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One Physician Ready for the EMR Revolution – #EHRBacklash

Posted on September 27, 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.

In my post about the Coming Physician EHR Revolt (some are calling it the #EHRBacklash), I got the following comment from Rick Spencer, MD.

Let alone the extreme inefficiency of EMR, the generated documents are a waste of time to read. I’ve not found one EMR generated document from an ER or speciaty office that is worth any more than throwing in the trash can. An ER will send you 8 pages on your patient, and you’re lucky if you find one paragragh where a human being actually took the time to enter something useful. God forbid that doctors and nurses should actually see their patients and give good clinical descriptions of their observations and examinations. You can’t fit a round peg in a square hole, and that’s exactly what EMR is all about. What really gripes me is who is all of this for?–insurance companies?– they seem to run every thing else. And, really, what interest does the government have in mandating how helath care providers see their patients?– don’t tell me that it’s for better patient care because I’m sure they could care less. Finally, the medical school professors that taught me 25 years ago would roll over in their graves if they knew how the medical profession just rolled over and let government and insurance companies tell them how to conduct a doctor-patient relationship. I’m eager to be part of any revolution that would put health care providers back in the driver’s seat where they belong. Thanks for this opportunity to get this off my chest!!!!

Is this an isolated case or an example of a larger trend. I personally think it’s part of a larger trend. I’m not sure most doctors are ready for a revolution, but they would certainly welcome a revolution in the way EMR’s document care. I’ve heard hundreds of doctors complain about the spew of data that many EMR vendors push out to satisfy billing.

Along with this pressure, I talked to someone today who said that many doctors are looking at the meaningful use stage 2 requirements and thinking that it may not be worth the effort. The requirements are higher and the EHR incentive is lower. Don’t be surprised if many doctors revolt against MU stage 2 as well.

March Madness and the EHR Vendor Shakeout

Posted on March 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.

I’m not sure how many of my readers love March Madness as much as I do. I just love the emotion and the all day experience of March Madness. Unfortunately there haven’t been quite as many last minute buzzer beaters for the win as there have been in years past, but I still love the emotions of the games. These young kids have worked almost their entire life for this moment. I love to see the raw emotions from both teams.

As I think about March Madness, I couldn’t help but think about the EHR Madness we’re experiencing right now. We don’t have 68 teams in the EHR tournament. Instead, there are more like 300+ EHR vendors. In fact, in just the last week or two I’ve had two EHR vendors I’d never heard of contact me. Yes, we’ve seen some EHR software put out to pasture, but we still have a long ways to go before the EHR market really shakes itself out.

The nice thing for EHR vendors is that unlike the NCAA tournament which only has one winner, the EHR world is likely going to have many many successful companies. First, because many EHR vendors will likely get acquired by larger EHR vendors. Second, because it’s fair to say that the EHR world is going to be a heterogeneous environment. There won’t be one EHR to rule them all (although some EHR vendors still think they might get there).

Which type of vendors am I putting my money on in the EHR battle?

While many EHR vendors might win some short term battles, I think the big EHR winners are going to be those who end up battling through the mess of regulation while still having a laser focus on the impact to doctors. The most expensive employee in every healthcare institution is the doctors. EHR software that takes these high paid doctors away from seeing patients is going to have a real challenge long term.

I’ve written about the EHR Backlash a number of times before. I think productivity is going to be at the core of the EHR backlash. I’m hopeful that EHR vendors are taking this idea to heart, but I also still see a very long road in front of us to reach EHR nirvana.

I’ve been digging into the idea of a Smart EMR lately. At the core of the idea is how to make a doctor more efficient at what they do while increasing the quality of care provided. That certainly stands in stark contrast to many of the other EHR initiatives we see out there today.

Another View of the Coming Physician EHR Revolt

Posted on February 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.

In a LinkedIn response to my post on The Coming Physician EHR Revolt, Barry Schechter offered the following candid comments:

First off I feel bad for the Drs. Then as we had in another thread the big red flag is the medical billing aspect of EMR and who benefits from that billing data. Then we have the difficulties in sharing the pertinent data allowing patients to get comprehensive care, sometimes in the same building. Then we have HIPAA which has become a greater boondoggle and less effective than TSA at airports or Homeland Security. Small wonder that Drs want to revolt. Then we can add the singleness of opinions about what an ICD really means and whether it is or isn’t ethical to copy and paste. The billing engine drives this bus and the EMR is nothing more than an auditor’s or payer’s window in to being able to justify rejections. It’s also a way for payers to eliminate the errors that come up through paper billing and given that make it easier for payers to “check up” on billing practices when auditing EMR. The bigger backlash will be from the patients as they realize that EMR is not being used to provide better medical care and that all the data is being zealously protected and not shared among their care providers. Patients will have even more cause to scream when insurers use the billing engines to eliminate CPT and ICD that are below a threshhold of service (I see that coming).

I think Barry is right that many doctors fear that EHR is just a way to track their billing and screw them over in the end. Whether this fear is founded or not, I’ve heard it expressed by a number of doctors.

EHR Apps, EHR Early Adopters, and EHR Backlash

Posted on February 10, 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.


I love this approach. The challenge is that this likely has to be built from the ground up with this in mind. Is any EHR on that trajectory now?


I applaud all the early adopters of EMR (yes, if you were an early adopter it was EMR and not EHR). I’d love to hear more from those who were adopting EMR early on. I started with EMR 8 years ago. So, I wasn’t really early in adoption, but I was one of the early EMR bloggers.


I think the concept of EHR Backlash is interesting. The link in the above tweet is to a post I did on EMR and HIPAA that’s been one of my most popular posts ever. I really think it’s a look into the future of the EMR environment. I think most doctors will appreciate that post.