Everyone hates the electronic medical record
logicmag.io
Everyone hates the electronic medical record
1–10 of 343 posts
Re: Everyone hates the electronic medical record
#2My mom would just bring a briefcase full of printed medical records to every appointment.
Re: Everyone hates the electronic medical record
#3Disclaimer - I work for a health service that isn't in the USA and has a very extensive EMR.
I don't disagree. I started my career dealing with paper folders of records that were fastidiously organised by a team that made sense of them. Now everything is electronic and fucking _everywhere_. The work didn't go away - but giving everyone a computer made it everyone's problem and nobody's job.
A really good EMR (or other records project) makes the 'work doers' jobs easier and is intuitive. We often severely miss that mark or only do half the job required.
Re: Everyone hates the electronic medical record
#4I wrote a thesis on EHR's 7 years ago. They really haven't seemed to improve much. I personally think a big part of the issue is actually scope, these systems are expected to do everything - medical notes, script ordering, appointment management, billing of course, and 3000 other things. This weirdly leads to a distribution problem, you can't be a serious competitor in just one area, you have to do everything. Only the monolith can shift the monolith. Then combined with the risk (or perceived risk) of working with medical data, and you're left with something that just never improves.
If your curious, here's where I discuss these points in the thesis https://barnett.surge.sh/welcome/complexity.html
Re: Everyone hates the electronic medical record
#5[deleted]
Re: Everyone hates the electronic medical record
#6I wrote a thesis on EHR's 7 years ago. They really haven't seemed to improve much. I personally think a big part of the issue is actually scope, these systems are expected to do everything - medical notes, script ordering, appointment management, billing of course, and 3000 other things. This weirdly leads to a distribution problem, you can't be a serious competitor in just one area, you have to do everything. Only t…
Yea. But in that time there has been an absolute revolution in what can be done with that data. FHIR specifically has completely changed the landscape.
Re: Everyone hates the electronic medical record
#7I wrote a thesis on EHR's 7 years ago. They really haven't seemed to improve much. I personally think a big part of the issue is actually scope, these systems are expected to do everything - medical notes, script ordering, appointment management, billing of course, and 3000 other things. This weirdly leads to a distribution problem, you can't be a serious competitor in just one area, you have to do everything. Only t…
Is this something where a public competitor might help? It surely can't be worse than private industry.
Re: Everyone hates the electronic medical record
#8> Patient R was in a hurry. I signed into my computer—or tried to. Recently, IT had us update to a new 14-digit password. Once in, I signed (different password) into the electronic medical record
That's IT infrastructure incompetence, not an EMR issue.
At the two healthcare systems I go to, both utilize RFID badge readers plus PIN. In the ER and urgent care, nurses need only tap their badge and enter a quick pin and they're in. It's taken them seconds to pull up my records and I've never noticed a delay in care.
In the PCP's network, everyone seems to get smooth and quick access often while we're conversing, and I can see all my visits, lab results, and so on. The major annoyance is that I get emails notifying me I have a "message", instead of even offering me the option of receiving an email with the actual message.
I don't think people understand how expensive and time consuming the non-electronic stuff was. I remember my mother spending considerable amounts of time trying to get records from labs and doctors and having to shelp a lot of it by hand.
Re: Everyone hates the electronic medical record
#9Disclaimer - I work for a health service that isn't in the USA and has a very extensive EMR. I don't disagree. I started my career dealing with paper folders of records that were fastidiously organised by a team that made sense of them. Now everything is electronic and fucking _everywhere_. The work didn't go away - but giving everyone a computer made it everyone's problem and nobody's job. A really good EMR (or othe…
This is everywhere. We made everyone their own secretary but gave them crappy tools and no training. Also they’re never gonna be doing it more than very part-time, so will always tend to be bad at it and find it a distraction from the work they’re actually good at.
I’m skeptical computerization has even been a net benefit for productivity for most jobs, for that and other reasons. I think it’s been such a huge boost in a few areas that it looks productive overall, but actually it’s been a step back in most jobs. The high of eliminating positions and of centralized command-economy-style technocratic visibility into everything keeps management hooked on it anyway.
Re: Everyone hates the electronic medical record
#10I used to work at an EHR software company. All of this is true.
The most interesting thing I think on the horizon is gluing the ever-increasing intelligence of AI bots with voice assistants. The company that can reliably take a HCP's dictation, store and retrieve that information accurately is going to transform the industry by drastically reducing the administrative overhead, and letting doctors treat more patients.