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An EHR Twitter Roundup

Posted on August 3, 2018 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.

If you want to know how doctors feel about their EHR software, all you have to do is look at Twitter. There are doctors complaining all of the time about their EHR and the impact it’s having on their lives. I’m careful to not take their complaints too far. If Twitter was around 15 years ago, I’m 100% sure we’d have seen just as many doctors complaining about paper charts as we do about EHR software.

That said, it’s important to acknowledge the impact that EHR software and the policies and regulations it reflects has on doctors. Let me highlight some tweets that illustrate what I mean and add a little commentary and perspective.


The concept of cognitive bandwidth is an important one. We’ve all felt that burnt out feeling where some part of your job leaves you so burnt out that you can’t spend time on something else. I do find it interesting that this same doctor has still been able to tweet 6,660 times despite the cognitive burnout that Epic has offered him. Granted, tweeting doesn’t require the same cognitive load as other professional development tasks he could do. Twitter is much more bite-sized which makes us think that it doesn’t suck the life out of us as well. Maybe there’s a lesson here for us on how to better educate people. Regardless, I know this doctor is not alone in his feelings of an EHR making other things more difficult to accomplish.

Many replies to the tweet suggested that it would get better over time, but there was plenty of commiseration as well. There was also this reply:


To be honest, I hate this example. It usually leads to people saying that Apple could build a much better EHR than those out there today. Every day I’m more convinced that’s just not the case. Ok, maybe Apple’s EHR would be nominally better than what’s out there, but I’m quite confident that doctors would still hate it.

Here’s the problem. If your niece had to document 100 data points in an app with 10,000 possible variations, she’d hate it too. One day doctors will be able to walk into an exam room and microphones and video cameras will capture everything that happens with a patient, NLP will identify the various clinical elements, AI will know what it all means, and the visit will be documented automatically. Until that happens, many EHRs can improve what they’re doing, but it will all still feel “non-intuitive” compared to a simple app that your niece uses.


And EMR software wasn’t designed to improve care.


If you read through the full thread, you get more details about what’s really happening. Many of the complaints like this one are around poor configuration and implementation. There’s no doubt that every EMR can do what she’s asking. Someone in a reply acknowledges that they can do it. However, that doesn’t help the doctor when they’re frustrated in that moment. It’s amazing the impact poor configuration and implementation can have on morale.


A hopeful view, but a challenging one when you stack it up against even just the simple complaints above.

The reality is that EHRs aren’t going anywhere. So, Dr. Levi is right. Providers can’t be enslaved by the EHR. Easier blogged than done.

EHR Requires You to Reconsider Your Workflow

Posted on November 19, 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.

Despite many EHR vendors best efforts to tell you otherwise, an EHR requires every organization to reconsider their workflow. Sure, many of them can be customized to match your unique clinical needs, but the reality is that implementing an EHR requires change. All of us resist change to different degrees, but I have yet to see an EHR implementation that didn’t require change.

What many people don’t like to admit is that sometimes change can be great. As humans, we seem to focus too much on the down side to change and have a hard time recognizing when things are better too. A change in workflow in your office thanks to an EHR might be the best thing that can happen to you and your organization.

One problem I’ve seen with many EHRs is that they do a one off EHR implementation and then stop there. While the EHR implementation is an important one time event, a quality EHR implementation requires you to reconsider your workflow and how you use your EHR on an ongoing basis. Sometimes this means implementing new features that came through an upgrade to an EHR. Other times, your organization is just in a new place where it’s ready to accept a change that it wasn’t ready to accept before. This ongoing evaluation of your current EHR processes and workflow will provide an opportunity for your organization to see what they can do better. We’re all so busy, it’s amazing how valuable sitting down and talking about improvement can be.

I recently was talking with someone who’d been the EHR expert for her organization. However, her organization had just decided to switch EHR software vendors. Before the switch, she was regularly visited by her colleagues to ask her questions about the EHR software. With the new EHR, she wasn’t getting those calls anymore (might say something good about the new EHR or bad about the old EHR). She then confided in me that she was a little concerned about what this would mean for her career. She’d kind of moved up in the organization on the back of her EHR expertise and now she was afraid she wouldn’t be needed in that capacity.

While this was a somewhat unique position, I assured her that there would still be plenty of need for her, but that she’d have to approach it in a little different manner. Instead of being the EHR configuration guru, she should becoming the EHR optimization guru. This would mean that instead of fighting fires, her new task would be to understand the various EHR updates that came out and then communicate how those updates were going to impact the organization.

Last night I had dinner with an EHR vendor who told me that they thought that users generally only used about 50% of the features of their EHR. That other 50% of EHR features presents an opportunity for every organization to get more value out of their EHR software. Whether you tap into these and newly added EHR features through regular EHR workflow assessments, an in house EHR expert who’s constantly evaluating things, or hiring an outside EHR consultant, every organization needs to find a way to regularly evaluate and optimize their EHR workflow.