Time for the next entry covering Shawn Riley’s list of 101 Tips to Make your EMR and EHR More Useful. I met someone at a conference who commented that they liked this series of posts. I hope you’re all enjoying the series as well.
30. Remember that the EMR is only part of the safety problem
Remember that the EMR is just a tool. How you use that tool still matters. How you manage that tool matters. How you implement that tool matters. Safety is a result of great processes and that doesn’t change when you implement an EMR. In fact, I’d say it’s even more important. The same applies to bad clinical workflows. EMR won’t solve those bad workflows either. You can try to do a redesign of the workflows with the EMR implementation, but that often doesn’t go over well.
29. Errors should be easily reportable
To be honest, I’m not sure exactly which errors Shawn is talking about. I think I’ll take a different spin on it than what he intended and talk about the errors or issues that someone has using an EMR. This is particularly important when you first implement an EMR. You should want to know the errors that are occurring regularly so you can fix them. Make it easy for them to report them and provide proper encouragement and/or rewards for reporting errors they have with the system. Ignorance is not bliss…it always catches up to you eventually.
28. Use data to show both individual and system safety metrics
The key component that Shawn is describing here is the ability to report on various cross sections of data (individual vs system). If you can’t chop up your data to really know what’s going on in your system, then you’re not going to be able to really pinpoint the issues that users are having. Maybe it’s only one person who’s bringing down the average for the entire hospital. You don’t want to make sweeping changes to the system that annoy the majority of users when all you really needed to do was address the issues of an individual or small group of individuals.
27. Record management in the EMR is just as important as in paper
You thought HIM was done when you got the EMR. Wrong! Their role is still very important. Granted, it changes pretty dramatically, but in the clinics I’ve worked in the records management people were able to do a much more effective job improving the patient record in the EMR. Many of the things they did they never had time to do cause they were too busy pulling and filing paper charts.
26. Evaluate decision support tools for a fit to your needs
I believe that the clinical decision support tools are going to be the thing that changes the most over the next 5-10 years. You should definitely see how the clinical decision support tools they have available fit into your environment, but also spend as much time seeing what they’ve implemented and what their road map and method of implementing new clinical decision support tools is so you know where they’re going to be with their tools and product in five years.
If you want to see my analysis of the other 101 EMR and EHR tips, I’ll be updating this page with my 101 EMR and EHR tips analysis. So, click on that link to see the other EMR tips.