Some of the news this week shows that while many doctors and practices understand the importance of adopting EMRs, a variety of issues are still holding them back from taking full advantage of them. Poor training, outdated technology and small staffs make it difficult to get all the available benefits out of using EMRs.
Meanwhile, Medical Marketing & Media reports that Big Pharma is considering the use of EMRs to better communicate with doctors, and a story from HealthData Management reminds us that EMR implementation is something that affects everyone at a practice.
- Provider Workflow Suffers After Poor EHR Implementation Process at FierceEMR: "While one intention of electronic health record implementation is to improve provider workflow, that was hardly the case for pair of southern California hospitals, Medscape Medical News reported. In fact, EHR implementation had the exact opposite effect for residents at both Riverside County Regional Medical Center in Moreno, Calif., and Pomona Valley Hospital Medical Center in Pomona, Calif.; it increased the average time of residents for seeing patients and charting the visits from 21 minutes to 37 minutes. Maisara Rahman, M.D., helps to train family-medicine residents at Riverside County. She said the workflow issues became so bad that residents who were supposed to be attending her lectures instead were skipping out to give themselves more time to document patient encounters in the hospital's EHR. She blamed the charting issues on several factors, including use of old software that required users to jump from screen to screen to write basic notes, a slow server and poor training."
- Care Quality Drives Doctor Satisfaction, But EMR Is Concern at Staffing Industry Analysts: "Being able to provide high-quality healthcare is a primary driver of job satisfaction for physicians, and obstacles to quality patient care are a source of stress, according to a study by RAND Corporation that was sponsored by the American Medical Association. The study also found that physicians believe electronic health record system in place today are cumbersome and an important contributor to dissatisfaction. 'Many things affect physician professional satisfaction, but a common theme is that physicians describe feeling stressed and unhappy when they see barriers preventing them for providing quality care,' Dr. Mark Friedberg, the study’s lead author, said in a press release. Medical practices reported experimenting with ways to reduce physician frustration such as employing additional staff to perform tasks involved in using electronic medical records."
- Report: 25% Of Hospitals Have Made No EMR Progress In Past 5 Years at Becker's Hospital Review: "The eight-stage HIMSS Analytics EMR Adoption Model is designed to measure a hospital's progress towards robust electronic medical record implementation. Not all hospitals have been making progress, however — a recent HIMSS report shows about a quarter of hospitals have been at the same EMRAM stage for the past five years.
Additionally, 4 percent of these hospitals have remained at stage 0 (completely paper-based) for the last five years. Despite slow progress among some hospitals, 73.7 percent of hospitals have advanced at least one EMRAM stage in the past five years, according to the report. About half of these hospitals have advanced two or three stages, and 20 percent have advanced four or more stages in the past five years."
- Lessons From A Pro: EHRs Touch Everyone from HealthData Management: "In various senior positions over 32 years in numerous hospital departments, Alan Vierling has overseen a half-dozen implementations of electronic health records systems. The senior consultant at Encore Health Resources says 'these projects are a rare opportunity to involve the entire organization from top to bottom. There’s not many times in your career to get the entire organization together and drive teamwork and a better culture. You will touch 100 percent of your staff.' But there are certain elements of successful implementations, starting with staff and physician engagement from the very beginning, and planning as detailed as possible with people accountable for meeting the plans and communicating what they mean for each type of user."
- Pharma Eyes EHR For Engaging With Docs at Medical Marketing & Media: "At a recent MM&M Leadership Exchange, participants were ready to declare that the great digital channel shake-up may have reached its peak. 'When it comes to online promotion, even engaging in different assets, mobile apps, things like that, we haven't seen growth and not too much decline,' said Monique Levy, VP of research at Manhattan Research. 'EHRs will become the dominant context for physicians,' said Craig DeLarge, global leader, multi-channel marketing strategy and innovation, Merck. 'We've been slow to internalize the idea and engage in the EHR format.' Because the EHR is the center of physician workflow, accompanying e-prescribing data with the right information should be the new thrust for HCP engagement, DeLarge said."
Logan Solutions uses a combination of clinical practice expertise and technological skill to help physician practices throughout the U.S. implement, customize and improve their ERM and Dragon Medical software systems. Contact us to find out how our clinical-practice expertise can help your practice with its clinical documentation software needs.