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EHRs Could Be Causing Patient Harm More Often Than Expected

Posted on December 26, 2017 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Why did the healthcare industry invest so heavily in EHRs in recent years?  Obviously, one major reason is the payoffs that became available under HITECH, but that’s not all.

Another important objective for spending heavily on EHRs and other HIT options was to protect patients from needless harm, including everything from clinical decision support to finding grand clinical patterns among patients with similar conditions.

Now, nobody’s saying that none of these benefits have been realized. But according to one researcher, we haven’t paid enough attention to the ways in which these technologies can actually cause harm as well. In fact, some researchers say that HIT-related mistakes are not as minimal or easily managed as some think.

So how do we get a grip on how often HIT tools and EHRs are a factor in patient care errors? One way is to examine the role HIT has played in malpractice claims, which, while not offering a comprehensive look at how such mistakes occur, certainly gives us a look at where some of the biggest have taken place.

For example, look at this data from the Journal of Patient Safety, which dug into more than 300,000 cases from an insurance database to see what role HIT played in such cases. Researchers found that less than 1% of the total malpractice claims involved HIT, more than 80% of that 1% involved problems of medium to intense severity.

The researchers found three major reasons for EHR-related suits:

  • 31% involved medication errors, such as the case when a baby died from a drug overdose that took place because a handwritten order was entered in the computer inaccurately
  • 28% involved diagnostic errors, as when critical ultrasound results ended up being routed to the wrong tab in the EHR — which in turn led to a year-long delay before a cancer patient was diagnosed
  • 31% of cases were related to complications of treatment related to HIT errors. For example, in one case a doctor was unable to access emergency department notes, and the lack of that knowledge prevented the doctor from saving the patient

Unfortunately, if you’re a physician group member working within a hospital — particularly as an on-call clinician with little say about how HIT system should work — your group may be vulnerable to lawsuits due to technologies it doesn’t control.

Still, it doesn’t hurt to learn about common errors that can arise due to EHR and HIT malfunctions. When it comes to delivering patient care, the fewer surprises the better.

Allscripts MyWay to Allscripts Pro Migration

Posted on November 26, 2012 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We’ve been tracking the major news that Allscripts was discontinuing MyWay since the news first came out. One of the major questions I had was how the VARs were going to react to the news. Aprima has made a big case for MyWay users to go with them and they have a pretty compelling case to make.

I got an email that a VAR sent out to its users that makes a pretty compelling case for Aprima versus Allscripts Pro. I copied part of the email below. When you look at the list of items that won’t be moved from Myway to Allscripts Pro, I think my prediction that few users will make that transition is ever more solid. Although, the question still remains how many will go with Aprima versus some other EHR. If Aprima does a solid job with the VARs, then it could be a really big win for them.

Here’s part of the email the VAR sent:

Aprima’s Upgrade Program Gives You…

  • Free Aprima licenses for Allscripts customers whose product is being migrated – no need to re-buy software!
  • Same core product – the Allscripts product being migrated started as Aprima 2008
  • Same look and feel with nearly 1,000 enhancements
  • Minimal learning curve of new features, minimal to no downtime
  • Your existing data intact; this is a proven product upgrade, not a conversion
  • Live webinars and on-site training available
  • Ongoing upgrades and development of the product, no end of life sun setting
  • Product will meet Meaningful Use and support ICD10
  • Support is U.S.-based

It is important to note with the migration to Allscripts PRO, data will be exported from one system into another and not all data will come across during this process.  MyWay and PRO are very different.  As a result, you will need to be retrained on the new system and create new workflows. Most significantly, none of the financial data will be included, so you will be left with running down old balances in MyWay while setting up the new PRO PM. See below for a list of data points that will not be migrated:

  • Financial Transaction Data
  • Financial History, Superbills, Payment, and Adjustment transaction detail will not be migrated into the Allscripts PM system.
  • Allscripts MyWay clients will continue to use their current system to work down their previous Accounts Receivable for a period of time.
  • Current Patient account-forward financial balances in Allscripts MyWay will not be migrated to Allscripts PM.
  • PM reporting details and history will not be migrated from Allscripts MyWay into the Allscripts PM system.
  • Practice management reports will be replaced by the Allscripts PM reporting capabilities.
  • Insurance claim status and reimbursement history will not be migrated from Allscripts MyWay into Allscripts PM.
  • The Integrated Easy Pay credit card processing feature in Allscripts MyWay is not compatible with Allscripts PM and will not be migrated. Clients can use the Intuit Pay Page functionality in Allscripts PM or use a non-integrated credit card solution for credit card processing.
  • Allscripts MyWay Audit Trail detail will not be migrated into Allscripts PM.
  • Will require retraining for you and your staff
  • Will require additional data conversion
  • Online training + potential weekend time if you want live, hands-on sessions
  • Possible reduced patient load during transition

Allscripts and Aprima Settle MyWay Lawsuit

Posted on November 8, 2012 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Many of you will have read my post talking about the news that Allscripts was discontinuing development of their MyWay EHR product. It was very big news because so many had adopted the MyWay EHR and so many Vars were affected by the decision. Aprima saw it as a great opportunity to “rescue” MyWay EHR users since Aprima (formerly iMedica) created the MyWay software in the first place and then licensed it to Allscripts. Although, they retained rights to the software as well and with that they changed iMedica to what is now known as Aprima.

With this history it made a lot of sense for Aprima to offer Allscripts MyWay EHR users an alternative. In fact, I think you can make a great argument for why MyWay users could more easily transfer to Aprima than any other Allscripts EHR product. Although, considering the dissatisfaction I saw from MyWay users, I expect many will be looking for a complete EHR change. I’m sure Aprima would argue that their almost 1000 enhancements make it a much better product than what current MyWay users have been given.

Regardless of the choice that current MyWay users make, Allscripts didn’t take kindly to the nature of Aprima’s marketing when the news of MyWay’s condition was announced and so Allscripts filed a lawsuit against Aprima.

I just received a copy of a press release from Aprima stating that Aprima and Allscripts have reached a settlement in the lawsuit that Allscripts filed. You can see the press release below.

If you’re a MyWay user or MyWay Var, I’d love to hear your perspectives, plans, and thoughts. Feel free to leave them in the comments or privately on our EMR Thoughts contact page.

Settlement reached ON ALL LEGAL MATTERS and the Aprima Rescue PlanTM remains in place for customers of Allscripts MyWayTM.

Dallas, TX (November 8, 2012) – Aprima Medical Software announced today that it has reached a mutually agreeable settlement in the lawsuit brought on October 19, 2012 by Allscripts Healthcare Solutions, LLC. In that lawsuit, Allscripts alleged that some of Aprima’s advertising copy violated various state and federal laws. The parties reached an amicable resolution and will continue pursuing their respective business goals. Under the settlement terms, Aprima has modified some of the advertising copy associated with its Aprima Rescue Plan™ for those who currently use the Allscripts MyWay™ product, and who may be looking to replace that product in light of Allscripts’ October 3 announcement about its future.

Allscripts MyWayTM is the EHR product offered by Allscripts that it has opted not to develop or update to be in compliance with government incentives and requirements such as Meaningful Use and ICD-10.

The Aprima Rescue PlanTM remains in place for customers of Allscripts MyWayTM. Many believe this program – and Aprima’s EHR and PM products – to be the most practical and viable option for providers, since the original Allscripts MyWay™ application was based on the source code that Allscripts licensed from Aprima in 2008.

Allscripts MyWay™ resellers and customers can maintain and even strengthen their current business relationships. Aprima is offering an easy upgrade for practices that may feel frustrated by Allscripts’ announcement about MyWay™ and anxious – or even outraged – about the prospect of a potentially expensive conversion if they want to demonstrate 5010 and ICD-10 compliance, or qualify for government incentives including Meaningful Use Stage 2, PQRS, e-Prescribing, and others.

Providers who bought Allscripts MyWay™ for a specific reason, such as the unique non-template approach to charting, the speed and ease-of-use, and the adaptive learning feature, are typically averse to having to change to something that is very different.

Aprima Rescue PlanTM for customers of Allscripts MyWayTM includes:
• Free Aprima licenses for each Allscripts MyWayTM license – no need to repurchase software; up to an $8,500 savings per provider
• Similar look and feel; Aprima has made nearly 1,000 enhancements since it licensed the original source code to Allscripts in 2008, including hundreds of substantive improvements to the Practice Management system
• Minimal learning curve, since it is only needed for the new features
Allscripts and Aprima Settle Legal Matters, continued
Aprima is a registered trademark of Aprima Medical Software. All other trademarks are the property of their
respective owners. Allscripts MyWay™ is a product of Allscripts HealthCare Solutions, LLC. Aprima is not affiliated
with Allscripts HealthCare Solutions, LLC. Page 2 of 2
• Minimal downtime compared to what is typical when changing systems and having to re-learn many new workflows
• Existing data remains intact; this is a proven product upgrade, not a conversion
• U.S.-based support

Aprima is pleased to be able to offer a lifeline to these users for minimal cost and with virtually no downtime. This will circumvent the need for Allscripts MyWayTM users to switch to another Allscripts EMR product, which would require a change in systems, plus a potentially arduous data conversion and retraining period, thus creating additional mental, physical and financial disruption to the practice.

“Ironically, Allscripts MyWayTM users can avoid such a potentially expensive and disruptive situation by switching to Aprima instead of another Allscripts product. We welcome these customers to the Aprima family and we are thrilled to be able to easily upgrade our ‘cousins’ to the Aprima way,” said Aprima president and CEO Michael Nissenbaum. “The difference between a conversion and a simple and proven upgrade can also make the difference on whether practices will achieve compliance on important healthcare initiatives. We are very pleased with the outcome of this legal situation.”

More Information
For more information, or to sign up for the Aprima Rescue PlanTM for customers of Allscripts MyWayTM, visit, call 866-960-6890, option 7, or email
About Aprima Medical Software, Inc.

Aprima provides innovative electronic health record, practice management and revenue cycle management solutions for medical practices. The Aprima EHR/PM is an integrated system built on a single database. Aprima uses a fast, flexible design that adapts automatically to a physician’s workflow and sets the benchmark for ease-of-use, speed and flexibility. Aprima is one of the few companies with a 14-year track record of success, including CCHIT Certification consistently every year as well as ONC Certification for 2011/2012. Thousands of Aprima users are benefiting from improved quality of care, improved patient satisfaction, improved quality of life and an improved bottom line. Based in Carrollton, TX, Aprima performs all development, support, and implementation from the U.S. To learn more about how Aprima can help your practice, please visit, call us at 866-960-6890, option 7, or email us at

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Judy Friedman (214) 466-8093