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Solution for “Too Many Clicks” Problem in EHR?

Posted on January 27, 2016 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 long been intrigued by the complaint I hear from doctors about “too many clicks” in the EHR. Long time readers may even remember my piano analogy which looks at the issue of too many mouseclicks and keystrokes in EHR software. I still think that largely applies today.

With that said, I’ve been fascinated to watch the evolution of click free solutions like what Note Swift is offering. Many are familiar with Dragon Naturally speaking an in particular the Dragon Medical product. It does amazing voice recognition. What I love about NoteSwift is that it takes Dragon’s voice recognition and integrates it naturally into the EHR interface.

Here’s a demo video that was all done by voice using NoteSwift to illustrate how it works:

I think it’s fascinating to see the evolution of these products. Plus, with things like Siri. “Ok Google”, and even Amazon Echo,we’re creating a culture of people who are use to using their voice to do things. So, that will help efforts like the one above.

No doubt doctors are blown away by the concept of documenting a patient visit with 1, 3, or 5 clicks. Now let me leave what’s available today and think into the future. Imagine a video EHR which was voice enabled. The doctor could literally go into the room and using video, voice recognition, NLP, technologies like NoteSwift, connected devices, etc they could easily chart a note with no clicks. While that’s not happening tomorrow, it’s not as far fetched as you might imagine.

Easing the Pain of Electronic Medical Records?

Posted on September 16, 2011 I Written By

Dr. West is an endocrinologist in private practice in Washington, DC. He completed fellowship training in Endocrinology and Metabolism at the Johns Hopkins University School of Medicine. Dr. West opened The Washington Endocrine Clinic, PLLC in 2009. He can be contacted at doctorwestindc@gmail.com.

The Huffington Post recently had an interesting video in which an orthopedic surgeon poo-poos EHRs because they waste time and cause him to have to type up his notes.  He tries to say that dictation is the way to go, in order to ease the pain of using electronic medical records.  A word of caution that this video is a paid advertisement for Nuance, of Dragon Naturally Speaking fame, and so the “doctor” might actually be a paid speaker.

He subsequently goes on to say that, well, at least Dragon Dictation allows him to avoid typing notes.  And that he dislikes templated notes because he finds them hard to read and impersonal.  But he seems to ignore the possibility that templating your own office notes is often a far better approach than using templates an EMR company sets up on their own, and many EMR systems nowadays allow this readily.

I have to say that I found this irritating although I love Nuance’s products, especially the free iPhone app Dragon Dictation, which works very well.  It was irritatin because it was at odds with the hard work and creativity doctors need to have in order to make it though all the training hoops of learning to live digitally.  I don’t buy that they can’t or shouldn’t have to figure out the another hoop to jump through, especially after they’ve pledged in medical school and residency, over and over again, ad nauseam, that they support lifelong learning.  Templating has allowed me to move from patient to patient without leaving a trail of unfinished notes, and it didn’t take that long to get going.  It’s a very customizable process that can be just as personal as anyone likes it, depending on how many “fill-in-the-blanks” areas that you decide to set up in your notes.  Templating notes has saved me so much work and protected my patient’s information that I couldn’t pass up this opportunity to support it.

Dr. West is an endocrinologist in private practice in Washington, DC.  He completed fellowship training in Endocrinology and Metabolism at the Johns Hopkins University School of Medicine and opened The Washington Endocrine Clinic, PLLC, as a solo practice in 2009.  He can be reached at doctorwestindc@gmail.com.

Marketplace Transcription

Posted on June 16, 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.

Transcription has been such a part of healthcare. In fact, it’s such a part of healthcare that I sometimes forget that other industries do transcription as well. I’ve been really fascinated by the arc of feelings towards transcription in healthcare over the last 5 years.

First, replacing high cost transcription was the reason to implement an EMR. Then, many started to miss their transcription and got tired of all the clicks in the EMR. So, then many doctor turned to solutions like Dragon Naturally Speaking and other voice recognition software. Some liked it, but many couldn’t handle all the corrections they had to do with that software.

Now we’re kind of coming full circle where transcription is back in play for many doctors looking at using an EMR. In fact, there are many EMR companies that are focused on the benefits of transcription with an EMR.

That’s why I find a company like myMonolog so interesting. They provide a marketplace for transcription. They had a nice writeup by Entrepreneur.com recently. It offers “Why you might like it:
1. It’s easy to use
2. Quality is high”
and
“Why you might not like it:
1. Integrated mobile apps can take some effort.
2. Costs can add up”

I’d be interested to hear healthcare’s response to such a transcription service.