http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/comment-page-1/#comment-1235 Jeremy Engdahl-Johnson Fri, 05 Feb 2010 22:24:08 +0000 http://www.physiciansnews.com/?p=2992#comment-1235 Federal funding may be encouraging a move toward EHR, but there's more to it than just installing systems. How can healthcare data pooling lead to a better system? Federal funding may be encouraging a move toward EHR, but there’s more to it than just installing systems. How can healthcare data pooling lead to a better system?

]]> http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/comment-page-1/#comment-1235 Jeremy Engdahl-Johnson Fri, 05 Feb 2010 22:24:08 +0000 http://www.physiciansnews.com/?p=2992#comment-1235 Federal funding may be encouraging a move toward EHR, but there's more to it than just installing systems. How can healthcare data pooling lead to a better system? Federal funding may be encouraging a move toward EHR, but there’s more to it than just installing systems. How can healthcare data pooling lead to a better system?

]]> http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/comment-page-1/#comment-1235 Jeremy Engdahl-Johnson Fri, 05 Feb 2010 22:24:08 +0000 http://www.physiciansnews.com/?p=2992#comment-1235 Federal funding may be encouraging a move toward EHR, but there's more to it than just installing systems. How can healthcare data pooling lead to a better system? Federal funding may be encouraging a move toward EHR, but there’s more to it than just installing systems. How can healthcare data pooling lead to a better system?

]]> http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/ Wed, 08 Feb 2012 12:53:38 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/comment-page-1/#comment-1235 Jeremy Engdahl-Johnson Fri, 05 Feb 2010 22:24:08 +0000 http://www.physiciansnews.com/?p=2992#comment-1235 Federal funding may be encouraging a move toward EHR, but there's more to it than just installing systems. How can healthcare data pooling lead to a better system? Federal funding may be encouraging a move toward EHR, but there’s more to it than just installing systems. How can healthcare data pooling lead to a better system?

]]> http://www.physiciansnews.com/2010/02/04/top-10-barriers-to-electronic-health-records/comment-page-1/#comment-1229 Frederick M Pevow, MD, MBA Thu, 04 Feb 2010 15:39:04 +0000 http://www.physiciansnews.com/?p=2992#comment-1229 The bottom line is that it's not cost effective for most practioners. Voice recognition after 20 years is still unreliable. Therefore you must pay someone to check for accuracy in your dictated notes, do it yourself or you can hire someone to transcribe dictated notes into an electronic record. Scanning written notes works but again you have to pay someone to scan the written notes and the task is time consuming. Electronic transmission of laboratory results and x-ray reports is feasible and desirable and certainly would help to eliminate duplication in testing. The meager carrot and stick approach that the federal government is proposing doens't begin to pay for the costs and will probably result in more doctors refusing to accept medicare and medicaid. Also, not mentioned, is the cost of ongoing technical support. One certainty is that no one is going to ask a solo or small group practioner for advice. The bottom line is that it’s not cost effective for most practioners.
Voice recognition after 20 years is still unreliable. Therefore you must pay someone to check for accuracy in your dictated notes, do it yourself or you can hire someone to transcribe dictated notes into an electronic record. Scanning written notes works but again you have to pay someone to scan the written notes and the task is time consuming.
Electronic transmission of laboratory results and x-ray reports is feasible and desirable and certainly would help to eliminate duplication in testing.
The meager carrot and stick approach that the federal government is proposing doens’t begin to pay for the costs and will probably result in more doctors refusing to accept medicare and medicaid.
Also, not mentioned, is the cost of ongoing technical support.
One certainty is that no one is going to ask a solo or small group practioner for advice.

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