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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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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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Join the conversation. AmericanEHR has been refreshed with some useful new features. It is now easy to share your EHR experiences, make comments and join product discussions. All that is needed is a verified user account. Initially commenting is available to verified physicians, nurse practitioners, physician assistants and EHR vendors. Activity feeds are displayed on…

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A few weeks back, with the assistance of Government Health IT Editor Tom Sullivan, I had the opportunity to participate in an “exit interview” with outgoing ONC chief Farzad Mostashari, MD. On behalf of my Medical Practice Insider readers, I asked Mostashari what business benefits — aside from meaningful use incentive payments — could accrue…

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John Halamaka, co-chair of the Health IT Standards Committee and CIO at Beth Israel Deaconess Medical Center offered some advice to the next National Coordinator on his blog, Life as a Healthcare CIO. Here are his general recommendations: ICD-10: Consider voluntary transactions for October 2014 and provide a 6 month grace period before enforcing the…

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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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Unintended Consequences of EHRs: Patient Safety Risks – Bloomberg – While EHRs have reduced errors relating to issues such as illegible handwritten prescriptions, there are also unintended consequences that can result in significant negative outcomes. Some may be related to human error, for example inputting the wrong drug information into the EHR; however, technical errors…

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In an eight-country survey conducted by Accenture, U.S. doctors were most strongly in support of patients updating the majority of their information in their health record in comparison to other international countries surveyed (Australia, Canada, England, France, Germany, Singapore, Spain, and the United States) According to the survey, U.S. physicians felt that patients should be…

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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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From time to time at AmericanEHR  we receive books for review. Innovation with Information Technologies in Healthcare, edited by Lyle Berkowitz and Chris McCarthy, is one of those rare gems that bridges the gap between implementation and use of information technology, drawn from individuals’ experiences who have successfully applied those tools in clinical settings. At…

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