Squiddles , 11 months ago

Finally something I’m actually qualified to weigh in on! I’m the lead UI developer for an EHR software (not saying which one or getting into details–it’d be pretty easy to figure out my identity).

First, to be fair, it’s possible that the software they’re using is genuinely terrible. They don’t say which EHR. I’ve heard this kind of thing from providers before, though, and it’s usually that they don’t know how to use the software. From the way the article describes the provider, it sounds like they’re stuck in paper and don’t want to learn a new way of doing things. On the one hand, fair enough–patient care should be their primary concern. On the other hand, patient care is so much easier, faster, and more accurate in an EHR.

In my EHR you select a patient and can get a full visit summary on any visit the patient has ever had with a couple of mouse clicks. Immunizations, clinical notes, radiology, goals, problems, vitals, education–everything that happened during the visit. There are built-in tools for reminders that automatically notify you of things that are important for the visit based on previous visits, contraindication checks for medications, tracking of fluid balance, integrated documentation for clinical reference and distributing to patients, etc, etc.

That’s not even to mention things like compliance for clinical quality measure reporting, integrating with state immunization registries, easy export of data to external facilities (eg, CCDA), using digital signatures for non-repudiation of controlled substance prescriptions, automagically pinging requests and data around to the different departments, etc. So many things that used to rely on a human squinting at a paper now just happen, with a built-in audit trail.

As for billing: we (developers, testers, and project/product managers) HATE billing. It’s a necessary evil, but we package it off as a separate plugin. It can pull procedure codes and the like from the database to do its job, but to suggest that billing is the only reason to use an electronic health record is astoundingly ignorant. Patient care is the primary concern of everyone who actually has hands on the application. Most of us are former providers who just happen to be alright at coding.