Question from Steven Posnack, Director, Office of Standards and Technology at the ONC: “Is the concept of an “electronic health record” outdated?”
Electronic Health Record
What are the trends in aging? 1. More People, Living Longer, Living Independently Baby boomers started turning 65 in 2011. By 2030, the number of…
Pay now or pay later: how much consistency should EHR APIs have?
How can an electronic health record (EHR) combine the formal record from clinicians with the patient’s ongoing chronicling of their health status?
The Global Center for Health Innovation opened for business last October in Cleveland, Ohio, but will officially open to the general public this October. The futuristic glass structure, designed by LMN Architects of Seattle, comprises four floors and 235,000 square feet of space. The Global Center is adjacent to Cleveland’s new underground Convention Center, also designed by LMN. Jointly, they hope to attract more healthcare-themed conferences and exhibits to Cleveland.
I’m impressed by the number of big-name health systems that are giving Google Glass a test drive. It’s also interesting to note the diversity of applications, from telehealth, education, remote consults, and EMR access. By the time HIMSS15 rolls around next April I am sure we’ll have a clearer idea of which vendors have figured out the formula for success. But please… don’t be a Glasshole!
The problem with mammograms, EMRs, patient portals, and other healthcare technologies is that too often the developers seem to have forgotten the patient experience. Case in point: EMRs. Having all of a patient’s visit record online is a tremendous benefit. Frequently, however, the EMR interferes with the patient exam because the physician seems to be paying more attention to finding the right drop down item than to the actual patient. Especially if I am sick, I want my doctor’s full attention and assurance that he/she is engaged and invested in my care.
Despite spending $8,508 per person on healthcare – more than any other country – the U.S. healthcare system placed dead last for overall healthcare quality in a new Commonwealth Fund report that compared the U.S. healthcare system’s performance with 10 other industrialized nations. Commonwealth has conducted four similar studies since 2004 and each time the U.S. has been ranked at the bottom of the pack. That’s one heck of a losing streak.
Like clinicians, Health IT and EMR professionals have their share of frustration with regulations. The bottom line is that rules need to be workable for all parties involved in Health IT. If they’re not, they’re wasting time, money and efficiency.
Why would anyone who is presented with hard evidence choose to believe otherwise?
What if those opposed to EHR use kept a log of what they expected to happen (e.g., less time with patients, increased work load) and compared it to a log of what was actually happening? They might have a different perspective and see they aren’t working longer hours. The same advice goes for those pushing for the implementation of new technology. You have to acknowledge what is actually happening – nurses working longer shifts – and compare it to what you hoped would happen. We have to be willing to change our views when faced with real-world experiences.