tag:blogger.com,1999:blog-18943510.post2051992466878714311..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: How to Stop Incenting EMR Note BloatDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-18943510.post-11566054710187321002012-01-08T08:43:09.850-06:002012-01-08T08:43:09.850-06:00SCRN said, "If you are going to fake your ass...SCRN said, "If you are going to fake your assessment, it's a statement of the particular person not the means of record taking."<br /><br />Just goes to show, you can be dishonest in any medium. Honesty has to be the basis every endeavor, even medicine. Unfortunately, it is not a widely held value in the government, from where our regulation comes.Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-33296717467651370552012-01-07T16:26:58.576-06:002012-01-07T16:26:58.576-06:00Doesn't matter if it's paper or electronic...Doesn't matter if it's paper or electronic. If you are going to fake your assessment, it's a statement of the particular person not the means of record taking.<br /><br />-SCRNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-38104311621327396562012-01-06T18:03:19.625-06:002012-01-06T18:03:19.625-06:00You give the perfect example of value based purcha...You give the perfect example of value based purchasing. Why should a resident get credit with a poor performance? By that same token, why should a hospital or provider get paid for poor performance? The new database supervision program by the ACC code named PINNACLE will allow CMS to 'see' whether a diagnosis of AS has supporting documentation such as a murmur in the physical exam. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71093666764352827612012-01-06T11:37:59.250-06:002012-01-06T11:37:59.250-06:00Wes,
It seems to me that the increased documentat...Wes,<br /><br />It seems to me that the increased documentation required when using these systems is what is driving this phenomena. When one actually writes a note, they need to think about what it is they are writing. Now we cut and paste and click on predetermied text that takes away alot of this thought process. I almost don't bother to look at the physical exam anymore in EMR records Keithnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-87076364937222797162012-01-06T09:12:15.539-06:002012-01-06T09:12:15.539-06:00A little harsh there bro. (we luv our residents. R...A little harsh there bro. (we luv our residents. Remember when you were one?)<br /><br />What I find frustrating is try to make a correction either takes an Act of Congress or you have to wait until Y3K.<br /><br />Who "owns" the EMR? Shouldn't it be a little like "open source" software engineering?<br /><br />But of course, he who owns the info has complete power and asAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-6424398138956479362012-01-06T07:53:34.869-06:002012-01-06T07:53:34.869-06:00Tim-
You and I disagree on this one.
It is not ...Tim-<br /><br />You and I disagree on this one. <br /><br />It is not the EMR that is the devil's spawn, but rather the overly regulated requirements for documentation each and every time a doctor sees a patient that breeds this mess. The EMR was developed, in many respects, just to satisfy those ever-burgeoning requirements so hospital systems (and doctors) can meet those requirements DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-33994555546407850022012-01-06T07:37:43.048-06:002012-01-06T07:37:43.048-06:00Wouldn't it be cool if, someday, the EMR was e...Wouldn't it be cool if, someday, the EMR was eliminated because it is not only NOT helpful, it is detrimental to patient care?! EMR = devil's spawn!Tim Hulsey, MDnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67231284843483043112012-01-05T22:09:20.229-06:002012-01-05T22:09:20.229-06:00You are right on the money.
Wouldn't it be co...You are right on the money.<br /><br />Wouldn't it be cool if someday accurate and intelligent documentation was considered a quality measure?<br /><br />JayJayhttps://www.blogger.com/profile/10897176780069403370noreply@blogger.com