My post on lousy EMR interfaces continues to stir reactions among EMRandEHR readers. Those responses include the following, from reader Bret Shull:
Thank you for bringing up yet another important matter in the never-ending drama that is EMR. Until a merger in Dec. 2009, I owned and served as administrator for a 4 physician diagnostic clinic in southern California. While marketing our professional and clinical services over the years, I consulted with hundreds of practices and physicians regarding various practice management issues. Based upon my inquiries, the vast majority of the providers who have deployed EMR revert back to paper SOAP notes within a few months.
When asked why they go back to paper, they confess that they find EMR’s very rigid; the logic forces them into a completely unfamiliar (and often inferior) approach to their patient encounter. Subsequently, the physicians either stay after hours to type and click their notes into the EMR or delegate the arduous task to a staff member. The comments I’ve heard from my referring physicians follow along these lines:
- “I’ve been practicing medicine for 20 years… What do the people who designed this software know about practicing medicine that I don’t?”
- “Why can’t an EMR learn how I practice instead of forcing me to assess my patient its way?”
- “It seems the more we customize the templates, the more pull-down screens we create, making the system even more cumbersome.”
Even with the HITECH incentives in place, many physicians are still hesitant to “take the plunge”. At the risk of stating the obvious, I personally believe the cumulative effects of these negative experiences throughout the market have served to stifle EMR adoption.
As it turns out, Shull did find a platform he liked eventually. He’s a big fan of the Praxis EMR, which he says works far more intuitively than the other systems he tried.
I can’t vouch for Praxis — or any EMR for that matter — but it’s great to hear that Shull’s was happy with what he found. Has anyone else found a system they believe doctors will actually use?