This topic I can discuss very easily having had a number of years working at this myself. I wrote one years ago when things were a lot simpler and everyone was not connected via the internet and this battle has been going on for a long time. If you are curious as to what an EMR that is outdated looks like and how it functioned see the related reading below.
A big part of this battle too is to bring the CEOs and other offers of a company right in to the picture, instead of the attitude of “It’s for those guys over there” as electronic medical records and the support and encouragement goes a lot further than getting a system, installing it, setting up training while the CEO sits back and watches and criticizes, wondering why there’s no enthusiasm, plain and simple. It takes a team effort and the commander of the ship by today’s standards needs to get involved too, not just a “do what I say” attitude, although I have been saying that for 2 years on this blog, but I don’t know if the message has sunk in yet. The CEOs and others still want to sit back and do things the old way with paper, so what does this do to encourage the clinicians, well not much.
Of course, there is the money issue right now too, and we can’t have any of the above unless we have funds to finance. One other area to encourage clinicians to use medical records is us, as patients, to take control of our own fate and start using a PHR, this whole thing is teamwork and once a doctor finds out how simple it can be to have us share credible health records and information, well you be the judge of that, but it would tend to also not only increase an awareness, but an ability to participate.
We have had clinical studies still done on paper too, so when you are collecting via a paper method, again what does that do to encourage clinicians?
I watched the hearings in front of the Senate and just my own personal opinion, I would have felt a lot better if all in attendance there would have had an idea or at least seen a PHR or had the experience of going to a physician who used an electronic medical records system, as these are the folks who give the yes or no for our Health IT package.
Maybe it’s just me, but I can’t help but feel things go a lot easier to comprehend if a little homework study is maybe done first? (Nobody talks to me on Twitter anymore about PHRs unless they get one and try it out), ask the folks who follow me (grin), that’s the first thing I ask, did you try out the software, it’s free and only takes a little of your time, so don’t try to profess to be an advisor or expert unless you have tried one out for goodness sakes as it is a consumer product for everyone, otherwise we just have a lot of talk and nothing gets moving.
In the meantime, let’s hear from the Wall Street Journal with a representative from Allscripts and hear what he has to say on the subject. BD