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EHRs and Keyboarding: Is There an Answer?

Posted on November 28, 2017 I Written By

When Carl Bergman isn't rooting for the Washington Nationals or searching for a Steeler bar, he’s Managing Partner of EHRSelector.com.For the last dozen years, he’s concentrated on EHR consulting and writing. He spent the 80s and 90s as an itinerant project manager doing his small part for the dot com bubble. Prior to that, Bergman served a ten year stretch in the District of Columbia government as a policy and fiscal analyst, a role he recently repeated for a Council member.

One of the givens of EHR life is that users, especially physicians, spend excessive time keying into EHRs. The implication is that much keyboarding is due to excessive data demands, poor usability or general app cussedness. There’s no end of studies that support this. For example, a recent study at the University of Wisconsin-Madison’s Department of Family Medicine and Community Health in the Annals of Family Medicine found that:

Primary care physicians spend more than one-half of their workday, nearly 6 hours, interacting with the EHR during and after clinic hours. The study broke out times spent on various tasks and found, unsurprisingly, that documentation and chart review took up almost half the time.

Figure 1. Percent Physician’s Time on EHR

This study is unique among those looking at practitioners and EHRs. They note:

Although others have suggested work task categories for primary care,13 ours is the first taxonomy proposed to capture routine clinical work in EHR systems. 

They also make the point that they captured physician EHR use not total time spent with patients. Other studies have reached similar EHR use conclusions. The consensus is there too much time keyboarding and not enough time spent one to one with the patient. So, what can be done? Here, I think, are the choices:

  1. Do Nothing. Assume that this is a new world and tough it out.
  2. Use Scribes. Hire scribes to do the keyboarding for physicians.
  3. Make EHRs Easier. Improve EHRs’ usability.
  4. Make EHRs Smarter. Adapt EHRs to physician’s needs through artificial intelligence (AI) solutions.
  5. Offload to Patients. Use patient apps to input data, rather than physician keyboarding.

Examining the Alternatives

 1. Do Nothing. Making no change in either the systems or practioners’ approach means accepting the current state as the new normal. It doesn’t mean that no changes will occur. Rather, that they will continue at an incremental, perhaps glacial, pace. What this says more broadly is that the focus on the keyboard, per se, is wrong. The question is not what’s going in so much as what is coming out compared to old, manual systems. For example, when PCs first became office standards, the amount of keyboarding vs. pen and paper notations went viral. PCs produced great increases in both the volume and quality of office work. This quickly became the new norm. That hasn’t happened with EHRs. There’s an assumption that the old days were better. Doing nothing acknowledges that you can’t go back. Instead, it takes a stoic approach and assumes things will get better eventually, so just hang in there.

2. Scribes. The idea of using a scribe is simple. As a doctor examines a patient, the scribe enters the details. Scribes allow the physician to offload the keyboarding to someone with medical knowledge who understands their documentation style. There is no question that scribes can decrease physician keyboarding. This approach is gaining in popularity and is marketed by various medical societies and scribe services companies.

However, using scribes brings a host of questions. How are the implemented? I think the most important question is how a scribe fits into a system’s workflow. For example, how does an attending review a scribe’s notes to determine they convey the attending’s clinical findings, etc. The attending is the responsible party and anything that degrades or muddies that oversight is a danger to patient safety. Then, there are questions about patient privacy and just how passive an actor is a scribe?

If you’re looking for dispositive answers, you’ll have to wait. There are many studies showing scribes improve physician productivity, but few about the quality of the product.

3. Make EHRs Easier. Improving EHR usability is the holy grail of health IT and about as hard to find. ONC’s usability failings are well known and ongoing, but it isn’t alone. Vendors know that usability is something they can claim without having to prove. That doesn’t mean that usability and its good friend productivity aren’t important and are grossly overdue. As AHRQ recently found:

In a review of EHR safety and usability, investigators found that the switch from paper records to EHRs led to decreases in medication errors, improved guideline adherence, and (after initial implementation) enhanced safety attitudes and job satisfaction among physicians. However, the investigators found a number of problems as well.

These included usability issues, such as poor information display, complicated screen sequences and navigation, and the mismatch between user workflow in the EHR and clinical workflow. The latter problems resulted in interruptions and distraction, which can contribute to medical error.

Additional safety hazards included data entry errors created by the use of copy-forward, copy-and-paste, and electronic signatures, lack of clarity in sources and date of information presented, alert fatigue, and other usability problems that can contribute to error. Similar findings were reported in a review of nurses’ experiences with EHR use, which highlighted the altered workflow and communication patterns created by the implementation of EHRs.

Improving EHR usability is not a metaphysical undertaking. What’s wrong and what works have been known for years. What’s lacking is both the regulatory and corporate will to do so. If all EHRs had to show their practical usability users would rejoice. Your best bet here may be to become active in your EHR vendor’s user group. You may not get direct relief, but you’ll have a place, albeit small, at the table. Otherwise, given vendor and regulatory resistance to usability improvements, you’re better off pushing for a new EHR or writing your own EHR front end.

4. Make EHRs Smarter. If Watson can outsmart Kent Jennings, can’t artificial Intelligence make EHRs smarter? As one of my old friends used to tell our city council, “The answer is a qualified yes and a qualified no.”

AI takes on many, many forms and EHRs can and do use it. Primarily, these are dictation – transcription assistant systems. They’re known as Natural Language Processing (NLP). Sort of scribes without bodies. NLP takes a text stream, either live or from a recording, parses it and puts it in the EHR in its proper place. These systems combine the freedom of dictation with AI’s ability to create clinical notes. That allows the theory maintains, a user to maintain patient contact while creating the note, thus solving the keyboarding dilemma.

 The best-known NLP system Nuance’s Dragon Medical One, etc. Several EHR vendors have integrated Dragon or similar systems into their offerings. As with most complex, technical systems, though, NLP implementation requires a full-scale tech effort. Potential barriers are implementation or training shortcuts, workflow integration, and staff commitment. NLP’s ability to quickly gather information and place it is a given. What’s not so certain is its cost-effectiveness or its product quality. In those respects, its quality and efficacy is similar to scribes and subject to much the same scrutiny.

One interesting and wholly unexpected NLP system result occurred in a study by the University of Washington Researchers. The study group used an Android app NLP dictation system, VGEENS, that captured notes at the bedside. Here’s what startled the researchers:

….Intern and resident physicians were averse to creating notes using VGEENS. When asked why this is, their answers were that they have not had experience with dictation and are reluctant to learn a new skill during their busy clinical rotations. They also commented that they are very familiar with creating notes using typing, templates, and copy paste.

The researchers forgot that medical dictation skills are just that, a skill and don’t come without training and practice. It’s a skill of older generations and that keyboarding is today’s given. 

5. Offload to Patients. I hadn’t thought of this one until I saw an article in the Harvard Business Review. In a wide-ranging review, the authors saw physicians as victims of medical overconsumption and information overload:

In our recent studies of how patients responded to the introduction of a portal allowing them to e-mail health concerns to their care team, we found that the e-mail system that was expected to substitute for face-to-face visits actually increased them. Once patients began using the portal, many started sharing health updates and personal news with their care teams.

One of their solutions is to offload data collection and monitoring to patient apps:

Mightn’t we delegate some of the screening work to patients themselves? Empowering customers with easy-to-use tools transformed the tax reporting and travel industries. While we don’t expect patients to select what blood-pressure medications to be on, we probably can offload considerable amounts of the monitoring and perhaps even some of the treatment adjustment to them. Diabetes has long been managed this way, using forms of self-care that have advanced as self-monitoring technology has improved.

This may be where we are going; however, it ignores the already crowded app field. Moreover, every app seems to have its own data protocol. Health apps are a good way to capture and incorporate health data. They may be a good way to offload physicians’ keyboarding, but health apps are a tower of protocol Babel right now. This solution is as practical as saying that the way to curb double entering data in EHRs is to just make them interoperable.

What’s an EHR User to Do?

If each current approach to reducing keyboarding has problems, they are not fatal. I think that physician keyboarding is a problem and that it is subject to amelioration, if not solution.

For example, here’s Nordic’s Joel Martin on EHR usability:

… In reality, much of this extra work is a result of expanded documentation and quality measure requirements, security needs, and staffing changes. As the healthcare industry shifts its focus to value-based reimbursement and doing more with less, physician work is increasing. That work often takes place in the EHR, but it isn’t caused by the EHR’s existence.

Blaming the EHR without optimizing its use won’t solve the problem. Instead, we should take a holistic view of the issues causing provider burnout and use the system to create efficiencies, as it’s designed to do.  

The good news is that optimizing the EHR is very doable. There are many things that can be done to make it easier for providers to complete tasks in the EHR, and thereby lower the time spent in the system.

Broadly speaking, these opportunities fall into two categories.

First, many organizations have not implemented all the time-saving features that EHR vendors have created. There are features that dramatically lower the time required to complete EHR tasks for common, simple visits (for instance, upper respiratory infections). We rarely see organizations that have implemented these features at the time of our assessments, and we’re now working with many to implement them.

In addition, individual providers are often not taking advantage of features that could save them time. When we look at provider-level data, we typically see fewer than half of providers using speed and personalization features, such as features that let them rapidly reply to messages. These features could save 20 to 30 minutes a day on their own, but we see fewer than 50 percent of providers using them.

Optimization helps physicians use the EHR the way it was intended – in real-time, alongside patient care, to drive better care, fewer mistakes, and higher engagement. Ultimately, we envision a care environment where the EHR isn’t separate from patient care, but rather another tool to provide it. 

What does that mean for scribes or NLP? Recognize they are not panaceas, but tools. The field is constantly changing. Any effort to address keyboarding should look at a range of independent studies to identify their strengths and pitfalls. Note not only the major findings but also what skills, apps, etc., they required. Then, recognize the level of effort a good implementation always requires. Finally, as UW’s researchers found, surprises are always lurking in major shake-ups.

Join us for this week’s #HITsm chat on Using Technology to Fight EHR Burnout to discuss this topic more.

Healthcare IT and EHR Jobs

Posted on March 9, 2015 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.

It’s been a while since I features some of the healthcare IT jobs we have available on Healthcare IT Central. For those not familiar with Healthcare IT Central, it’s the leading healthcare IT Job board with well over 23,600 registered job seekers and approximately 12,000 active healthcare IT resumes in our job database. It’s a fantastic resource for human resource organizations across healthcare that are trying to fill their healthcare IT jobs. Many HR organizations in healthcare haven’t created a great ability to fill skilled EHR and healthcare IT jobs, so we’re happy to provide them a highly focused resource.

For those seeking out healthcare IT or EHR jobs, all of our services are free. You can signup up for free, upload your resume so it’s searchable by potential employers and you can search our healthcare IT jobs. We also do a weekly healthcare IT jobs newsletter.

Here’s a look at a few of the companies who have recently posted jobs along with the list of healthcare IT jobs they’ve posted:

Those are some of the really great healthcare IT companies that are hiring right now. You can search of other companies and positions. We hope this helps those employers who are searching to fill healthcare IT jobs and those professionals who are searching for the right healthcare IT position as well.

EHR Consulting Jobs

Posted on May 20, 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.

I’ve been learning a lot more about the life of an EHR consultant thanks to the addition of Healthcare IT Central’s job board to the Healthcare Scene family. Not to mention all of the amazing health IT career blog posts on Healthcare IT Today. For example, it was fun to read this Health IT consultant post from 2011 talking about the opportunity that would be available. That has certainly played out.

Take a look at some of the jobs posted by the top health IT consulting and health IT recruiting companies. Here are a few examples:

We’re really excited that Healthcare IT Central is the go to place for healthcare IT consulting jobs. As you can see we have the very best health IT companies posting their jobs. Plus, there are still a lot of healthcare IT jobs.

Of course, those are just a few of the companies that are posting jobs. If you’re looking for a health IT job, you may want to also search by a specific category of job:

One of the great things about working in healthcare IT is that it’s not going anywhere. It’s not like we’re going to stop providing healthcare to people. It’s not like we’re going to stop applying the benefits of technology in healthcare. We may not call it EHR in the future. We’ll figure out some other acronym, but at its core it will be the same. We’ll be applying the latest technology to improve healthcare. It’s a great thing to be apart of.

Where the Health IT & EHR Jobs Are: Take Two

Posted on February 21, 2014 I Written By

When Carl Bergman isn't rooting for the Washington Nationals or searching for a Steeler bar, he’s Managing Partner of EHRSelector.com.For the last dozen years, he’s concentrated on EHR consulting and writing. He spent the 80s and 90s as an itinerant project manager doing his small part for the dot com bubble. Prior to that, Bergman served a ten year stretch in the District of Columbia government as a policy and fiscal analyst, a role he recently repeated for a Council member.

There’s Epic and Then There’s Everybody Else

In the first EHR job review, I looked at the demand for EHR/HIT certifications from organizations such as AHIMA. In this review, I wanted to find the most in demand product certifications. That is, if you’re thinking about being certified in a product, which ones have the most openings? There are two short answers:

  • It’s complicated, and
  • Epic

Where to Look?
Finding openings in the first review was straightforward. In this case, compiling a list of product certifications was more complex.

To start, I assumed that the bigger a company’s market share, the more likely there would be openings. This led to asking, what were the vendor shares? For an answer, I used SK&A’s recent report. They continuously call practitioners about a host of issues. Most other studies are either self selecting web polls or use ONC’s attribution stats. The latter is a hard count, but doesn’t take into account those who don’t participate in MU. In a subsequent post, I’ll cover SK&A’s report and market shares in more depth.

Based on SK&A’s report, here’s the market share for the top 20. Among these, I looked for product certifications for the top dozen, which had a least 2.0 percent of the market.

Table I
EHR Market Share by Practioner Site Size
SK&A – January 2014

No

Vendor

   %

No

Vendor

   %

1

 Epic Systems Corporation

10.8

12

 MedPlus, A Quest Diagnostics Company

1.9

2

 eClinicalWorks

10.0

13

 eMDs, Inc.

1.7

3

 Allscripts

9.5

14

MEDITECH, Inc.

1.7

4

 Practice Fusion

6.4

15

 Sage Software

1.2

5

 NextGen Healthcare

5.7

16

Office Ally

1.2

6

 General Electric Healthcare IT

3.7

17

Community Computer Service Inc.

1.1

7

 Cerner Corporation

3.5

18

 BioMedix Vascular Solutions

1.0

8

 McKesson Provider Technologies

3.4

19

 NexTech Systems, Inc.

0.9

9

 athenahealth, Inc

2.8

20

AdvancedMD 1

0.9

10

 AmazingCharts.com, Inc.

2.5

21

 All Other Vendors (471)

28

11

 Greenway Medical Technologies, Inc.

2.0

 

 

Search Issues

In the prior review, it was simple to find CCA, CPHIMS openings, etc. Product certifications, as a rule, don’t have unique names and may be referred to in many ways. Typical variations for NextGen, etc., are:

  • Certified NextGen professional,
  • NextGen certified,
  • NextGen professional certification, etc.

In addition to these identification issues, there is also the issue of specialties. For example, Epic has about 40 apps from ADT (Inpatient and Outpatient Admission-Discharge-Transfer Application) to Wisdom (Dental Application).

Due to this complexity, and being interested in the relative demand for product certifications, I developed this search protocol, which seems to yield good results:

  • Source. As before, I looked for jobs posted on HealthcareITCentral.com in the last 30 days.
  • Limits. Only look for major product names, that is, not their product varieties.
  • Terms. For each product, I searched for three phrases that varied the product name and the word certification.

Here’s how, for example, here is how I searched for Allscripts’ certifications:

  • Allscripts certified
  • Allscripts certification, and
  • Certified Allscripts

As a check, I also did a Google search for Allscripts and certification to see if I missed a substantial number of openings.

This approach yielded, I believe, a representative group of openings, but it’s not all encompassing. For example, some job ads combine product names. An ad might say Allscripts/Epic certification, but the search engine won’t find Allscripts.

Searching for the words Allscripts and certification will capture more certification openings, but it also will bring up a slew of unrelated others.

The best way, then, to find these openings would be to search for the company name and certification, etc., within so many words of each other. This is called a proximity search. Many text search engines do proximity searches, but I don’t know of a job search engine that does.

Product Certification Openings

With that said, Table I shows the 134 openings I found among the top ten EHRs with 2 percent or more of the market.  This is quite low compared to the general demand for persons with Cerner, NextGen experience. Of the 134, Epic with 90 percent dominates. Only NextGen, with 11 has any other significant demand.

Table II
Product Certification Openings

Vendor

Openings

Epic

120

NextGen

11

Cerner

2

Allscripts

1

Total

134

Chart I shows the states with significant openings. It also shows how  a state’s openings rank compares to its population ranking:

  • Red Columns. Openings per state.
  • Purple Columns. These show how a state’s jobs rank compares to its population share. For example, if a state’s job rank is plus four then its jobs are four levels above its population rank. Conversely, if a state is minus four, its share is four less than its population rank.

It’s no surprise that the states with the largest populations have the most jobs. California leads with 36 openings. There are notable exceptions, such as Colorado, whose openings far outrank its population rank.

To Certify or Not To Certify

I was surprised that several products, such as eClinicalWorks, had no demand. There’s a good reason. From what I later discovered, eClinicalWorks, among others, doesn’t certify users of their products. Indeed, I found it is difficult to know which products have certification programs. Even if they do, it’s not easy to find details. For example, I’ve called and written Epic to find the details of its programs, but so far no response.

As a result, I’ve decided to look at the vendor certification program issue. I want to find out from vendors why they do or do not have programs, their market targets and their level of participation.

The lesson from this review is simple, if you have an Epic certification and live in California, you have good odds of finding a job match. If you are looking to become certified in a product, Epic would appear to be your best shot. However, that may not be the case.

Product specific certification programs are odd beasts. Much depends not only on your product experience, but also on the product vendor’s attitude toward you. Some vendors may have an open door to those who want to learn the product. Others, such as Epic, insist that you be part of an active Epic practice and they do all the training at their Verona, WI headquarters. There is no easy or accessible way to know the ground rules unless you are already using or have used the product.

If you are already familiar with a product, you may find that using social media and personal contacts are the best path to new work rather than setting out to be certified in another product.

Where the Jobs Are: Demand for EHR/HIT Certifications

Posted on January 20, 2014 I Written By

When Carl Bergman isn't rooting for the Washington Nationals or searching for a Steeler bar, he’s Managing Partner of EHRSelector.com.For the last dozen years, he’s concentrated on EHR consulting and writing. He spent the 80s and 90s as an itinerant project manager doing his small part for the dot com bubble. Prior to that, Bergman served a ten year stretch in the District of Columbia government as a policy and fiscal analyst, a role he recently repeated for a Council member.

There are dozens of EHR/HIT certification program and counting. A few years ago, I got a CPHIMS. I did it in hopes it would open some work doors. I thought it was useful, well developed and administered, etc., but going fulltime running the EHRSelector.com took me in a different direction. Still, I’ve wondered which certification programs offer the most opportunity and where are they located?

With help from John’s newly acquired Healthcare IT Central job board, I found answers to these questions. HealthcareITCentral has one of the largest, if not the largest collection of HIT positions. Using its advanced search, I looked for jobs, in the last 30, days that required specific certifications.

A few caveats about this review:

  • Each certification counts as one position. For example, if one job posting listed ComTIA, CPHIMS and CPEHR, I counted it as three jobs, one for each certification.
  • General certifications only. For practical reasons this report only covers general certifications that have a one word abbreviation. Finding other certifications, such as eClinicalWorks Certified, etc., requires searching for phrases, which HealthcareITCentral currently doesn’t support (or John needs to teach me how to do). No doubt Epic certification and Cerner certification would be high on this list if it was included.
  • Dynamics. The results I found for these certifications are a snapshot. The job market and the openings that HealthcareITCentral lists constantly change. What is true now, could change in a moment. However, I believe this can give you a good idea of the relative demand that exists.

Certifications Reviewed

Table I lists the certifications and for which I found at least one opening.

Table I

Certifications With Open Positions

1

CCA

9

CHTS

2

CCDP

10

CompTIA

3

CCS

11

CPEHR

4

CCS-P

12

CPHIMS

5

CEMP

13

CPHIT

6

CHDA

14

CPORA

7

CHPS

15

RHIA

8

CHSP

16

RHIT

 

Table II, lists the certifications that had no openings in the last 30 days. I also did a quick check to see if any of these had any jobs listed at all. It appears that there were no open positions for these certifications, though as I note above matters can quickly change.

Table II

Certifications Without Open Positions

1

CAHIMS

8

CMUP

2

CEOP

9

CPCIP

3

CHTP

10

CPHIT

4

CHTS

11

CPHP

5

CHTSP

12

CPORA

6

CICP

13

HWCP

7

CIPCP

Certification Demand

I found that the system listed 1,500 or so positions in the past month. See Chart I. Of those, 440 or 30 percent mentioned one of these certifications.

Of all the certifications, AHIMA’s were most in demand. AHIMA’s prominence among the certifications reviewed is remarkable. It’s three programs account for two thirds of the certification positions.

Its RHIA (Registered Health Information Administrator) was mentioned 101 times. RHIA accounted for about 22 percent of the openings with RHIT (Registered Health Information Technician) slightly less at 94.

RHIA’s designed to show a range of managerial skills, rather than in depth technical ability. If you consider certifications proof of technical acumen, then the strong RHIA demand is a bit counter intuitive.

Where the RHIA has a broad scope, the close second, RHIT, is more narrowly focused on EHRs and their integrity.

In third place, but still with a substantial demand is CCS (Certified Coding Specialist), which as the name implies focuses on a specific ability.

Check out the top 5 certification job categories on Healthcare IT Central:
RHIT Jobs
RHIA Jobs
CCS Jobs
CompTIA Jobs
CCA Jobs

Certification Demand by Location

After looking at certification demand, I looked at demand by location. To do this I merged all the certification job openings into a single list. That is, I added those for RHIA, RHIT, etc., and then eliminated duplicates. This reduced the total from about 390 to 280.

The next step was to rank the states by their job numbers. Chart II for the top ten state openings shows this information two ways:

  • Blue Columns. Openings per state.
  • Green Columns. These show how a state’s jobs rank compared to its population share. For example, if a state is plus four then its jobs rank four levels above its population rank. Conversely, if a state is minus four, its share is four less than its population rank.

As you might expect, the states with the largest populations have the most jobs. California leads with 36 openings. However, there are some notable exceptions, such as Maryland.

Maryland has 21 jobs openings. This puts it fourth between Texas and New York. It is 15 ranks above where its population ranks it. Illinois, on the other hand has nine jobs. This puts it four ranks below its population standing.

 Chart II, Openings by State

Certifications are a response to the demand for persons with demonstrated skills. The question is whether a particular one will reward your time, cost and effort with something that is marketable. Demand alone can’t make that choice for you. Personal satisfaction can’t be discounted as a factor in any decision. I hope this short study may help you find the best fit for you.

10,000+ Healthcare IT Professionals

Posted on December 29, 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.

As we head to the end of the year, I’m really excited that Healthcare IT Central just reached an amazing milestone. That community just passed 10,000 active healthcare IT professional resumes (officially 10,070 as of this post). This sets Healthcare IT Central as one of the top (and possibly the #1) healthcare IT career website out there. As we head into 2014, we’re making plans to ensure that we are the #1 healthcare IT career website for those searching for healthcare IT positions and those looking for healthcare IT talent.

For those readers who might be looking to improve on their current job or are looking for a job, you can search for a health IT job. We’re adding more and more employers and more and more jobs. It’s exciting to see all the match making that happens on the site.

If you happen to be searching for a new or better job, you might check out some of the following links to popular health IT job searches:

Happy New Year to everyone! I hope each of you is able to reach your career goals in 2014.

EMR & EHR Jobs

Posted on December 15, 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.

While it might seem counterintuitive, the holidays are some of the best times to search for a job.  If you’re looking to improve on your current position, you can search for a health IT job or check out some of these popular searches:

This month we’ve had almost as many jobs posted as last month and we’re only half way through the month. The other great part is that if you don’t see a job you like you can set up a job agent to notify you when certain types of jobs are posted.

EHR Job Website Joins Healthcare Scene Family – Healthcare IT Central

Posted on December 1, 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.

For those of you who don’t read EMR and HIPAA (which is a shame if you don’t, but you can rectify that by subscribing to its email list now), you might have missed the big announcement that we’d acquired the healthcare IT job board called Healthcare IT Central and its health IT employment blog Healthcare IT Today. It’s been really excited bringing together such a great EMR and EHR job resource with my network of EMR, EHR and Health IT blogs.

Over time we’ll be slowly integrating the sites together where it makes sense. For example, you’ll find a new job listing widget in the sidebar of this site. Every other weekend we’ll be doing a job posting on this site that highlights the various Healthcare IT Central jobs along with covering any other job resources we create.

For example, if you’re interested in learning about how much healthcare IT professionals are making, then you’ll want to check out this survey we’re doing with Greythorn (fill out the survey here). It only takes 10 minutes to complete and Greythorn will donate $1 to the Boys & Girls Clubs of Bellevue and Chicago for every response they receive. We’ll be publishing the results from the survey in future posts.

If you’re an employer looking to hire someone in healthcare IT, then sign up as an employer. With over 16,000 job registrants and approaching 10,000 recently updated resumes, Healthcare IT Central is a really great resource for anyone trying to hire someone in healthcare IT.

For those readers who might be looking to improve on their current job or are looking for a job, you can search for a health IT job or check out some of these popular searches:

I’m really excited about this new venture into the world of healthcare IT recruiting. I’ve already had a chance to see the impact that a site like this has on so many people’s lives. I look forward to doing even more to help people find the right job and companies to find the right people.

If you have any suggestions, comments, thoughts, reactions, I look forward to reading them in the comments or privately on our contact us page.

EHR and mHealth Successes and Fails: Around Healthcare Scene

Posted on March 31, 2013 I Written By

Katie Clark is originally from Colorado and currently lives in Utah with her husband and son. She writes primarily for Smart Phone Health Care, but contributes to several Health Care Scene blogs, including EMR Thoughts, EMR and EHR, and EMR and HIPAA. She enjoys learning about Health IT and mHealth, and finding ways to improve her own health along the way.

Patients are somewhat taught to fear sharing medical data. While privacy is important, especially when it comes to health, being more willing to share medical data can yield great results. The key is knowing who to share information with, and who to avoid. 

EHR vendors can be tricky when it comes to keeping clients around. Sometimes, they don’t really have a choice because the EHR holds client information “hostage” when the client says they are switching EHRs. However, this is a sneaky tactic, and there are many other ways to keep an EHR client longer — most importantly, providing a great product.

While many aspects of HIT have come to a halt, mHealth continues to flourish. There are many things that other parts of HIT can learn from mHealth’s success. First, mHealth doesn’t focus on every patient at once. Next, it is an unregulated industry. And finally, the projects are marketed directly to consumers and paid for by them as well. 

Are you a hospital leader and curious about what technologies you should be watching out for? Well, the ECRI Institute has compiled a list of technologies they feel executives should be looking at this next year. This list includes Electronic Health Records, mHealth, imaging and surgery, and more. 

When an EHR fails to work correctly, how do physicians deal with it? Researchers have observed clinical workflows to answer just that question. The observations concluded that while there was no correct answer, many use paper to record information. Hopefully, this study will show EHRs where their gaps are, and help them to correct them.

There are so many consumer medical devices out there. What makes one stand out from the best? And which one has the best form factor? Wrist bands or chest straps…hand held or pocket stored? Chime in over at Smart Phone Healthcare.

Fostering Healthcare IT Career Opportunity

Posted on February 21, 2013 I Written By

As Social Marketing Director at Billian, Jennifer Dennard is responsible for the continuing development and implementation of the company's social media strategies for Billian's HealthDATA and Porter Research. She is a regular contributor to a number of healthcare blogs and currently manages social marketing channels for the Health IT Leadership Summit and Technology Association of Georgia’s Health Society. You can find her on Twitter @JennDennard.

Around this time last year, I wrote a series of blog posts focusing on the challenges some job seekers were facing as they either transitioned from an educational program to full-time employment, or made the move into healthcare IT from another profession:

This year finds the job market a bit rosier, and expectations more clearly defined regarding what kind of experience employers are looking for, and where job seekers can find it. There seems to be more consensus than ever that healthcare IT career opportunities – whether on the provider or vendor side – can only be fostered if there is a supportive educational component behind it. School systems – from middle to university – must be on the same page as their respective region’s workforce needs.

As moderator of the recent #GAHealthIT tweetchat on this very topic, I’ve culled some of the most telling tweets that address the issues mentioned above:

tweetchat5tweetchat4tweetchat2tweetchat1

You can view the full transcript of the tweetchat at Storify.com. We covered a range of topics, but I think the first, discussed above, has relevance no matter what part of the country you live in. What skills are most valued in an employee in healthcare IT? Is clinical knowledge give more weight, or IT know how? Please share your thoughts in the comments below.