Lots of really interesting discussions happening on Twitter about the EMR. Some are around really exciting developments. Others provide great insights. Others are complaining about how far we still have to go. Enjoy these EMR insights and perspectives as we head into the weekend.
The much-maligned Electronic Medical Record (#EMR) is not necessarily a tool which leads to physician burnout. The KLAS Arch Collaborative shows that proper training, #personalisation and teamwork can optimise the use of this digital tool. https://t.co/BYWeirbrqc @ukpenguin pic.twitter.com/ePS65aTqCW
— HealthManagement.org (@ehealthmgmt) October 26, 2018
I saw KLAS present this information at the MEDITECH MD and CIO Forum last week. The data is pretty compelling when it comes to EMR Training and Education and it’s tie to satisfaction.
With regards to drug cost, what is keeping us from having a system where the EMR can tell me how much each drug will cost with the patient’s insurance? Many times, there are alternatives for what I want to prescribe (and which one is covered is insurance dependent). #medtwitter
— Roxana Daneshjou, MD/PhD (@RoxanaDaneshjou) October 26, 2018
The answer to this question is that this caluclation is really hard and the rules around it are really complicated and distributed across a large number of organizations. If we could solve this problem, it would be a great thing for patients. However, in our current system, it is a really hard problem to solve.
Policies yes, and also smarter #EMR use to help drive orders to remove and decrease human error on forgetfulness. Lines, drains and catheters are forgotten too often! #PWChat https://t.co/JXXsxHZhd4
— Kelly Cawcutt, MD (@KellyCawcuttMD) October 26, 2018
It’s great to see well done policies facilitated by technology. This is a great example of where that’s possible. However, this next tweet explains why we have to be careful about it too.
Robert E. Bart, MD on 'The EMR: Friend or Foe to the Clinician': "The E[M]R has taken broken workflow and immortalized it in digital form." To keep up with an expanding physician workload, this has to change. #UIM18 pic.twitter.com/F9z3RFBpND
— PittDeptofMed (@PittDeptofMed) October 26, 2018
I hope he’s wrong about it being immortalized. Hopefully it’s just a step forward and that we’ll continue to see workflows adapted and changed. My guess is that he thinks they need to be scrapped completely and start over. Well, when has that ever happened in healthcare? Not very often. So, we have to stick to incremental improvement.
