tag:blogger.com,1999:blog-4384692836709903146.post2901204787773537545..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Why I Disagree with the Snake Oil AnalogyJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-4384692836709903146.post-48906118441893947662016-06-22T05:46:15.665-07:002016-06-22T05:46:15.665-07:00Spot on Dr. Halamka. Thank you for these words. Spot on Dr. Halamka. Thank you for these words. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-87471961233210902962016-06-15T06:42:05.370-07:002016-06-15T06:42:05.370-07:00I could not agree more. In 2004, there was a bel...I could not agree more. In 2004, there was a belief that electronic repositories of patient information in the form of EHR systems were the key to supporting clinical care with information technology. However, since clinical care consists of processes, the lack of exploration of workflow issues has come back to haunt users. Workflow disruptions and usability complaints often arise because of workflow impedance between software and user. The bottom line is that supporting clinical work with technology requires more than an electronic version of the paper chart – see Is the Electronic Health Record Defunct? http://ehrscience.com/2014/04/28/is-the-electronic-health-record-defunct/Jerome Carter, MDhttp://www.ehrscience.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-63132861999652370092016-06-14T07:19:57.392-07:002016-06-14T07:19:57.392-07:00Certainly the closing statement here kind of says ...Certainly the closing statement here kind of says it all about not knowing where you are going and there's a certain amount of that out there but as you mention, there are choices. Last I read EHRs are now going to be on a one to three star system..I'm sorry that's nuts! An EMR is not bought by a star system, you buy what meets your needs. <br /><br />There's too much "Excess Scoring" taking place today when we cross the line of efficiency and knowledge to create algorithms that just rank and score (for profit) and that's dangerous.It ends up leading to a sometimes very scary culling effect where folks are hurt without a chance to even rebuttle back if the data is flawed.Medical Quackhttps://www.blogger.com/profile/12443589277651479846noreply@blogger.com