Electronic health records demand that the physician practice conform to the record instead of the record conforming to the practice. If oddball patients are seen, and do not conform to typical clinical scenarios, it is very time-consuming and problematic to get the record to reflect these issues.
There are simply not enough macros to go around to equal the variability of dictation. The premium EHR will have both options and at a complexity level that even I can handle.
Our current system cost $150,000 five years ago, and with current upgrades to the tune of about $5,000 per quarter. This is for four doctor users. The current upgrade has made our electronic prescribing useless and has fouled most of our templates to cause authored texts by physicians to look like they were produced by medical assistants, and signed by them! Thats a really poor show for an upgrade, and extravagant.
Joel D. Stein, D.O.Medical directorINSOFt. Lauderdale, Fla. To submit a letter to the Modern Physician Reader Blog, click here. Please include your name, title, company and hometown. Modern Physician reserves the right to edit all submissions.