Wednesday, November 08, 2006

what does it mean that my doctor doesnt have Electronic Medical Records? Is he behind the curve?

Most doctors do not have electronic medical records , called or referred to as EMR's. However, the trend is changing and doctors really should go electronic. It simply is better medicine. Today, only 15 % of doctors have EMR's in place. This is a very low number and represents a low adoption rate. I incorporated an EMR into my practice several years ago, and it has improved efficiencies and allowed all of our doctors to practice better medicine.

Doctors are reluctant to "go electronic" given the cost burdens and technology obstacles , so until this minimizes , adoption will be slow. However, it is a better way to practice medicine , it is better for the physician and better for the patient. Eventually all practices will go electronic, but this may still be a decade away. Doctors should be financially incentivized to adopt EMR's to minimize the barrier to adoption.

According to a recent article in http://www.healthleadersmedia.com there are several myths that doctors need to "debunk" before adopting EMR's.
1. All EMR's are alike. This simply is not true. Some systems are more template oriented, http://www.medinotes.com and some are more elegant document management solutions, so called hybrid systems, such as http://www.srssoft.com/ . Others are more comprehensive such as NextGen. A issue to consider is data compatibility and the recent EMR certification commission for Healthcare Information Technology. Certification should only figure in on a small level ..as there are many great companies, like medinotes and SRS that have not yet received the certification. Certification to many companies may be cost prohibitive so physicians should not let this totally sway them.

2. EMR's are a fad. Emr's are not going away so physicians will eventually need to come to grips with this.

3. The technology is the hard part. Actually the hard part is adapting work flows to the technology, rather than the technology itself. Bigger groups can retain a dedicated technology position to maintain their systems, this will need to be outsourced for smaller groups.

4. The software is the expensive part. This is not true. The big cost are maintanence, licenses, technology support and hardware.

5. Computers interfere with patient relationships. This is not true either my patients really appreciate that my practice has computers in each room. They embrace this rather than object to it. There is a sense of comfort for the patient knowing that their physician has taken the time and effort to continue to advance their medical practice.

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