Meaningful Use

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 […]


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 […]


EHR Blues = Market Opportunity

by Jerome Carter on June 17, 2013 · 1 comment

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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EHR Architecture and Design Resources

by Jerome Carter on March 25, 2013 · 0 comments

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 […]


EHR Implementation: Where Are We?

by Jerome Carter on March 18, 2013 · 0 comments

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 […]


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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EHR Certification 2014—Darwinian Implications?

by Jerome Carter on September 17, 2012 · 2 comments

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 […]