In response to Joseph Conn's "Failure, de-installation of EHRs abound: study":
As a medical informaticist, I have for almost a decade maintained a Web site covering these issues. The Web site has been viewed worldwide by people seeking such information, yet unfortunately it remains a near-unique source of information.
Critical discussions of health information technology seem to suffer from a form of prior restraint that forbids contemplation or acknowledgment of views that ruffle the feathers of the industry. It's good to see the industry catching up with what many in medical informatics have known for decades.
According to the story, "Asked, 'What are the major barriers to your plans for implementing an EMR?' the most common answer: 'lack of adequate funding or resources.' "
Actually, the major impediments to implementing a successful electronic health record are a significant lack of knowledge about what expertise is essential, and how that expertise should be positioned organizationally and strategically, instead of tacticallydirector of informatics (director of nothing) and chief medical information officer (chief of nothing)roles with little control of budgets and resources, but tasked with helping convince clinicians to adopt suboptimal IT.
Scot SilversteinAdjunct faculty of healthcare informatics and ITCollege of Information Science and TechnologyDrexel UniversityPhiladelphia, Pa. To submit a letter to YOUR VIEWS, click here. Please include your name, title and hometown.