Posted on 02/09/2018 5:39:27 AM PST by spintreebob
some older doctor in Maine had her license yanked because she wouldn’t switch to computers
Yup. Even before the ACA, the whole coding and documentation game became about jumping through hoops for reimbursement, not contributing to patient care.
This goes back to long before EMRs. As a Resident in the 80s one learned that while a “hospital chart” may be 4 inches thick there were only about 6 to 10 pages in there that were really relevant. Everything else in there was only relevant to some other profession, accountants, lawyers, what have you. As a Resident you learn where the pages you need are quickly. Same goes for EMRs. I remember being shocked when I finally went on Active Duty in the Army and started handling records from the 60s and 70s. Sick call entries of one line, “Cold, Sudafed.” 20 years of health care annotated on 2 pages. It was like opening a timecapsule from a different world. I learned from oonlighting in ERs you could tell what the priorities of the institution were pretty easily. If they wanted you to see patients they gave you plenty of nurses and you space on the “form” was about 2 inches by 1 inch. Nurses discharged patients and handed them pill bottles and instructions. You could see and document 75 patients in 12 hours pretty easily.
When the priorities changed, things changed. Try seeing half that number today. You can’t.
Physician friends tell me that EMR (Electronic Medical Records) now has killed their productivity by more than 30%.
So they don’t spend the day as data entry clerks, many have hired “Scribes” to follow them through a patient visit and who enters the data for the doc so he doesn’t have to do it. Permission is requested asking if the scribe can be present for the visit.
New companies have been started just to be scribes for docs - one I know by the son of a physician (dad’s idea of course).
Thank you government for ruining the quality of our healthcare and raising its cost with your absurd requirements......just as you do with everything you touch........
ARGHHHHHHHHHHHHH!!!!!!!!!!!
My ER visit for sudden GI pain, with a CT was 25 pages long. Diagnoised Diverticulitis, but that is not what the CT actually showed, just the lower tip of the colon was slightly enlarged and maybe inflamed per the Gastro’s reading days later.
We can thank W for this, IIRC. The EHR/EMR cr@p started with the first Porkulus bill...
“My pediatric practice is one that harkens back to days long ago when physicians knew their patients and pertinent medical histories by heart. My 81-year-old father and I were in practice together for the past 16 years; he still used the very sophisticated “hunt and peck” to compose emails. The task of transitioning to an electronic record system seemed insurmountable, so we remain on paper. Our medical record system has not changed in almost five decades. I would not have it any other way.”
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How long will folks be able to recall and communicate things like above.....and/or.............???
I was an upper exec with an Eli Lilly subsidiary that was focused on EMR in the mid-90’s.......Lilly sold it to EDS when their financial position got bad.....I first got involved with EMR before then.......
Fax’s in 2018?
The guy is so far behind he can never catch up.
His dad is a dinosaur
Having heard about the doctor who had their license pulled; but no clue where said doctor practiced or the gender. Agree, that not only doctors, but patients as well are looked upon as another cog in the wheel of institutionalized medicine. It’s more about shuffling of papers, money exchanging hands,and modern offices/equipment than a doctor/patient relationship. With fewer doctors, and even fewer in the future, IF a really good one is found (very uncommon) suggest you hold onto him/her as you would YOUR life and heritage. Do any remember Marcus Wellby, MD (Robert Young)?
Life expectancy in the U.S. is going down since the ACA kicked in. Funny that you never hear what caused this result.
I got a 6 page report on Amoxicillian to go with my ER Visit last Saturday for suden GI pain and Script for it. Been taking it since I was a child, I’ll be 70 this year. But not 1 word about replacing the ‘good’ bacteria that the Amoxicillian would kill off with the bad bacteria. Good thing I know about Probiotics and those Yeast infections that are all to common from taking antibiotics.
No questions asked about when you noticed the nausea/reflux beginning, just current status. Began with the addition of Cardizem Beta Channel Blocker for the PAIN caused Hyper Tension. Under Educated APN cold turkeyed my Neuropathy pain control med. Not worth risking her license over, but would risk my health.
Wrong diagnosis too of the CT. Which the Gastro caught when he read it.
“We can thank W for this”
I think not. People within the medical industry translated the goal “Electronic Medical Records” into the nuisance we have now.
Physicians, heal yourselves.
Lots of medical practices have stuck with faxes because they are easier to make HIPPA compliant then email or texts. Major hoops to jump through if you try to use those to communicate .
Another example of the law of unintended consequences..
Vets do probiotics. So far, physicians don’t. There are probably a lot of reasons for it. Imagine an 80 year old dies from pneumonia that is cultured and discovered to be the same bacteria as in the probiotic. The lawyer would get rich. The problems in healthcare have little to do with what the Brown Shirt Media wants us to believe. EMRs are not the villain, just a tool. I was using a computer to cut and past notes long before EMRs. EMRs can actually save time in documentation, prescribing, and other things if you know what you are doing. Part of the problems with EMRs is that in educating physicians to use them the “experts” are hired by folks whose priorities are not the same as physicians. Accountants and lawyers, for instance. The underlying problem is priorities. When the healthcare “relationship” was just the doctor and the patient 70 years ago things were different. As this relationship became more crowded with gummint bureaucrats, then accountants, and lawyers priorities shifted. Now “the relationship” requires a large boardroom of 20 or 30 people and the patient and doctor come last.
EMRs are coding/ billing platforms.
Any healthcare delivered is incidental.
new codes advertised as “increased precision” is actually screening for denial of coverage, in addition to an administrative burden.
IOW, similar to Billy Preston https://www.youtube.com/watch?v=ghj5V5cUo1s
Well aware of the paperwork and pencil pushers. Just to make an appointment takes an act of congress. The paperwork, phone calls needed. AARP fully on board with this; how are they doing in this day and age?
Personal rapport with the doctor has gone the way of the dinosaur; Marcus Wellby is long deceased.
my doctor does not use the EMR at all, just old faction charts.. mine is thick...
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