tag:blogger.com,1999:blog-4384692836709903146.post8175625518347760506..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: EHR for Non-Owned clinicians - Coming to termsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4384692836709903146.post-61255127299412480622008-06-15T17:54:00.000-07:002008-06-15T17:54:00.000-07:00I completely agree. At BIDMC, we've created a medi...I completely agree. At BIDMC, we've created a medication list and problem list which is editable by any clinician or nurse, resulting in a lifetime medical record, not a huge collection of disjointed records for each episode of care. The clinical summary format HITSP has created for care continuity is the kind of summary profile you suggest. Mine is at <A HREF="http://www.bidmc.harvard.edu/sites/bidmc/geekdoctor/johnhalamkaccddocument.xml" REL="nofollow">here</A>John Halamkahttps://www.blogger.com/profile/04550236129132159307noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-48978338926017911832008-06-13T13:46:00.000-07:002008-06-13T13:46:00.000-07:00As a patient, I'd hope that my evolving EHR will c...As a patient, I'd hope that my evolving EHR will contain a clear, useful summary of my overall <B>current</B> clinical condition. By aggregating data on me from multiple (pro) sources, an EHR has enough information to let software assemble this, but your definitions omit this key difference from EMRs.<BR/><BR/>The EMR data I've seen, by contrast, seems more like a list (or pile?) of disjoint notes on the actions of individuals at one provider. My impression: EMRs are really for billing, not care-giving. They track neither my latest known meds nor my general state of health - summary sections good to have readily at hand if any part of either changes.<BR/><BR/>I could periodically confirm (or help fix) such a summary, but instead I selectively dump bits of it at each visit from my own fallible memory. It and recent local EMRs give caregivers an inconsistent image of me, which I've seen can add confusion and waste time.<BR/><BR/>Concise clinical profiles seem another type of "low hanging fruit" one could capture into EHRs, initially by mining discharge summaries. If not there already, please consider adding that design goal to the agenda for your June 17 retreat.DanCorwinhttps://www.blogger.com/profile/13153054343682018692noreply@blogger.com