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EMR Farce, Connected Health, and Lusty Love Affair with Magic EMR

This is a well reasoned take from John Mandrola, MD on the challenges that EMR has with many doctors. Another entry in the EHR Physician Revolt. The tone of the article is right. Dr. Mandrola isn’t against EHR and technology in general. He’s just against them in their current form. When I say current form, I suggest that is thanks to current billing requirements and other government regulations.

This is related to the first tweet. This shouldn’t be the case.

Wouldn’t we all love an EHR that was connected? Yes, I’m using connected in the broadest terms. I’m talking about connected to patients, connected to hospitals, connected to labs, radiology, insurance companies, nurses, doctors, etc etc etc. A few of those in the list are connected, but far too many of the others aren’t.

This comment by Linda was too good not to point out. She’s right. EMR is here to stay, but the honeymoon period for EMR’s is over. Doctors are starting to ask the right questions when evaluating EHRs. This will make some EHR vendors very happy and others not as much.

February 24, 2013 I Written By

John Lynn is the Founder of the blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: and, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and Google Plus.

EMRs Are A Transitional Technology

OK, I’m probably going to raise some people’s blood pressure, but here it is:  Is it possible that EMRs are a transitional technology which the industry will outgrow within the next several years?

I contend that with telemedicine  expanding rapidly, connected/remote health changing the focus of care and smart phones evolving along their own path — just to name a few factors — that which we call an EMR might not be up to managing care of the future.  Given the need for corporate and medical security, EMRs are also ill-equipped to give the emerging class of e-patients the data access they demand.

Yes, you can connect telehealth sites with a health system or clinic network.  You can burn through developer time making sure  your EMR supports the latest developments in mobile health applications.  You can find ways to integrate the data generated by remote patient monitoring and make it usable. But will the final result, the application which governs all of this, be the EMR we know today?

Today’s EMR, let’s face it, is not great at connecting beyond the institution where it lives. Sure, we’re building HIEs, but there’s a reason why so many are still at an embryonic stage;  forming such networks is a damnably hard job.

So what will happen when medical interactions and care shift decisively to environments and platforms outside of a hospital or clinic?  I don’t know, but I think it will take a different type of system — focused on coordination rather than just data storage and analytics.  It will need to be wherever patients are, collect data in whatever form it’s generated and support care delivery in ways that are in their infancy today.

So, that’s my opinion and I’m sticking to it.  What about you?

May 2, 2011 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.