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EMR & EHR Blogs


Status of EMRs in Canada and Barriers to Adoption

Healthcare Blogs - EMR & EHR Blogs

Where are we in Canada with respect to EMR adoption and use? This was the theme of a recent edition of Healthcare Information Management and Communications Canada (the official journal of COACH and ITAC Health)

In the lead editorial, Dr. Jeff Turnbull, President of the Canadian Medical Association states:

"It is the CMA’s view that future HIT investments need to be directly tied to achieving specific goals....The proposed investments are built around accomplishing 3 interim goals:

  • Significant adoption of EMRs by primary care and specialist physicians in ambulatory settings;
  • Accelerating the exchange of health information to support the majority of health care transactions; and
  • Increasing the effective use of EMRs and related solutions to meet pressing health and system issues."

Click here to download the article (.pdf)

In an article by Dr. Mark Dermer entitled, Electronic Medical Records Adoption in Community Practice: Canada’s Standing and Infoway’s Responsibility, he states:

"At this juncture in the eHealth journey we Canadians should feel concerned and embarrassed by how we compare to other industrialized nations in the degree to which our community-based physicians use EMRs....The concern about Canada’s state and standing is shared by its physicians.

So if the physician community recognizes the problem then why have doctors not embraced EMRs and exploited them to improve the quality, safety and sustainability of Canadian healthcare? There are three answers to this essential question:

  • The degree of personal cost to the physician
  • Insufficiencies in the available electronic record offerings
  • Poor leadership from jurisdictions and Infoway

Click here to download the article (.pdf)

The 3rd article I would like to share is one that I wrote entitled, Barriers to the Adoption of EMRs in Medical Clinics. A short excerpt is presented:

";EMR adoption still struggles to gain momentum despite all of the perceived benefits. Why is this and what are the barriers to adoption? There is no simple answer to this question. Rather, there are a number of challenges that together create compelling reasons why many not to adopt EMRs. In order to encourage widespread adoption, it is important that we clearly understand these barriers and develop/implement strategies to overcome them.

In order to separate barriers into understandable elements, I have placed them in the following categories, beginning at a system level and focusing in on challenges at the practice level.

  • Policy
  • Process
  • Privacy
  • Professional
  • Perception
  • Practice

Click here to download the article (.pdf)

To view and read all additional articles in HIMCC, click here

To add your thoughts or comments, click on the 'Comments' link below

Read More: http://blog.canadianemr.ca/canadianemr/2010/11/status-of-emrs-in-canada-and-barriers-to-adoption.html

 

Too Early for Personal Health Records?

Healthcare Blogs - EMR & EHR Blogs

In healthcare, as in other sectors, there is a tendency to be drawn to the next 'new thing' (note, I do not use the word fad). In this case, substitute the words 'Personal Health Records' for new thing. I am a believer in patient empowerment and encouraging individuals to take more responsibility for their health. However, the timing and environment have to be right.

After a few years of attempting to make personal health records profitable, Microsoft is back-tracking and as reported on FT.com, has abandoned efforts to charge US users for the service (Microsoft drops US HealthVault profit plans). Microsoft states that the company has made this decision because of the complexity of the US healthcare system.

I believe the answer is less about complexity and more about readiness of the environment. Simply put, we are just not ready for personal health records. They are a great concept and something that will be core to healthcare delivery -- at a point in the future. It is hard to predict how far ahead that might be, however I believe that widespread adoption of personal health records will only take place once we have ubiquitous adoption of EMRs by clinicians. This will extend the ability for personal health records to become relevant.

The most important connection for patients is still with their care provider (doctor, nurse, nurse practitioner). Widespread adoption (and use) of EMRs will signify that the environment is ready.

Whether 5, 10 or 15 years ahead, I believe the predictions about personal health records will be spot on. Not just profitable for the company or organization that get's it right, but an enabler for patients who need to book or cancel appointments, receive reminders and check lab and diagnostic results.

What are your thoughts about Personal Health Records? Do you agree or disagree with these observations? Click on the 'Comments' link below.

Read More: http://blog.canadianemr.ca/canadianemr/2010/11/too-early-for-personal-health-records.html

 

OntarioMD - Survey of 2,000 Physicians between 2008 and 2010

Healthcare Blogs - EMR & EHR Blogs

Based upon over 2,000 surveys of Ontario physicians completed by OntarioMD since 2008, the following data was published Nov 17, 2010.

Key findings:

Latest survey results for 2010 indicate that:

  • 90% are using EMRs regularly to write and renew prescriptions;
  • 90% are regularly receiving and managing lab results electronically, up from 82% in 2008;
  • 92% are using their EMRs to enter their encounter notes, eliminating the need for paper records;
  • 73% felt they were primarily paperless, up from 60% in 2008.

A key concern with physicians adopting an EMR is how it will affect their practice especially their productivity and revenues.

  • In 2010, 84% of physicians reported improved or the same revenues, up from 74% in 2008;
  • In 2010, 79% reported improved or the same productivity, up from 62% in 2008.

Download EMR-Meaningful-Use-Results-nov-17.pdf (305.1K)

To add your thoughts or comments, click on the 'Comments' link below

Read More: http://blog.canadianemr.ca/canadianemr/2010/11/ontariomd-survey-of-2000-physicians-between-2008-and-2010.html

 

What’s the Future of Healthcare Reform?

Healthcare Blogs - EMR & EHR Blogs
Many think November’s dramatic mid-term election results threaten the future of President Obama’s healthcare reform. This interesting blog from the Corporate Research Group suggest otherwise. The focus of the article is that while there is great anger directed at healthcare reform and the Washington politicians who brought it to us, many of the components of [...]

Read More: http://www.gvpub.com/rtblog/?p=468

 

New FDA Communication on CT Scanners

Healthcare Blogs - EMR & EHR Blogs
The FDA just released a new safety update on CT scanners. It includes recommendations for facilities and practitioners and reporting guidelines for problems. It’s worth reading if you or your organization is involved with performing these exams.

Read More: http://www.gvpub.com/rtblog/?p=466

 
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