints for physicians attractive to appoint actively with their patients during encounters.
In my practice, I accept been application a federally accustomed EMR for the accomplished year, and I acquisition that a cogent allocation of my cerebration is directed against how to almanac a accommodating appointment rather than what absolutely happened in the visit. Previously, I had acclimated a record-keeping arrangement in which I recorded advice in my own handwriting, and I would agenda those things that were important to me so that I could advertence them after as I cared for my patient.
Today, I accept to amount out how to get the important advice into a box about in the medical record. This usually agency about an added hour every day to accomplish my addendum meaningful. Mixed in with the important advice is a ample abundance of atomic or bush advice that obscures what is absolutely crucial. There is annihilation abridged about the avant-garde EMR!
The not-so-subtle dig at allusive use and certified EHR technology (CEHRT) is abounding of complaints about the furnishings of a physician adjusting his cerebration to clothing the cyberbanking almanac rather than applying his analytical cerebration to accouterment a accommodating with the analysis best ill-fitted to the latter’s condition.
Apparently, the botheration with accepted EHR templates is a abridgement of amplitude for physicians to certificate those $.25 of advice that do not accommodate accurately with analysis boxes and drop-down fields.
“We absorb added and added time disturbing to use a technology that absolutely banned the artistic action and beneath time adverse our accommodating and cerebration about their problems. Applying an old cliché, we charge to resume cerebration out-of-the-box,” McCormick concludes.
As National Bloom IT Anniversary begins, the pediatrician’s criticism is a admonition that EHR technology is not absolute and that its shortcomings charge to be addressed and resolved.
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