EHR State of Mind by ZDoggMD
Man, this dude works his ass off. Please watch and realize how much effort there was to do this. He also has a message and it includes the link www.letdoctorsbedoctors.com. Check it all out.
5 thoughts on “EHR State of Mind by ZDoggMD”
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too bad his link ends with an advertisement for athena (ie another ehr). i started with paper, moved to dictating, and i remember how efficient we were with dictations. now we are the $12/hr dictation transcriber. bummer
-p
Awesome!!!
ZDoggMD’s concerns are echoed in this weeks New England Journal of Medicine lead commentary.
Even the establishment is finding that as ZDoggMD said “all EHRs suck!” The whole point was interoperability, didn’t happen. Quality improvement, didn’t happen. Patient safety, big did not happen. Improved efficiency, yeah right! Bad handwriting problems, I will give it a sort of.
Over the past 40 years I’ve seen the government, both Feds and state, mandate healthcare rationing. These steps didn’t last long due to public outcry. EHR is just another type of rationing by throttling at the level of the doctor. Meaningful use, safety, quality improvement all a cynical smoke screen to limit patient access.
The more I use ICD-10, the more I see it for what it is. It is a language for telling stories of death, not of chronicling medical care.
V95.45XA-Spacecraft explosion injuring occupant, initial encounter. Yes, but I cannot define “soft-tissue abscess, dorsal proximal phalanx, right index finger.” That is because ICD-10 is prolific in descriptions of mortal injuries, but not so hot with the trivial stuff that leaves you alive. Try looking stuff up. Pseudomonas encephalitis from frontal sinus infection, yeah, it does that good. Sore throat, notso-hotso.
Yeah, and if you can’t code for it, they can’t pay you for it….