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What's Happening Now

April 11, 2013 9:03 am

As a family medicine physician who until recently was working for a large hospital system and has experience after going through three electronic health records I can endorse the issues that Ms.Sinsky so aptly puts forth. This problem is common to all enterprise electronic health records at this point in time.
The basic problem is that electronic health records have had two masters-the clinical part of the record which is important for patient care and the billing part of the record. Which one do you think has won out?
The other overriding issue is how physicians and systems are paid. Most systems are still paid on an RVUs/piecemeal basis. The dirty little secret is that electronic health records could be excellent at “not seeing patients” and taking care of populations. By this… more »

…I mean that they can be set up as a communication device to communicate with patients and take care of populations outside the office. However, in many if not most areas this is a losing proposition moneywise. « less
April 11, 2013 11:22 am

Funny you should ask-

About two years before I stop working at the hospital system, I saw patient who was transferring to me because of insurance issues from the other large group in town. The interesting thing about this is that the hospital and the other large group in town used the same electronic health record and it was still impossible to transfer data from one system to the other even though both records were the same. (Apparently the records were different enough and customizable enough that it was impossible to transfer digital data). What the heck is going on. Disgraceful.

Sure, here is my suggestion. Since most of the large players in the industry supply enterprise systems which are very costly, my suggestion would be to withhold Medicare money from hospitals who have products… more »

…with companies that will not play ball with regard to interoperability. That should get someone’s attention. « less
April 11, 2013 11:26 am

I do not personally have any experience with organizations that use computers effectively to take care of populations outside the office environment, however from what I have read organizations such as Kaiser, health Cooperative of Puget Sound etc. are much further along in this process as they seem to have a logical, system-based organization that are well aligned.

April 11, 2013 10:21 am

Welcome to Planning Room, Ispikol, and thanks for your comment.

You note that electronic health records could be set up as a communication device to take care of populations outside the office. In your experience, have you seen any services that do this effectively?

April 11, 2013 10:21 am

Thanks for your comment, Ispikol. You note that a large problem is that different systems do not communicate with one another. Can you give examples as to how this issue has impacted your workflow as a physician?

Do you have any suggestions as to how electronic health record companies could be incentivized to make this easier?

April 11, 2013 12:46 pm

Thank you for your suggestions, Ispikol. Does anyone have other suggestions for how developers could be incentivized to make products that are compatible with each other?