I agree with Tech MD and John Burch. I would add that the days of the light pen were more efficient, but the complaint was the number of screen flips. A combination of well designed forms using pen technology and voice recognition would likely be a good combination. Physician documentation cannot be eliminated, in fact it is more important than ever for reimbursement and accurately describing the patients severity of illness. EHRs enable more legible documentation, but it must be efficient. One of the biggest challenges is designing opportunity to document everything possible while also allowing documentation of only what is appropriate and necessary for the specific patient. Physician participation in the design would be most helpful.
curious - 8 years ago
This unfriendly survey contributes to user confusion, instead of helping, for the following reasons: 1. questions which should not be mutually exclusive, are forced to be that way (e.g. using voice recognition and dictation, EMR usability and the rest of questions, and so forth) 2. while some questions are specific (use of scribes), others are super vague (redesign EMR).
How can industry design useful systems, when such surveys exist?
Good luck on the next survey design!
Mobile Man - 8 years ago
If I could vote for 2 it'd be speech recognition and scribes. Get doctors out of the "documentation" business altogether... We have "the most" valuable resources in healthcare doing the "least valuable" tasks. It's like having the Engineer dig the ditch and mix concrete. Or worse, your congressman cold calling donors for campaign funds 30 hours a week (anyone watch 60 Minutes?) instead of governing...
I didn't like Dictation, because discrete data is very valuable... And Redesigning the EHR is a complete exercise in futility. They are what they are - big electronic filing cabinets... EHRs and workflow improvement go together like business and healthcare...
How come you didn't have "make the doc work in Medical Records all day"?
Tech MD - 8 years ago
It would be interesting to know how many people voting for "Redesign EHRs" and "Only capture needed info" would also vote for the other if given the chance to choose multiple answers. Are there many people in either of these camps who believe the other is a lost cause, or do most of us believe we need to do a bit of both?
John L. Burch - 8 years ago
Creative innovation in EHR design was frozen in place by the HITECH Act; since then innovation has been limited along lines dictated by govt. policies such as meaningful use. Maybe, as HITECH money runs out, market-driven innovation can start happening again. Then we'll begin to see EHR vendors consider their users again.
I agree with Tech MD and John Burch. I would add that the days of the light pen were more efficient, but the complaint was the number of screen flips. A combination of well designed forms using pen technology and voice recognition would likely be a good combination. Physician documentation cannot be eliminated, in fact it is more important than ever for reimbursement and accurately describing the patients severity of illness. EHRs enable more legible documentation, but it must be efficient. One of the biggest challenges is designing opportunity to document everything possible while also allowing documentation of only what is appropriate and necessary for the specific patient. Physician participation in the design would be most helpful.
This unfriendly survey contributes to user confusion, instead of helping, for the following reasons: 1. questions which should not be mutually exclusive, are forced to be that way (e.g. using voice recognition and dictation, EMR usability and the rest of questions, and so forth) 2. while some questions are specific (use of scribes), others are super vague (redesign EMR).
How can industry design useful systems, when such surveys exist?
Good luck on the next survey design!
If I could vote for 2 it'd be speech recognition and scribes. Get doctors out of the "documentation" business altogether... We have "the most" valuable resources in healthcare doing the "least valuable" tasks. It's like having the Engineer dig the ditch and mix concrete. Or worse, your congressman cold calling donors for campaign funds 30 hours a week (anyone watch 60 Minutes?) instead of governing...
I didn't like Dictation, because discrete data is very valuable... And Redesigning the EHR is a complete exercise in futility. They are what they are - big electronic filing cabinets... EHRs and workflow improvement go together like business and healthcare...
How come you didn't have "make the doc work in Medical Records all day"?
It would be interesting to know how many people voting for "Redesign EHRs" and "Only capture needed info" would also vote for the other if given the chance to choose multiple answers. Are there many people in either of these camps who believe the other is a lost cause, or do most of us believe we need to do a bit of both?
Creative innovation in EHR design was frozen in place by the HITECH Act; since then innovation has been limited along lines dictated by govt. policies such as meaningful use. Maybe, as HITECH money runs out, market-driven innovation can start happening again. Then we'll begin to see EHR vendors consider their users again.