As someone who has been involved in the EHR evolution for the past eight years and has deployed them for the last three, I've seen practices that run the gamut—from well-oiled machines to those that still keep their appointments on paper and maintain their accounting system on the pegboard system. The most important lesson that we need to learn is that deploying an EHR system is more than just training end-users on its use and then wishing good luck after you leave.
Dropping new software into an already dysfunctional practice does absolutely nothing for improving processes and workflow, accounts-receivable management and quality of patient care. Many physicians, administrators, managers and office staff believe that they can continue to do things the way “we've always done it” and expect their processes to be duplicated in their new software. When they find that change is absolutely necessary, the resistance is fierce and loud.
If we are to truly overhaul our healthcare system, EHRs should be considered only one component of the overall changes that need to be made. Until we help physicians and practices understand that their vision must be aligned with the direction in which healthcare is going, EHR adoption will continue to see a significant failure rate across the board.
Project managerAmbulatory EMRHealth ChoiceMemphis
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