Over the past 10 years, US hospitals have rapidly adopted Electronic Health Record systems because of federal mandates that included both carrots and sticks. The US federal government pumped 87 billion US dollars into the market by giving multi-million dollar rewards to hospitals that adopted EHR systems and, in 2017, hospitals that have failed to […]
Tag: EHRI
Escaping the EHR Trap
In a recent article in the New England Journal of Medicine titled “Escaping the EHR Trap – the Future of Health IT“, Dr. Kenneth Mandi and Dr. Isaac Kohane present a strong argument for disruptive change in the EHR space as follows: “Health IT vendors should adopt modern technologies wherever possible. Clinicians choosing products in […]
Paper, Paper Everywhere but Not a Drop of Ink
A recent article on medium.com titled “UCSF Nurses Want Someone To Build These Products” By Fiahna Cabana, Desiree Matloob, and Priyanka Agarwal includes the following: ‘Frontline nurses attend to almost all of a patient’s basic needs. In doing so, they often juggle up to 25 pieces of paper with critical information. Ideally, nurses could use […]
A Picture is Worth 1,000 Words
Many patient conditions are difficult to describe accurately but can easily be captured by a digital photo. While most hospital EMRs will accept photo files, the process can be very cumbersome. A digital camera has to be found, the picture taken, then uploaded to the hospital EMR system through a PC. This not only takes […]
Order Sets on Steroids
Building and maintaining physician order sets can be one of the most important steps a hospital can take in making the use of EMR systems more efficient and creating a culture of structured care. In his book The Checklist Manifesto, Atul Gawande makes a clear case for the use of checklists in all aspects of […]
When Everything Falls Apart
In recent news articles, the fragility of hospital EMR platforms has been illustrated by the interruption of access to the EMR and the resulting loss of information to clinical workers. In at least one case, the hospital was without access for a number of days, creating havoc and closing vital services. The backup plan in […]
David and Goliath
In his seminal book on disruptive technology, David and Goliath, business guru Malcom Gladwell points out that Goliath didn’t have a chance against David who was wielding a technology that was a precursor to modern warfare where killing could be done at a distance. While the sling was not a new technology, having been invented sometime in […]
EMR in Africa and Beyond
The US market for hospital EMR systems has primarily been driven by the 36 billion dollars of the HITECH meaningful use program but what is going to drive the transformation from paper to full EMRs in the developing world? The answer is simple, Return on Investment (ROI). Actually, the US market would have been a […]
Will the US Hospital EMR Market See Major Disruption in the Next Few Years?
With HITECH rewards coming to an end, the likes of Cerner, Epic, and McKesson are looking for the next big windfall to feed their billion-dollar companies but may find that their customers are looking in the other direction to save money, not spend more. There are few who will argue that hospital profit margins will be […]
Échapper au Piège DSE
Dans un récent article paru dans le New England Journal of Medicine intitulé “Échapper au piège de DSE – l’avenir de la santé IT“, le Dr Kenneth Mandi et le Dr Isaac Kohane présentent un argument fort pour le changement perturbateur dans l’espace de DSE comme suit: «La santé fournisseurs de TI doivent adopter des […]