When the Beatles released their song “Revolution”, the radical political left severely criticized it. John Lennon, the song’s author, sympathized with the need for change but rejected using violence to achieve those ends. Like Lennon, …
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Despite the evolution and investment in EMRs over the past five decades, little evidence exists that all this digitization is making a difference in quality, safety, or cost.
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Although most attention to HIT focuses on the use of the EMR, other recent HIT tools successfully merge clinical and administrative activities that previously stood independent of each other.
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With the advent of EMRs and other sophisticated clinical and administrative HIT systems, each transferred patients comes with an exponentially larger set of patient data, much of it extremely valuable to receiving hospitals and their clinical staff trying to effectively and efficiently manage the limited resources available to treat these very complex patients.
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he ACA evolved from tough negotiations among all healthcare stakeholders.
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To understand our struggle to obtain value from EMRs, it is important to “show you the money.”
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“Je n’ai fait celle-ci plus longue que parce que je n’ai pas eu le loisir de la faire plus courte.’ or roughly translated as ‘I have done it longer because I did not have the leisure to make it shorter.”
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A 21st century approach to care delivery requires an understanding of the skills and knowledge of each care team provider, and development of a patient-centered care model built upon the team approach to a clinical problem rather than a top-down methodology driven solely by the physician.
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The introduction of EMRs over the past decade completely changed the way we write clinical notes. No longer limited by our hand driven writing speed, our notes reflect typing speed, and more importantly the functionality of the EMR used for documenting care.
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Does increased documentation improve outcomes? Does it reduce costs? There exists scant evidence that either of these are true.
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