Much time and effort is expended in the EHR selection, implementation and deployment process but too infrequently are providers asked how the EHR is helping or hindering them. What can the vendors do to enhance this process? At times, we need to be reminded to take a step back and remember that healthcare needs to be safely and effectively provided. The onslaught of new technology can affect providers and patients in both positive and negative ways. Here are 5 questions and examples of the potential impacts:
Q. What are the positive impacts the EHR has had on your practice?
A. Providers often note increased collaboration with other providers and more thorough documentation of care events.
Q. What, if any, are the negative impacts the EHR has had on your patients?
A. Not having eye-to-eye contact with patient when interviewing and documenting has become a necessary side-effect of using the technology in the examination room. Providers find the need to force themselves to look up from the screen to establish a visual connection with the patient.
Q. What are the positive impacts the EHR has had on your workflow?
A. It is much easier to find information needed and to have that information presented in a way that is meaningful and trackable.
Q. What are the negative impacts the EHR has on your workflow?
A. It is more difficult to complete documentation in a timely manner. Providers may find, especially in the early implementation stages, it takes more time to document visits.
Q. What actionable ideas do you have that could enhance the EHR for your patients and your practice?
A. Easier access for patients, such as the use of private kiosks in the office would allow patients to update their information privately prior to appointment and with a staff member to help if necessary.
All new technology has pros and cons. Clinically, financially and for population health success, the use of EHRs can and does push practices to deliver better care. With proper usage and workflow, providers can adapt and improve so all patients can realize better outcomes.
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