Excellent, short description of one reason why electronic medical records are terrible—the original development has not been driven by creating a clinical tool for doctors, but more of an administrative tool for others in healthcare (i.e.—administrators and payers)
Agree, agree, agree. My particular thoughts on this video:
- “Meaningful Use” — HAHAHA! What a waste of time. Do you know that my EHR now REQUIRES me to enter a blood pressure on any patient AS YOUNG AS 2 YEARS OLD before I can actually “see” the patient? Even though no study shows that measuring BP in all kids under 12 provides any useful data to improve their health? “But it’s required, for meaningful use” whine the EHR people. FACE-SLAPS ALL AROUND.
- Yay Epocrates!
- Have you ever tried to read an old visit note in an EHR? Think about how much scrolling and scrolling and scrolling you did before you finally found the one tiny sentence or phrase which actually gave you any clinically-useful information. The rest of that crap? Coding and Billing fluff.
- @ 2:05, I love the woman who is just standing there staring at the white board in the background. That would be me if I was ever trapped in one of these types of meetings. Maybe doodling a tiny Cranquis curb-stomping a tiny laptop, Office Space style.
- Dr. Dombrowski’s idea of “getting all the governmental agencies… on the same page” about EHR is nice and all — but unless doctors/nurses/PEOPLE WHO ACTUALLY SEE PATIENTS are in charge of those much-needed revisions, things will never ever improve with EHR.
Awesome video, awesome commentary from Cranquis
User Experience is critical, so is Alignment of interests. Doesn’t seem to be much of either going on right now