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As a physician and long-time EHR user, I live and work in a world of discrete, narrative and non-narrative data. Notes that I or my colleagues have entered into the EHR, documents that have been scanned as image files or pdf documents into the document repository and discrete elements such as laboratory results. The data…

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Guest Editorial by Benjamin Shibata If you want to give hospital clinicians severe heart burn or an arrhythmia, talk to them about implementing a new state-of-the-art electronic health record (EHR) system.  Although EHRs may seem like an intuitive improvement over paper health records, the transition has been a huge headache because the process is being…

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The University of Health Sciences Berkley has developed an interesting graphic on the Data of Health Care, exploring the health data revolution, the difference between Electronic Medical Records and EHRs, which states and practices adopted electronic systems, and what the future of the digital health industry could look like. Click here to view

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Over the past week, AmericanEHR has received hundreds of EHR ratings and comments from physicians across the US as part of a survey that we are conducting with the American Medical Association. Having both used an EHR for many years as well as going through a recent implementation in an Addiction Medicine practice, I have…

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As of September 25, 2013, the list of EHR products certified for Meaningful Use Stage 2 is quite limited. Seventeen Ambulatory EHR products have been certified for Base EHR; of these, only five ambulatory products have been certified for recommended adult core CQMs for Eligible Providers. In a September 25 article in Modern Healthcare, Joseph…

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For those who have been intimately involved with health information technology, particularly Electronic Health Records over the past decade, the speed of adoption and change in practice workflow has been breathtaking. This is not just a North American phenomenon — it has happened in similar fashion across the Western World and in many parts of…

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As required under the HITECH Act, the Department of Health & Human Services — via the Office of the National Coordinator (ONC) — has filed its annual report to Congress on the adoption of health information technology. Among the highlights, ONC told lawmakers that by the end of 2012, nearly three-quarters of office-based physicians (72…

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One might argue that physicians are primarily information managers — using key pieces of clinical information to guide and support medical decisions. However, it is equally important to be able to exchange information with other care providers. This information exchange capability is critically dependent on the use of standardized processes and terminologies so that it…

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The specialty of Family Medicine recognized early in its development that effective, efficient information management in the ambulatory setting was essential to the success of healthcare delivery in the United States. Family physicians have envisioned and embraced the role of health IT to support the patient centered medical home and its focus on team, coordination,…

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At the American Medical Association’s 2012 Annual Meeting, a resolution was passed to review the effect of computers in the exam room on the patient-physician relationship. The AMA has just published a report on the findings and the results are encouraging. The report is based on an analysis of 14 prior studies on the use…

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If you are one of the 34% of physicians who responded to the EHR satisfaction survey (see graph below) in 2012, and stated that you were very dissatisfied with your EHR’s ability to decrease practice workload, you may have considered employing a scribe to assist with documentation in your EHR system. For some, this may…

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