Bob Brown sent out this interesting tweet about point of care systems that create EMRs.
— Bob Brown (@ReasObBob) July 15, 2014
Obviously, there are a lot of different ways to put together an EMR system. One is to create the system and then push it out to the point of care. Another is to create the systems at the point of care that then push back to the EMR system.
I agree with Bob that EMR systems were created first and we’re now trying to push them to the point of care. Sadly, most of them have done a pretty poor job of pushing the documentation to the point of care. Although, we have made some significant progress on this and will make more in the future.
With that said, I personally don’t think the real problem with useful and usable EMR is how they were created. The real problem with them is that we created big billing engines and now we’ve created big government meaningful use reporting engines. If we’d created an EMR focused on improving efficiencies and providing better quality care, we’d have a very different result. We might even have something that doctors would call useful and usable.