Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and EHR for FREE!

Physician Focused on Computer Screen, Not Patient

Posted on April 5, 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.


Definitely sends a message to the patient. I’m still just surprised that it’s still happening, but it is:

What’s annoying to me is that there are simple solutions to this problem. Not the least of which is positioning the screen in a way that you can look at your patient while you’re working on the computer. An even better way is Dr. James Legan’s approach that he calls #ProjectedEHR. In Dr. Legan’s case he plugs in an HDMI cable so that patients can see him work in the EHR. Plus, he can show patients their results and other health info.

Plenty of other doctors just choose not to document in the exam room so they can focus on the patient. As mobile EHR interfaces develop, I could see a partial documentation done on a mobile phone or tablet and then the rest of the documentation done after the fact as well. I’m a little surprised we haven’t seen more of this already.

Of course, I’ve written for many years about the coming video EHR. That would be a game changer. Although, would certainly take a dramatic change in perspective. Scribes are also popular with many people I know. I’ve even heard of people working on remote scribes which is quite interesting.

What other solutions have you employed to combat the challenges of interacting with patients and the EHR?

Scribes and Problems with the Healthcare System

Posted on April 8, 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.

In a recent #HITsm chat we had a pretty good discussion about scribes and their place in healthcare. I know a lot of people that are really big proponents of scribes, but I also know many people who are against them.

During the discussion, the question was asked if scribes mask the problems of the EHR software. This was my reponse:

If I were to do that tweet again, I might replace healthcare system with reimbursement system. Scribes are a mask to the fundamental problems with how we pay for healthcare. I’ve always loved to think about what an EHR would look like if it didn’t have to worry about billing. It would be a completely different system than what we have with EHRs today.

The reality is that doctors want to get paid and so EHRs have to deal with billing. Plus, now they have to deal with meaningful use regulation as well. Add those two together and you can understand why scribes are so popular with doctors.

Every single EHR would be better and easier to use if they were just worrying about providing a tool to doctors that lets them document the visit and ensure quality patient care. However, until that happens (which is never) scribes and other alternative methods to document are going to be very popular with many physicians.

EMR Systems Spawn Cottage Industry: Scribes

Posted on September 19, 2011 I Written By

Priya Ramachandran is a Maryland based freelance writer. In a former life, she wrote software code and managed Sarbanes Oxley related audits for IT departments. She now enjoys writing about healthcare, science and technology.

One of the limiting factors when it comes to EMR systems is that it requires some amount of training to use an EMR system. Doctors are in the habit of writing down notes, or dictating them into dictaphones for transcribing later. So the idea of an EMR system that requires typed input can easily face some resistance, just based on the process change it requires. And hence the rise of a new class of health IT worker – the scribe.

Having a scribe taking notes at hand would’ve seriously helped me like my doctor better at my last appointment. This was someone whom I was meeting on account of a referral – I didn’t already have an established relationship with the doctor. The doctor and an assistant spent about a third of their time figuring out how to enter my scans into the EMR system. I don’t know what was at fault – the newly acquired iPad or an EMR they didn’t know how to use. They were effusive with their apologies but I couldn’t help feeling that I got the short end of the stick when the doc rushed through the rest of my visit and quickly ushered me out. A competent scribe, well versed in their EMR of choice, might have really helped.

 There have been a slew of articles about the rise of scribes in health IT. They started sounding really promising to me, especially when I considered how one could tail a doctor on his/her rounds with patients, and gain some insight into the business of being a doctor from the ground up. I checked out a couple of companies (ScribeAmerica, EM Scribe Systems) that train medical scribes and source them out to ERs. EM Scribe Systems’ application form states that it requires a one or two year commitment, wants to know what your future med school plans are. The pay anywhere is between $8-$16/hour (scroll to the bottom of the page). The higher end of that range gets paid with scribe experience.

(Seriously? If medical transcription can be outsourced to India and Philippines, why set the bar so high for medical scribe jobs? Or alternatively, if the bar is so high, why not pay better?)

I guess the pre-med scribes are approaching it from a different aspect – the real payback for them comes from understanding the medical aspect. The EMR system is merely a tool to an end.

Doctor Quits Practice Over EHR Use

Posted on May 5, 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.

I got sent this interesting article that starts by talking about a doctor who leaves his medical practice because of the 3 physician group’s EHR system. The complaint being that patient wait times were 1-2 hours. The major problem seems his inability to type and to learn the new system.

Did no one offer this doctor a scribe or voice recognition (although this would have probably even been harder for him) to make his EHR use easier?

Reminds me of the opposite side of the coin as well. A medical student friend of mine hates when he has a rotation in a practice that doesn’t have an EMR. Mostly because he can type so much faster than he can write.