Christina Thielst, HITExchange
“In November 2009, the topic “Top Ten reasons Why EMR/EHR Implementations are Failing” was raised on the HIMSS LinkedIn discussion group. More than two years later, the group’s technology and healthcare professionals continue debating the causes of such pitfalls and relating their experiences.
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Chris Taylor, The Successful Workplace
“There are real challenges with Electronic Medical Records (EMR) beyond getting doctors to write things down (a feat in itself). Healthcare providers are being pushed to adopt EMR, but few are at Stage 7, shown at right.
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Bouhaddou O et al, Journal of Biomedical Informatics, 2012
The increased need for interoperable electronic health records in health care organizations underscores the importance of standards. The US Department of Veterans Affairs (VA) has a long history of developing and adopting various types of health care data standards. The authors present in detail their experience in this domain. A formal organization within VA is responsible for helping to develop and implement standards. This group has produced a Standards Life Cycle (SLC) process endorsed by VA key business and information technology (IT) stakeholders. It coordinates the identification, description, and implementation of standards aligned with VA business requirements.
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Greg Scandlen, NCPA
“The United Kingdom invested almost $20 billion in an ambitious Health Information Technology (HIT) initiative that has now been scrapped. But in the United States, the people working on our $20 billion program are confident that our investment will not be wasted.
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Jennifer Dennard, EMR and EHR
“One foggy morning last week, I made my way to the Georgia State Capitol for a Technology Association of Georgia (TAG) Health event relating to the intersection of healthcare IT and state legislation. Little did I know that the state’s government is somewhat unaware of the benefits HIT can bring, both to the patient in terms of more coordinated care and improved quality outcomes, and to the state in terms of job creation and revenue.
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Margalit Gur-Arie, KevinMD
“EHRs are not ready for prime time. EHR benefits are questionable and there are documented instances where patients’ deaths were directly attributed to an EHR. EHRs are cumbersome and slow. They are unnecessarily complex and built on very old technology. The people who build EHRs have no concern for the end user and therefore EHR usability is pretty abysmal. And EHRs are expensive to buy and expensive to maintain, not to mention that they can completely derail your practice through loss of productivity.
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Carl Natale, ICD10 Watch
“There’s a way to soften the impact that ICD-10 implementation has on your budget. It involves working on ICD-10 and Meaningful Use compliance as the same project.
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Kim Bandura, The Morehead News
“Technology will be playing a bigger role in patient care than ever before.
Healthcare professionals and their related associates have been mandated by the federal government to abide by “meaningful use” of electronic medical records (EMR) by the end of 2014.
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Daniel Essin, Physicians Practice
“People have been so anxious to apply computers to healthcare that they have overlooked Lewis Carroll’s sage advice: Begin at the beginning. The problem of losing one’s way as a result of beginning in the middle of a problem is not unique to EHRs as we are reminded by Tim O’Reilly, a publisher of computer-related books and a technology pundit.
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Carl Natale, Government Health IT
“The American Medical Association has taken the next step in its vigorous opposition to ICD-10 implementation.
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John Halamka, Life as a Healthcare CIO
“I’ve written extensively about the challenge of implementing ICD10 and my belief that the billions of dollars required to implement it will not improve quality, safety, or efficiency.
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Angela Hart, The Health Care Blog
“The San Francisco Department of Public Health says it is ahead of the curve in rolling out databases that keep tabs on tens of thousands of patients across a citywide network of clinics and hospitals. The rollout is needed not just to make a local form of “universal health care” work, but also to meet a 2014 deadline under national health reform.
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Sabrina Rodak, Becker's Orthopedic, Spine & Pain Management
“Telemedicine and telehealth have the potential to increase access to care, improve quality of care and decrease costs. For instance, the American Telemedicine Association proposed legislation that would expand telemedicine and save an estimated $186 million over the next 10 years.
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Esante.gouv.fr
“Trois régions « Amorçage » ont apporté leur témoignage : retour d’expérience et approches marketing déployés en Alsace, Aquitaine et Picardie, pour accompagner les établissements et professionnels de santé au DMP.
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Herrin J et al, Health Services Research, 2012
Objective
To assess the impact of electronic health record (EHR) implementation on primary care diabetes care.
Data Sources
Charts were abstracted semi-annually for 14,051 diabetes patients seen in 34 primary care practices in a large, fee-for-service network from January 1, 2005 to December 31, 2010. The study sample was limited to patients aged 40 years or older.
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TECchannel
“Virtualisierung und die Service-basierte Bereitstellung von IT-Anwendungen und Storage bilden auch im Gesundheitswesen die IT-Basistechnologien. Mit diesen erreicht man funktionale, operative und geschäftliche Effizienz.
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NYeC
“By the end of 2011, over 10,000 New York State healthcare providers had enrolled into a federally subsidized program that will help them transition from paper to electronic medical records (EMRs), continuing the effort to improve the quality and coordination of care for all patients across the state.
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Charles Wright, eHealthCentral
“It took a couple of days for The Australian and the usual suspects to catch up with the news of the problems with the specifications for the PCEHR which I reported on Sunday and again yesterday, which may explain the enthusiasm with which they have greeted confirmation of the story in a statement from NEHTA.
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Charles Wright, eHealthCentral
“The NEHTA lead sites involved in the roll-out of the PCEHR are in a state of bemused uncertainty, as they await details of the specification problems I wrote about yesterday. The mass media, medical and trade press, and for that matter the blogosphere and Twitterverse seem still to be unaware of the problem.
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John Pulley, NextGov
“Physicians who have an ownership stake in a medical practice are more likely than other doctors to rate EHR implementation as difficult.
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