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Food for thought !
With the advent of the Electronic Medical Record, the world's most expensive typing pool has been born.
http://drwes.blogspot.com/2008/09/our-most-expensive-typing-pool.html
Later he ponders an important question ...
I wonder what the effect of such automatic generation of notes will have on the next generation of doctors. Will they actually process what is entered, or merely become highly-efficient typists and plagiarists in the never-ending quest to become more "efficient" health care providers?-Wes
email:
I wish I never got an EMR!
Lowell Kleinman, MD www.drkleinman.com www.old-fashionedhousecalls.com
DrK: wish I never got an EMR!
Don't you mean you wish you never got the EMR you did??
Graham http://www.synapse-ehr.com/ Synapse - the EMR for the superior physician
I think the title is misleading .. if they weren't typing, they would be writing in hand.
But the Wordstar type macros are so funny!
Now, this takes me back to the time I did a locum at St. Mary's Hospital in Paddington as a senior house officer, and the consultant, who was no slow coach, insisted that all the medical notes had to be written out in longhand. If it were not neat enough, he rejected them and asked you to do them again! Tough times then LOL.
Wow... Lowell, can you go into more specifics on why your change of heart?
Al Borges, M.D.
It's created a troubling barrier between me and the patient. That barrier is not as present when I use paper and it's absent when I just sit there and speak/listen. The more concentration is involved in entering the data the less attention is paid to the patient.
Familiarise yourself with the patient first.
Then dictate after you've seen them.
I think it is quite obvious where he is at http://www.dogproblems.com/whispering.cfm?affID=dogs360
Sorry Lowell. life is what it is.
PS. Call me for the rights to your movie and presentation.
Chris Wilkerson, D.C. Carson Doctors Group TabletPCs in Medicine Editor-in-Chief www.MedicalTabletPC.com Home: www.Digital-Doc.com
Lowell,
That is why Hybrid solutions will prevail. Unfortunately, several consumers will never know this. For example, a busy OCCMED practice just recently called me last week. The conversation lasted around 2 minutes. It went like this:
I got your name from a OCCMED physician who really likes your system.
Great, what would you like to know about it. Can we schedule a demo.
Is it a EMR or is it EMR/PMS because our PMS is outdated/going out of business.
It is EMR only. Ok we are not interested.her
This is a true story. In the irony, the OCCMED customer that made the reference is a very busy OCCMED physician who uses are paper automation for his hundreds of different forms and packages. We are a good fit for this customer.
They already know what they want, they did there homework.
My question is, if you do lots of homework is that good for you or bad. If you build your requirements based on many things you gather you need from your research, does that mean you end up wiith a bloated EMR that does not necessarily do what you want, but it does what you asked for it to do based on what you researched your needs to be.
In any case, I love this thread, as it is true, many EMR's are just expensive note generator./word processors.
More importantly for several physicians they kill the Patient Visit with Electronic forms to be filled out or screens or whatever you want to call them.
Why didn't you mention the interfaces you have with various PMSs ??
DrK: The more concentration is involved in entering the data the less attention is paid to the patient.
Interesting idea.
But you are assuming EMRs are for better patient care.
But, by design, they are there to make it easy to upcode visits.
The templates and all that nonsense are often designed to maximize the money that can be billed to the insurance company. Not to maximize rational patient centered care.
Graham,
Different thread. The consumer had determined in there research they needed a integrated single solution. This limits there choices a bit, but there a lot of them.