Finally, a Good EHR Anecdote

Jaan Sidorov

Posted 11/2/11 on the Disease Management Care Blog

The Disease Management Care Blog remembers when it was first introduced to an electronic health record (EHR).  After many days of learning how to document, link, retrieve, order, manage, view, bill, sign-off and close patient encounters, it asked about retrieving summary statistics on its patient population.  It wanted to know how many if its patients with high blood pressure were under control and how many of its patients with heart disease had low cholesterol levels. The practice administrator looked at the DMCB like it was crazy.

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Why Doctors Don’t Like Electronic Medical Records

Richard Reece, MD

Posted 10/07/11 on Medinnovation Blog. It originally ran in the 9/27/11 issue of Technology Review, an MIT Press publication.

Why are doctors so slow in implementing electronic health records (EHRs)?

The government has been trying to get doctors to use these systems for some time, but many physicians remain skeptical. In 2004, the Bush administration issued an executive order calling for a universal “interoperable health information” infrastructure and electronic health records for all Americans within 10 years.

And yet, in 2011, only a fraction of doctors use electronic patient records.

In an effort to change that, the Obama economic stimulus plan promised $27 billion in subsidies for health IT, including payments to doctors of $44,000 to $64,000 over five years if only they would use EHRs. The health IT industry has gathered at this multibillion-dollar trough, but it hasn’t had much more luck getting physicians to change their ways.

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EHRs for a Small Planet

David C. Kibbe and Brian Klepper

First published 1/09/10 on The Health Care Blog 

Right now, American health care information technology is undergoing two enormous leaps. First, it is moving onto Web-based and mobile platforms – which are less expensive and facilitate information exchange – and away from client-server enterprise-centric technologies, which are more expensive and have limited interoperability. In addition, more EHR development activity is headed into the cloud, driven by large consumer-based firms with the technological depth to take it there. Both these trends will facilitate greater openness, lower user cost, improved ease of use, and faster adoption of EHRs.

But they could also impact the shape of EHR technologies in another profoundly important way. What is often lost in our discussions about electronic health record technology in the US is the relationship these tools have to our health and health care problems…globally. We could be designing our health IT in ways that are good for the health of people both here and around the world, not simply to enhance care in the US.

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How To Get Your Doctor To FINALLY Use A Computer


Originally published 11/19/10 on The Doctor Weighs In.

I had the chance to attend the first ever user’s conference of Practice Fusion – a company that provides Electronic Medical Records to doctors over the web for free (free!).  It was a most amazing experience to hear users of the product clap and cheer with every announcement of an improvement or an update.  Love this idea.  Love that it is free.  Love that they are cranking out code as fast as they can to respond to the requests of their customers.

I asked the PF folks if they could help our dear readers at TDWI understand why this is so important.  Here is the response from the founder and CEO of this amazing company:

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