10 Things I Hate About EHRs
- So many EHRs look so Windows 95-ish…or like an accountant’s spreadsheet. Why? I dunno about you, but my brain doesn’t thrive on constant rows and columns.
- I shun EHR vendor Web sites that require me to provide my contact information just to see a basic demo. I don’t have to give the Piggly Wiggly my phone number just to see an apple.
- Most EHRs want you to drink from a fire hose when all you really want at first is a sippy cup.
- EHR sales pitches and their pitchers always assure you that their particular product can cure cancer … while watering your tulips. (My tulips have all wilted, by the way.)
- Template creation. ‘Nuff said.
- EHR support or sales people who know less than I do about the product.
- I’m gonna be really P.O.’ed if Obama money allows all the latecomers to buy EHRs for a song while I’m still paying off the second mortgage I needed to buy mine.
- Most EHR vendors/creators think “clicking” somehow beats writing. But, when it takes 4,357 clicks to complete a 99213 visit and you can handwrite the same 99213 note in under a minute — meeting all coding requirements — well, how do you convince anyone that the trouble of workflow and habit change is beneficial?
- We’re going to have “Minority Report”-style computing interfaces while EHRs will still be clunking along awkwardly, clumsily, bound to those old rows and columns.
- Why (virtually) no Flash or PHP? Wouldn’t a little panache and Web 2.0-ness work in EHRs?
- Faxed reports from an EHR-enabled ER or urgent care for one of my patients with an earache that uses five sheets of my paper and toner to tell me they got amoxicillin.
I know. That’s more than ten. But, as I alluded to in number one, “Damn it, Jim, I’m a doctor, not an accountant!” (Props to Bones.)
Dr. Gregg Alexander is a grunt-in-the-trenches physician and admitted geek. He runs an innovative, high-tech, rural pediatric practice in London, OH, and can be reached at firstname.lastname@example.org.