It’s time for a quick Twitter round up where I highlight a few tweets from around the Twittersphere and add some of my own commentaries. I hope you’ll join in the comments and share your perspectives on these tweets.
— LALIT SINGH MD MBA (@drlalitsingh) August 22, 2017
I agree with Lalit that it’s clear that the patient owns the clinical data. The real problem is that many healthcare organizations don’t act like patients own it. We need that culture change to occur in many parts of healthcare. However, Lalit is aso correct that the data needs to be married to intelligent analytics if we want the data to be extremely useful for both patients and their care providers. We’re starting to see this happen.
— H. Ben Harvey, MD JD (@harlanbharvey) August 22, 2017
I’ve often thought that CDS (Clinical Decision Support) is the oft forgotten feature of an EMR and that it likely should get a lot more attention than it does. Dr. Harvey is correct that the CDS inside an EMR is the largest feature that contributes to the intelligence of the EMR system. However, the CDS gets so little attention. I know that’s not true in many EMR implementations where vast committees scour the CDS to ensure that it satisfies the care requirements and guidelines they want to follow in their organization. However, CDS doesn’t get nearly enough press. I think that needs to change since much of what can be accomplished to improve care in the EHR is going to be CDS.
Just like using an EMR effectively ???? https://t.co/HnKQnqy4iA
— stewartmedicine (@stewartmedicine) August 13, 2017
This was great to see Dr. Stewart acknowledge and highlight how learning to use an EMR is a skill that needs to be developed just like deliveriers and sutures are a skill to be developed. I’ve seen so many doctors who complain about their EHR, but they also chose not to spend the time learning how to develop the EMR skill. They just thought that they could start using it with no training, no real workflow evaluation, etc. Skills have to be developed and learned and that’s true with the EMR as well.