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With the growing adoption of EHRs, EMRs, data repositories, and cloud-based computing, as well as a wide range of related technologies, clinical IT systems produce vast amounts of data. Understanding this information is crucial to the care delivery process. Medicine has transitioned from a cottage industry of small clinical practices with varying treatment methodologies to…

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As clinicians transition to EHRs, changes are taking place in terms of the fundamental ways in which clinical information is documented. At the core of this transition to Computerized Provider Documentation (CPD) is the tension between the clinician’s behaviors when using a paper record (habits, reminders, and cues) and the very structured way that information…

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A recent study published in Health Affairs by a group of investigators from Weill Cornell Medical College analyzed the amount of technical support that physicians in New York’s Primary Care Information Project needed in order to demonstrate improvements in measures of care most likely to be affected by the use of electronic health records. The…

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James Tcheng, MD, FACC, FSCAI Duke University Medical Center James Tcheng, MD is a professor of medicine at Duke University Health System and a national advocate for the development and adoption of clinical data standards to support the care of patients with cardiovascular disease. Over the previous five years, he’s worked with a team of…

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In our small nephrology practice, we started using an electronic health record (EHR) and separate practice management/scheduling suite when we opened our doors six years ago. We changed practice management suites about four years ago and migrated to a new EHR system about two years ago. Both transitions, along with other related experiences, have demonstrated…

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One of the most common complaints we hear from physicians regarding their use of EHRs is inadequate and insufficient training. This is either early in the process during implementation, or later, once the EHR is implemented and clinicians or staff have to learn more advanced features — or have to solve problems that they have…

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Do you have a story to tell or experiences using health information technology in your medical practice? Whether positive or negative, what have you learned from the use of your EHR or from other technologies such as mobile phones or web-based tools? Please take a few moments to share. The best way to learn is…

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One of the challenges that physicians face in their adoption of EHRs is the need to use multiple clinical systems based upon their location(s) of practice. For example, a physician may use one EHR system in their private practice, a different EHR in the hospital(s) in which they consult, and potentially a different version of…

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One of the major responsibilities and challenges for technology-based healthcare systems is to safeguard the privacy of Protected Health Information (PHI) and to limit access to appropriate individuals only. At the core of this problem is identity management. How does one know whether an individual accessing an EHR or patient portal has been properly credentialed, whether…

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One of the comments we hear from clinicians who have implemented an EHR is the impact on their after-hours workload, whether this be in the clinic at the end of the day or at home in the evenings. This feedback is not limited to specific EHRs and tends to be a more widespread issue. The…

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When our five-physician Allergy/Immunology practice decided to take the plunge into the world of electronic medical records about three years ago, templates were one of the key features we were looking at. Most clinical allergists, as other specialists, see the same type of medical issues and ask the same basic set of questions. Who else…

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