tag:blogger.com,1999:blog-4384692836709903146.post9205707160075329287..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: "Social Documentation" for Healthcare John Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4384692836709903146.post-33656098865159145832013-03-13T10:35:00.685-07:002013-03-13T10:35:00.685-07:00John - I work for your hospital and the system dri...John - I work for your hospital and the system drives me crazy. I love your ideas about social documentation. I recently talked to someone in IT who asserts that EHR systems sold by companies don't use cloud computing because of security concerns. Also your suggestions still don't make it possible for different hospital systems to communicate with each other. I've been told this is also due to security concerns.medicine for realhttps://www.blogger.com/profile/10709680043384543123noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-54165233673572024972013-02-15T07:34:54.187-08:002013-02-15T07:34:54.187-08:00Is there a way to get the RAC/coders back to the g...Is there a way to get the RAC/coders back to the goal of timely appropriate documentation? It's just discouraging having an authority over us that shows so little understanding of what good clinical documentation looks like.<br />Dr_SteveAhttps://www.blogger.com/profile/12958162530428177602noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-26783636744442793952013-02-14T16:02:57.357-08:002013-02-14T16:02:57.357-08:00I'm all for finding a way to decrease the bloa...I'm all for finding a way to decrease the bloat, inaccuracy and repetition in the current EHR. Unfortunately the idea of a continually undated "living" Wiki for documentation is DOA if it is not compliant with our Byzantine E&M billing requirements. We doctors would love to write concise notes that actually serve the purpose of delivering healthcare. Unfortunately our overlords seem to see things differently by adding more regulatory documentation requirements, rather than tightening up the already bloated system.<br /><br />Do you have a plan that will get your idea past the army of coding specialists and RAC auditors? If so, consider me interested.<br /><br />Edward J Schloss MD<br />@EJSMD<br />Cincinnati, OH<br /><br />BTW: If you're ready to move on past the process of developing clinician facing EHR functions, you should probably spend more time in the clinic. Honestly, it feels like we're running DOS 5.0 down here. Recall, it took almost 30 years of development before Steve Jobs could declare the "post PC era" with a straight face.Jayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-22860801951039094262013-02-14T07:53:51.765-08:002013-02-14T07:53:51.765-08:00Great post, and this is something we have spent a ...Great post, and this is something we have spent a lot of time thinking about over the past year. It seems that the primary two functions of EHRs are documentation and communication. They do a passable job at the former, but a very poor job at the latter. I believe there was a study done at your institution ten years after EHR adoption, which showed that 50% of clinical communication still occurred face-to-face and only 10% through the medical record. [<a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=10805019" rel="nofollow">source</a>]<br /><br />We could add even more features to EHRs, or we could let them focus on documentation, while building better tools for communication. We have taken the latter approach by building a messaging platform that adds the ability to associate care teams with patients, share task lists, support team-wide discussions about patients, etc. Soon we will also support the Facebook/Twitter feed that you describe.<br /><br />What are your thoughts on where our communication solutions are headed? Do you them merging with EHRs, or simply becoming more functional while staying independent?Scott Guelichhttp://www.carethread.com/noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-84445287056567935132013-02-13T08:18:30.523-08:002013-02-13T08:18:30.523-08:00I think that makes so much sense. Everyone brings...I think that makes so much sense. Everyone brings value to the <i>HPI</i> (History of present Illness) and other components of the chart - MD, Pharmacist, Consultants, Social Work, Physical/Occupational Therapy) and it would be nice to have one document with tags for different authors/types of information. It takes a team to properly take care of a patient and the more our documentation can reflect the collaboration efficiently, I think we'll be better off.Dr_SteveAhttps://www.blogger.com/profile/12958162530428177602noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-36389511836529170512013-02-13T05:32:04.781-08:002013-02-13T05:32:04.781-08:00John, what do you mean by new security imperatives...John, what do you mean by new security imperatives?marknoreply@blogger.com