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EMR Workflow, AI, and Recognizing Innovation – Charles Webster, MD Edition

Posted on August 25, 2013 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.


Uhh…I think it’s more than safe to say that Dr. Webster has a rep when it comes to EMR workflow. Consider this edition of tweets my ode to his passion.


I love that the idea of Smart EHR is spreading. I think it’s a really important one. I’m really intrigued by any new interfaces that incorporate AI. Thinking about the possibilities of what AI can do to a user interface is both scary and exciting. Although, I’m mostly excited.


Makes me wonder how a committee would do with EMR workflow. Innovation does rarely come from committees. This is a really interesting topic since most hospitals are dominated by committees. Are we missing out on a lot of innovation in our hospitals because of this?

101 Tips to Make Your EMR and EHR More Useful – EHR Tips 66-70

Posted on August 8, 2011 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.

Time for the second entry covering Shawn Riley’s list of 101 Tips to Make your EMR and EHR More Useful. I hope you’re enjoying the series.

70. Hard coded work flows CAN be your friend
EMR vendors are constantly playing the game of out of the box functionality versus unlimited workflow design. This is one way to look at hard coded work flows. Sometimes they have benefits since it’s one less thing that you have to configure on your system.

The other way to look at the above EMR tip is when it comes to reporting. Often if you’ve customized a workflow in your EMR, then you lose out on the benefit of the reporting that’s available with a hard coded work flow. Sometimes you can get the benefit of both, but some advanced reports really benefit from a hard coded work flow.

69. Social Media integration – the way business is done today
No EMR system has really deep social media integration….yet!? Although, it’s worth checking with your EHR vendor to see their views of the future of social media integration. Especially if you’re in a market that has a lot of physicians. You can be sure that future patients will want some sort of social media integration as part of their visit.

68. Determine how the EMR vendor encourages innovation
This EMR tip can be taken a number of different ways. The first is how does your EMR vendor innovate internally. Take a look at their last 3-5 release cycles to get an idea of how quickly they release features and how innovative those features are. It will tell you a lot about future releases of their EHR software.

The second way to take this is by asking the question, how do they take feedback and innovation from their community? Do they have an open API that would allow you (or some developer you pay) to be able to extend their EHR functionality? If you’re someone who likes to tinker with your practice, then an open API that will let you do that would be essential.

67. Determine how innovation is actually put into the practice
This EMR tip highlights the subtle difference between an EHR vendor that talks the talk and the EHR vendor that walks the walk. Every time your EHR vendor says, “That feature will be in the next release.” a red flag should go up in your mind. Maybe this company thinks and talks big, but can’t actually perform big. Although, age of the EHR vendor should play some part in this evaluation as well.

66. Is the patient portal comprehensive
Meaningful Use has almost made patient portals a requirement. It’s hard to say exactly what future meaningful use stages will require, but I won’t be surprised if a patient portal plays a large part in the future of healthcare. Plus, the new digital generation is going to be very interested in using a patient portal. You’ll want to make sure your EHR vendor is ready for both of these trends.

If you want to see my analysis of the other 101 EMR and EHR tips, I’ll be updating this page with my 101 EMR and EHR tips analysis. So, click on that link to see the other EMR tips.

Medical Care and Primary Care without Insurance Allows Technology to Flourish

Posted on June 30, 2011 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’ve previously posted that I believe the real EMR innovation will likely have to come together with healthcare innovation. The basic premise being that our current insurance reimbursement system is a weight on the backs of EMR software. The insurance requirements cause much of the unwieldy interfaces that are put out by EMR software and insurance requirements and limitations are a huge limiter on the technology innovation that could occur in healthcare.

Imagine how much more streamlined the EMR interface could be if EMR companies worried about patient care and not reimbursement. Imagine the new technologies that would be implemented if you weren’t so worried about the office visit reimbursement model we have today.

This premise is why I was so intrigued by this post on the popular Tech Startup blog, Techcrunch, called “The Most Important Organization in Silicon Valley That No One Has Heard About.” In the article, Dr. Samir Qamar has been putting together a different model for healthcare. “For only $49 per month and $10 per visit, MedLion is able to provide high quality medicine at a price point nearly any family can afford.”

How is he able to do this? Here’s a quote for part of how he’s able to accomplish it:

Part of MedLion’s value proposition has been availability to its patient base. Like many direct primary care practices, they find more than half of their patient interaction is via electronic means, as they aren’t forced by reimbursement rules to have a patient come to their office for something that could be done simply over phone or email. We want to be available for our patients whether they are in the Bay Area, Bali or Boise.”

I’m not sure if Dr. Qamar has found all the healthcare Innovation secret sauce, but I’m grateful for pioneering entrepreneurs like Dr. Qamar that are willing to try something different. Plus, there’s no better place for the application of technology than in these new models for healthcare. It’s exciting to consider what technology could really do when it’s not shackled by the 100 pound gorilla.