It's kind of "dog-bites-man" type news, but there is even more evidence that physicians not only don't think EHRs are helping them but actually see them as contributing to burnout. Researchers at the Mayo Clinic found that use of EHRs (or computerized physician order entries -- CPOEs) was associated with lower satisfaction with time spent on clerical tasks, with nearly half of physicians saying the amount of time spent on clerical tasks was unreasonable. No wonder the AMA CEO recently complained that physicians were turning into the "most expensive data entry force on the face of the planet."
HITECH Act
See the following -
2014: New year promises better medical care through high technology
Marika Sboros | Business Day | December 31, 2013
From smart clothes, to genome editing, cell therapy, patient-centred medical homes, virtual house calls and "benevolent bribes" — 2014 is set to usher in a new era of precise, effective, and best of all, preventative treatments for a range of health problems and diseases. Read More »
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Behavioral Health's EHR Conundrum
Tom Sullivan | Healthcare IT News | March 12, 2014
March 12, 2014-Behavioral health and long-term post-acute care are perhaps the two most significant areas left out of the meaningful use program. “When we look at the big circle of care, there’s a huge hole -- behavioral health,” said Mark Caron, CIO of Capital Blue. “Behavioral health is a mess.” And at least similar words could be used to describe the status of EHR implementation in many long-term and post-acute care settings.
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CORAnet Solutions Champions Patients’ Medical Record Access with Its Personal Health Information Exchange
By Marc Wine | May 7, 2015
It has been six years since the HITECH Act passed, yet most Americans seeking medical care are still unable to obtain their full medical records for a variety of reasons whether the hospital will not release them or proprietary EHR system vendors will not allow hospitals, let alone patients, direct access. One Healthcare 2.0 leader, CORAnet Solutions, has developed a tool that finally allows patients access to their complete medical records. This new breakthrough technology enables patients to take control of their personal medical data with CORAnet’s Personal Health Information Exchange (PHIE).
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Coronavirus Adds New Stress To Antiquated Health Record-Keeping
Darius Tahir | Politico | March 11, 2020
The U.S. health care system is on the leading edge of many technologies - except when it comes to passing information between doctors, laboratories, and public health officials. And that could add another snarl to the already troubled effort to test for coronavirus. Overreliance on faxing, phones and paper records is problem enough in ordinary times. Adding thousands of coronavirus tests a day will test the ability of providers, labs, and public health officials to keep track of all the results. Because not all results are automatically downloaded into physicians' records, the doctors may need to log into laboratory web portals or, if all else fails, turn to faxes and phones to learn test results.
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Crash Test Dummies and Electonic Health Records
By Bennett Lauber | August 16, 2015
EHR vendors are quick to say that the upcoming stage 3 Meaningful Use requirements are too burdensome, that they are too difficult to complete, and they are not necessary. (see this article for example). Many EHR vendors would say let market forces take over and the Health IT industry will heal itself. The big business interests of the Healthcare industry may cry wolf (and lobby hard) against the meaningful use program and its significant enhancements to the usability program because they don’t want to spend the extra time and money to provide a healthcare system that truly follows a safety-enhanced design philosophy.
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Death By A Thousand Clicks: Leading Boston Doctors Decry Electronic Medical Records
Drs. John Levinson, Bruce H. Price and Vikas Saini | WBUR | May 17, 2017
It happens every day, in exam rooms across the country, something that would have been unthinkable 20 years ago: Doctors and nurses turn away from their patients and focus their attention elsewhere — on their computer screens. Read More »
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Doctors like EHRs even less than they did five years ago
Jack McCarthy | Healthcare IT News | August 13, 2015
But do the clinicians, physicians, nurses and specialists actually using the software like EHRs any more than they did five years ago? No, they do not, at least according to the results of a study published by the American Medical Association and the American College of Physicians' AmericanEHR division. Physicians, rather, have are grown increasingly dissatisfied with their electronic health records software during the last five years.
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DoD And Tech Firms Face Daunting Health-IT Challenge
John K. Higgins | eCommerce Times | September 22, 2014
"The DoD's electronic health record program is a large and extremely complex undertaking. There are a number of different vendors, players, technologies, organizations and politics involved, resulting in tremendous barriers to overcome," said eHealth Initiative CEO Jennifer Covich Bordenick. "That doesn't mean it is impossible to execute DHMSM successfully -- but it will be a difficult feat."...
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Funding Opportunities for Building Data Connections Between EMS and Healthcare Partners
Press Release |
NHTSA Office of EMS |
September 1, 2016
EMS providers often treat patients with complicated medical histories yet have no access to relevant health data, such as hospital or out-patient records, which might provide information critical to patient care. EMS reports also are rarely integrated into hospital records, leaving specialists and other hospital staff unaware of how patients presented to EMS initially and what treatments they received prior to arriving at the emergency department...Earlier this year, the Centers for Medicare & Medicaid Services (CMS) published a guidance letter that allows the use of Health Information Technology for Economic and Clinical Health (HITECH) funds for expenditures related to electronically connecting Eligible Providers to other Medicaid providers, including EMS, to share health information.
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Guess What: Docs Don't Like EHRs
By Kim Bellard | June 28, 2016
Health IT Now recommends HHS, Congress take steps against non-interoperable systems
Marla Durben Hirsch | FierceEMR | June 18, 2014
Health IT Now, buoyed by RAND's recent report on electronic health records, has called on the U.S. Department of Health and Human Services and Congress to "decertify systems that require additional modules, expenses, and customization to share data," and to investigate business practices that prohibit or restrict data sharing in federal incentive programs.
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Healthcare players are actively blocking data sharing
Lucas Mearian | Computerworld | April 15, 2015
Five years ago, only 20% of physicians used electronic medical records (EMRs). Today, 80% use them. Since the enactment of the HITECH Act, which required that EMRs be adopted across all healthcare providers, the federal government has invested more than $28 billion toward their use.
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Healthcare players are actively blocking data sharing
Lucas Mearian | Computerworld | April 15, 2015
Five years ago, only 20% of physicians used electronic medical records (EMRs). Today, 80% use them. Since the enactment of the HITECH Act, which required that EMRs be adopted across all healthcare providers, the federal government has invested more than $28 billion toward their use...
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HIEs Struggle with Sustainability
Anthony Brino | Government Health IT | July 11, 2013
More providers than ever are participating in health information exchanges, at the same time that a majority of HIE organizations are struggling to find sustainable business models, a new study has found. Read More »
How disparate EHR systems, lack of interoperability contribute to physician stress, burnout
Jeff Lagasse | Healthcare IT News | July 2, 2018
Physician burnout is an increasingly common issue in healthcare, and there are a lot of factors that can contribute to it. Long hours, paperwork and the burden of administrative tasks all play a part. But electronic medical records can also contribute to burnout, largely because each system is different. With disparate electronic health record systems comes an added hardship for physicians, affecting their work -- and their reimbursement. Compounding the issue is that many physicians are no longer limited to just one facility. Many handle rounds at multiple hospitals and/or practices, and if each has its own EMR system that doesn't necessarily communicate with the others, it can be a growing headache.
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