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The DO |
Special Coverage |
By The DO staff
DOs at OMED 2013 talk about how electronic health records have impacted their day-to-day work.
From my observation the maximum efficiency that can be gained off of EMR is about .8 of the paper charting equivalent. EMR slows you down, is useless when the power shuts down, which it does in many parts of the nation during storms and it does not and will not integrate in some nation wide scheme because that is not how our nation is designed.
Technology that is forced upon users never improves what has been determined to be the most efficient by the user themselves. Physicians hand wrote, dictated and in some cases used EMR prior to mandates because that it what works for the individual. It is not different than some people like PC and some people like Mac.
Personally nothing was as efficient for me as T sheet charting.
I type very fast but there are only two things that EMR does for me; medication interaction checking and prescribing electronically; but all that is contingent upon our local data entry and not because of some integration improvement.
EMR helps insurance companies and big hospital systems, it does not help the rural physician. Like coding it serves the purpose of an insurance provider by forcing us to do their labor for them and it will perhaps help the government to track what you do. It is not a solution for overworked physicians.
I agree with the above.
I am a psychiatrist and prescribe meds that cannot be done electronically so it doubles my work.
I had designed my own EMR and it was user friendly but BCBS of MA said they did not like it: so I changed to Practice Fusion that is not user friendly and increases my work.
When I took this back for BCBS to see their panel of 3 MD and 5 attorney and 2 nurses refused to see how i was now doing my notes.
I resigned from the plan as they were agressive and had no intention of workig with me.
I prescribe suboxone and I was discriminated upon by BCBS.
It is a shame that they did that and now all my PPO BCBS pt who chose to pay out of pocket for their visits were told they could not get their meds because I did not exist: BCBS took my NPI out of their system: it is illegal but they did it anyway.
It is sad that I get people better using holistic approach: exercise, eating properly, community support, therapy and meds. All my patients have the option to stop suboxone with a plan to do so.
At the end they save money and time: no hospitalization and no ER visits.
All my patients have my cell # and I let them know how to reach me and how to leave me a message when they expect me to call right back.
Patients never abuse it: I only get one call a month on the week end.
I hope things can change and doctors can get together with the White house to do so.
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