tag:blogger.com,1999:blog-4384692836709903146.post2278151200139175051..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: The Top 10 Barriers to EHR ImplementationJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-4384692836709903146.post-16235652774859032502011-02-28T06:10:38.611-08:002011-02-28T06:10:38.611-08:00Thank you for this insightful post. A+ for creativ...Thank you for this insightful post. A+ for creativity.. It is so true and I am still laughing.<br /><br />I think one of the greatest hurdles is overcoming misconceptions in the minds of regulators, doctors and patients alike. I just returned from a trip to Germany and colleagues there are amused about America's 3rd World-like medical records situation. Then again we also have a 3rd World like banking system to process payments.<br /><br />They say laughing is the best medicine, so thanks again for the medication!Mark MDhttp://www.ehrrx.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-65948441636763545992010-06-21T01:50:04.329-07:002010-06-21T01:50:04.329-07:00is important to note that an EHR is generated and ...is important to note that an EHR is generated and maintained within an institution, such as a hospital, integrated delivery network, clinic, or physician office, to give patients, physicians and other health care providers, employers, and payers or insurers access to a patent's medical records across facilities.<br /><br />mjdehr softwarehttp://www.acrendo.com/noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-3994716932512475042010-06-04T22:13:11.926-07:002010-06-04T22:13:11.926-07:00I'm a former software product manager and some...I'm a former software product manager and some of the issues on this top 10 list (whichever) is deeply rooted in how the software was developed. <br /><br />Long before these products had come to market, they were designed 2-5 years before, when traditional product management was an afterthought. Whence down the road, the design cannot be changed and the users have to conform to the software.<br /><br />I believe that EHRs are inherently a documentation product for the financial side first, hence it's difficulty to suit clinicians. If clinicians are included, it is an afterthought and much effort is expended to make the clinical conform to the paradigm of the EHR software.Unknownhttps://www.blogger.com/profile/09087594155557457430noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-22746333608507755342010-06-04T09:38:26.161-07:002010-06-04T09:38:26.161-07:00Hmmm ... I doubt this is the first time a Ouija bo...Hmmm ... I doubt this is the first time a Ouija board has been mentioned in the same breath as healthcare. Great article, thanks.Jennifer Dennardhttp://www.billianshealthdata.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-41007326564577924162010-06-04T07:54:51.674-07:002010-06-04T07:54:51.674-07:00Excellent post. As an ambulatory EMR consultant, I...Excellent post. As an ambulatory EMR consultant, I battle all 10 of these issues daily. <br /><br />My only comment is that I think #10 is really the biggest problem- if there was an EHR built around usability instead of all of the old technology currently in use, the other 9 barriers would be hardly significant. <br /><br />The future of Health IT is encased in small touchpad devices, with software made FOR clinicians, and not in spite of them.Molly Oehmichenhttp://www.twitter.com/mollyoehmichennoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-36067249729400910152010-02-10T13:32:01.854-08:002010-02-10T13:32:01.854-08:00It's so funny, and yet so real. I like the lis...It's so funny, and yet so real. I like the list of unspoken true. I'm wondering whether your students will be equally creative in coming up with a list of drivers for the health IT transformation.AJ Chenhttps://www.blogger.com/profile/03556087727764007125noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-58354289476544638822010-02-09T07:40:24.231-08:002010-02-09T07:40:24.231-08:00While I enjoyed the second list and think the firs...While I enjoyed the second list and think the first is accurate, what would be more interesting to me is seeing your (and others) responses to these issues. I primarily deal with 1-6 doctor abulatory practices and can tell you, these barriers are a very real obstacles. However, practices that are looking to finally get an EHR primarily for the stimulus package money are severely underestimating their impact on a successful implementation. Not only that, many practice are going to try and rush through the selection and purchase process in an attempt to get this perceived "free money" as soon as they can, without a realistic understanding of how using an EMR will affect their personal workflow. The next 2 years are going to be filled with many failed implementations and buyer's remorse as a result. Practices that get burned on bad practice management system can generally switch without much issue to something that works. A bad EHR implementation can be crippling to a practice both financially and to the quality of medical care they can provide. A potential $44,000 in government funds over 5 years isn't going to able to change that, not to mention that if a practice chooses poorly or implements poorly, they wont get that money anyway...<br /><br />The benefits of ARRA just seems to be focused on the big players (hospitals, large EHR vendors) to the detriment of small clinics and vendors. I hope to be proven wrong.Mark S.noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-59052040884683928612010-02-03T07:12:49.773-08:002010-02-03T07:12:49.773-08:00John, I’m very impressed and relieved your “studen...John, I’m very impressed and relieved your “students” brought up infrastructure and IT availability. I find IT infrastructure to be a bigger barrier in ambulatory offices compared to large hospitals. Hospitals typically have an IT infrastructure foundation, but lack of capacity is the problem. Ambulatory is typically starting at square one when building their IT infrastructure, which then creeps into the cost barrier.Dan Draperhttp://www.liebert.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-33365346790701695242010-02-01T16:25:05.922-08:002010-02-01T16:25:05.922-08:00Dear John,
Great list! Why not skip this generat...Dear John, <br /><br />Great list! Why not skip this generation of actual IT-systems, stop discussing usability and switch directly to ubiquous computing or context awareness. a HAL 9000 for doctors, Healthcare Odessey 2020!@swisshealth20https://www.blogger.com/profile/10432096044524628165noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-89142213108198389532010-02-01T15:38:24.125-08:002010-02-01T15:38:24.125-08:00Perception as what lies in the eyes of the potenti...Perception as what lies in the eyes of the potential beholders; we found humor but they are marching to their own tunes:)<br /><br />Great post:)Medical Quackhttps://www.blogger.com/profile/12443589277651479846noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-66165804160262051992010-02-01T15:35:05.120-08:002010-02-01T15:35:05.120-08:00Difficult to say which bit is best! Loved the ouij...Difficult to say which bit is best! Loved the ouija board comment. <br />It's a great (serious) top 10 list too. Good piece of work.Pauline Sweetmanhttp://twitter.com/psweetmannoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-87218438217057559022010-02-01T12:48:34.893-08:002010-02-01T12:48:34.893-08:00I LOVE THAT LETTERMAN VERSION! Priceless!
The re...I LOVE THAT LETTERMAN VERSION! Priceless!<br /><br />The real one's great, too. Valuable input. Thanks. But not priceless.e-Patient Davehttps://www.blogger.com/profile/11608258246509102466noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-39002640775872772292010-02-01T12:25:35.827-08:002010-02-01T12:25:35.827-08:00Your creative student gets an A+ for this top ten ...Your creative student gets an A+ for this top ten list - I'm still laughing :-D <br /><br />Great work...Ahierhttps://www.blogger.com/profile/13398190978662246852noreply@blogger.com