Explorations in the Design and Implementation of Clinical Information Systems
Now that EHR adoption is well under way and meaningful use is in full-swing, the effects of EHR systems on every day clinical practice are becoming more obvious. According to studies that look at how providers spend their time, clinicians are increasingly spending more time with computers and less time with patients. Is this merely […]
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Evidence is mounting that providers are dissatisfied with their EHRs—so much so that they are willing to switch. I don’t see this as unexpected or problematic. It is simply a sign of a maturing market and the growing sophistication of EHR users, which I think bodes well for innovative vendors. According to a recent survey […]
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While putting together a set of EHR architecture/design study materials, I decided to go ahead and create another resource page. As with the Clinical Workflow page, the Architecture and Design page will have PubMed, IEEE, and ACM citations. The Architecture and Design page has been created to serve as a resource for those who are […]
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Obviously, I am an advocate of EHR use. Actually, tracking EHR implementation outcomes is somewhat of an obsession. For years, I have kept a folder on my desktop called “failed projects” that contains the woes, assessments, and post mortems of IT projects gone bad. Since HITECH, I’ve noticed something interesting. Whereas pre-HITECH it was fairly […]
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As EHR use increases, the number of complaints about incoherent paper printouts has grown. However, it isn’t just clinicians who are having problems. EHRs Prove a Difficult Witness in Court , an article from the Journal of AHIMA, details the legal headaches that can occur as a result of the inability to reconstruct an accurate […]
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The final EHR certification criteria for 2014 were released a few weeks ago, and I am surprised by how many of the more forward-thinking proposals made it into the final set. The proposed criteria, released in March, contained suggestions that I thought were good ideas (e.g., usability testing, price transparency, and data portability requirements), but […]
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Interested in clinical workflow analysis, modeling or applying workflow to CDS, safety, usability, optimization, or software design?
12/14/16 - Managing Patient Communications with Workflow Technology, Part IV: Conducting the Workflow Analysis
10/10/16 - Managing Patient Communications with Workflow Technology, Part I
The EHR Science Blog presents the musings of Jerome H. Carter, MD, CEO of Informatics Squared, Inc.
Dr. Carter is the editor of Electronic Health Records, Second Edition, published by the American College of Physicians.
Posts on this blog are the personal views of Dr. Carter and do not reflect the official policies or positions of the American College of Physicians.
Is the Electronic Health Record Defunct?
by Jerome Carter on April 28, 2014 · 10 comments
When building software, requirements are everything. And although good requirements do not necessarily lead to good software, poor requirements never do. So how does this apply to electronic health records? Electronic health records are defined primarily as repositories or archives of patient data. However, in the era of meaningful use, patient-centered medical homes, and accountable […]
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