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Is EHR on Life Support? Short Answer…No

Posted on October 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today, David Swink sent me a link to an article from the Washington Examiner and this quote from the article:

“A revolt is brewing among doctors and hospital administrators over electronic medical records systems mandated by one of President Obama’s early health care reforms.”

“The American Medical Association called for a “design overhaul” of the entire electronic health records system in September because, said AMA president-elect Steven Stack, electronic records “fail to support efficient and effective clinical work.”

It seems like there have been a wave of articles similar to this coming out in the national media. For some reason the national media only likes to report on things when “the sky is falling.” It’s kind of a ridiculous report though.

What’s not ridiculous is that many doctors are dissatisfied with their EHR software. That is something that is real and many are extremely frustrated with it and many of the EHR regulations that require a lot of extra work by them. Does that mean that we’re going to see an EHR “design overhaul” or that the doctors are going to revolt against EHRs and stop using them?

My answer (as the headline alludes) is that it’s not going to happen. Certainly we’re going to see some EHR switching over the next few years. In fact, we might see a lot of EHR switching. However, we’re not going to see a mass of people revolting against EHR and going back to paper. That would be a true revolt and it’s just not going to happen. Like it or not, EHR is the go forward technology that will be used by healthcare to document healthcare.

Meaningful use on the other hand is a different story. I do think that meaningful use is on life support. If the congress can somehow get the Flex-IT Act to pass, then we can take meaningful use off life support, but I’m still not planning to discharge MU from the hospital. The program has some serious health issues.

On a more optimistic note, I’m really excited to see what doctors and hospitals start doing with the data stored in EHR. Is it everything we want it to be? No, but I believe we’re still going to see a lot of good come from EHR software now that EHR’s are implemented and we’ve largely got MU behind us.

The Growing EMR Tea Party

Posted on November 8, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I wrote a post a few months ago asking if meaningful use will put medicare in a bad position. In that post, Dr. Borges makes an argument for why meaningful use is going to have a negative impact on Medicare. In the comments, David Swink offered this additional comment about what he calls the EMR Tea Party:

I agree with Dr. Borges. He, and many other physicians of like mind, compose the EMR Tea Party — those who do not object to the modernization of record-keeping, but do object to the top-down “carrot-becomes-the-stick” approach to EMR that is being foisted on them. He is a medical John Galt (of Atlas Shrugged), who is more likely to retire or otherwise deny his talents as a “Giver” to society than to succumb to the diktats of the “Takers”.

The idea of a physician EMR Tea Party is quite interesting. I have seen a number of doctors like Dr. Borges that are leaving Medicare to avoid the meaningful use requirements. I’ve also seen that pretty much every doctor I’ve ever talked to would love to stop taking Medicare. However, I’ve also seen that a large majority of doctors don’t have that option because so much of their patient population is on Medicare. Plus, some percentage of those doctors don’t want to leave Medicare patients high and dry.

With this in mind, I’m not quite seeing the leave Medicare Tea Party getting that much momentum. However, I am seeing an EMR Tea Party that is swelling among doctors that want their EMR software to improve productivity, improve patient care, and allow them to be doctors instead of data entry clerks. This growing movement is much more powerful.

Meaningful use has a major impact (mostly negatively) on these desired EMR results. You might remember my post on the EHR Certification excuse as an example. I think this is also a reason why we have yet to see any private payers requiring EHR certification or meaningful use. They don’t want to anger doctors by requiring them to do many things which are unnatural to their current workflow and provide little value to the payer.

The real question is how big will this EMR Tea Party get over time. Not to mention, as more hospitals acquire ambulatory practices, will doctors have the influence they need to affect these changes?