T5: This graphic was an eye-opener to me, showing how well the U.S. is doing in EMR and HIE use: http://t.co/Zv0Kj56q12 #HITsm
— Chad Johnson (@OchoTex) June 28, 2013
This graphic seems to position the US in the lead position when it comes to EHR and HIE. Although, I’m not sure which countries they chose to include in the chart. As I recall countries like Norway and Denmark were way ahead of us and somehow they didn’t make it on the graphic. Plus, it looks like they used the very best numbers they could find for the US as opposed to realistic ones.
Told this #HISTalkapalooza story during #EMR program review today. Folks didn't know @athenahealth @Jonathan_Bush! pic.twitter.com/fOmGaUNnFY
— Mandi Bishop (@MandiBPro) June 26, 2013
This tweet from Mandi reminded me that sometimes we live in a reverb chamber that the larger part of the healthcare community doesn’t hear. I think we’d all be amazed how many people in healthcare IT know very little about the workings of the healthcare IT market. They’re so focused on their jobs they see little outside of their healthcare organization. In fact, many are naive to even what’s happening within their own healthcare organization.
It’s still amazing to me how we have so many ways to connect and learn and yet many don’t seem to care.
I'd argue workflow is primary issue, tho not mentioned > Hello, EMR? It’s Me, Unintended Consequences http://t.co/rQkCUUsUm8 #EHR #HealthIT
— Charles Webster, MD (@wareFLO) June 24, 2013
If you’ve read this blog for any amount of time you’ll know the name Charles Webster, MD. He’s talking workflow everywhere he goes. What I haven’t figured out is if workflow is really the issue we’re not dealing with or if Dr. Webster just has workflow solutions and so everything he sees is a workflow problem. The proverbial “everything is a nail when you have a hammer.”
Hi John!
I agree with @Atul_Gawande:
“EHRs need to take work back from providers–workflow, communication, task management. ‘That’s when you get sudden adoption'”
http://chuckwebster.com/2013/06/ehr-workflow/my-second-blog-post-inspired-by-health-datapalooza-workflow-communication-tasks-and-bpm
Thank you for the (and the “workflow”) mention!
Chuck
Ha! You just tweeted a link to this post as part of your EMR and EHR Vault series of tweeted. A golden oldie!
This was posted 4 month ago. In the intervening time has your own thinking on EHR and HIT workflow evolved? Does the idea that workflow is the culprit seem more likely, less likely or about the same?
Sometime the problem really is a nail.
Cheers Chuck
Chuck,
I think that EMR workflow is an issue, but I’m not sure it’s the solution to the problem. The system is so screwed up, that I’m not sure that an EMR workflow solution will fix the problems that are inherent in the system. Certainly there can be some benefit, but I’m not sure there is a solution that can solve the system other than changing the system.